Geriatric Center Of Mansfield - Mansfield Nursing Home

General Information

UPDATE
Federal Provider Number
365118
Provider Name
GERIATRIC CENTER OF MANSFIELD
Provider Address
50 BLYMYER AVENUE
MANSFIELD, OH 44903
Provider Phone Number
(419) 774-5100
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
89
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANSFIELD MEMORIAL HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-04
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72213
Reported LPN Staffing Hours per Resident per Day
0.99754
Reported RN Staffing Hours per Resident per Day
0.64180
Reported Licensed Staffing Hours per Resident per Day
1.63934
Reported Total Nurse Staffing Hours per Resident per Day
4.36147
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07049
Expected CNA Staffing Hours per Resident per Day
2.32421
Expected LPN Staffing Hours per Resident per Day
0.72908
Expected RN Staffing Hours per Resident per Day
1.31110
Expected Total Nurse Staffing Hours per Resident per Day
4.36440
Adjusted CNA Staffing Hours per Resident per Day
2.87379
Adjusted LPN Staffing Hours per Resident per Day
1.13561
Adjusted RN Staffing Hours per Resident per Day
0.36576
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02820
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
5054
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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