Lima Convalescent Home - Lima Nursing Home
General Information
UPDATEFederal Provider Number
366297
Provider Name
LIMA CONVALESCENT HOME
Provider Address
1650 ALLENTOWN ROAD
LIMA, OH 45805
LIMA, OH 45805
Provider Phone Number
4192249741
Provider SSA County
10
Provider County Name
Allen
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIMA CONVALESCENT HOME FOUNDATION INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
2004-08-18
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.75435
Reported LPN Staffing Hours per Resident per Day
0.47319
Reported RN Staffing Hours per Resident per Day
1.12971
Reported Licensed Staffing Hours per Resident per Day
1.60290
Reported Total Nurse Staffing Hours per Resident per Day
4.35725
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03913
Expected CNA Staffing Hours per Resident per Day
2.39745
Expected LPN Staffing Hours per Resident per Day
0.66278
Expected RN Staffing Hours per Resident per Day
1.10759
Expected Total Nurse Staffing Hours per Resident per Day
4.16783
Adjusted CNA Staffing Hours per Resident per Day
2.81897
Adjusted LPN Staffing Hours per Resident per Day
0.59257
Adjusted RN Staffing Hours per Resident per Day
0.76212
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21410
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
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