Lost Creek Health Care And Rehabilitation Center - Lima Nursing Home
General Information
UPDATEFederal Provider Number
365600
Provider Name
LOST CREEK HEALTH CARE AND REHABILITATION CENTER
Provider Address
804 SOUTH MUMAUGH ROAD
LIMA, OH 45804
LIMA, OH 45804
Provider Phone Number
(419) 225-9040
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ELDER CARE AT LIMA I LLC
Date First Approved to Provide Medicare and Medicaid services
1983-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90448
Reported LPN Staffing Hours per Resident per Day
0.69925
Reported RN Staffing Hours per Resident per Day
0.75448
Reported Licensed Staffing Hours per Resident per Day
1.45373
Reported Total Nurse Staffing Hours per Resident per Day
3.35821
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07537
Expected CNA Staffing Hours per Resident per Day
2.44302
Expected LPN Staffing Hours per Resident per Day
0.78857
Expected RN Staffing Hours per Resident per Day
1.38213
Expected Total Nurse Staffing Hours per Resident per Day
4.61371
Adjusted CNA Staffing Hours per Resident per Day
1.91281
Adjusted LPN Staffing Hours per Resident per Day
0.73599
Adjusted RN Staffing Hours per Resident per Day
0.40788
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93399
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2014-06-04
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.00000
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
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