Liberty Nursing Center Of Mansfield - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
365475
Provider Name
LIBERTY NURSING CENTER OF MANSFIELD
Provider Address
535 LEXINGTON AVENUE
MANSFIELD, OH 44907
MANSFIELD, OH 44907
Provider Phone Number
(419) 756-7111
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBERTY NURSING CENTER OF MANSFIELD, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-04-17
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
1.57273
Reported LPN Staffing Hours per Resident per Day
0.56477
Reported RN Staffing Hours per Resident per Day
0.55398
Reported Licensed Staffing Hours per Resident per Day
1.11875
Reported Total Nurse Staffing Hours per Resident per Day
2.69148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04716
Expected CNA Staffing Hours per Resident per Day
2.56609
Expected LPN Staffing Hours per Resident per Day
0.70182
Expected RN Staffing Hours per Resident per Day
1.25913
Expected Total Nurse Staffing Hours per Resident per Day
4.52703
Adjusted CNA Staffing Hours per Resident per Day
1.50385
Adjusted LPN Staffing Hours per Resident per Day
0.66792
Adjusted RN Staffing Hours per Resident per Day
0.32875
Adjusted Total Nurse Staffing Hours per Resident per Day
2.39651
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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