Lima Memorial Transitional Car - Lima Nursing Home

General Information

UPDATE
Federal Provider Number
365903
Provider Name
LIMA MEMORIAL TRANSITIONAL CAR
Provider Address
1001 BELLEFONTAINE AVE
LIMA, OH 45804
Provider Phone Number
4192283335
Provider SSA County
10
Provider County Name
Allen
Ownership Type
Non profit - Corporation
Number of Certified Beds
17
Number of Residents in Certified Beds
11
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
LIMA MEMORIAL JOINT OPERATING COMPANY
Date First Approved to Provide Medicare and Medicaid services
1993-02-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.46364
Reported LPN Staffing Hours per Resident per Day
0.45455
Reported RN Staffing Hours per Resident per Day
2.30455
Reported Licensed Staffing Hours per Resident per Day
2.75909
Reported Total Nurse Staffing Hours per Resident per Day
4.22274
Reported Physical Therapist Staffing Hours per Resident Per Day
0.59545
Expected CNA Staffing Hours per Resident per Day
2.44587
Expected LPN Staffing Hours per Resident per Day
0.89313
Expected RN Staffing Hours per Resident per Day
2.07236
Expected Total Nurse Staffing Hours per Resident per Day
5.41136
Adjusted CNA Staffing Hours per Resident per Day
1.46833
Adjusted LPN Staffing Hours per Resident per Day
0.42242
Adjusted RN Staffing Hours per Resident per Day
0.83092
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14550
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
2014-07-02
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-12
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
17.33300
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

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