Lima Manor - Lima Nursing Home
General Information
UPDATEFederal Provider Number
365303
Provider Name
LIMA MANOR
Provider Address
750 BROWER ROAD
LIMA, OH 45801
LIMA, OH 45801
Provider Phone Number
(419) 227-2611
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF LIMA, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-04-23
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35915
Reported LPN Staffing Hours per Resident per Day
0.76268
Reported RN Staffing Hours per Resident per Day
0.90986
Reported Licensed Staffing Hours per Resident per Day
1.67254
Reported Total Nurse Staffing Hours per Resident per Day
4.03169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08028
Expected CNA Staffing Hours per Resident per Day
2.54033
Expected LPN Staffing Hours per Resident per Day
0.75201
Expected RN Staffing Hours per Resident per Day
1.30308
Expected Total Nurse Staffing Hours per Resident per Day
4.59542
Adjusted CNA Staffing Hours per Resident per Day
2.27870
Adjusted LPN Staffing Hours per Resident per Day
0.84177
Adjusted RN Staffing Hours per Resident per Day
0.52172
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53642
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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