Mifflin Care Center - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
365763
Provider Name
MIFFLIN CARE CENTER
Provider Address
1600 CRIDER RD
MANSFIELD, OH 44903
MANSFIELD, OH 44903
Provider Phone Number
(419) 589-7611
Provider SSA County
710
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHERN HEALTH FACILITIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-12-13
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.28750
Reported LPN Staffing Hours per Resident per Day
0.87065
Reported RN Staffing Hours per Resident per Day
0.91739
Reported Licensed Staffing Hours per Resident per Day
1.78804
Reported Total Nurse Staffing Hours per Resident per Day
4.07554
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04891
Expected CNA Staffing Hours per Resident per Day
2.42057
Expected LPN Staffing Hours per Resident per Day
0.70781
Expected RN Staffing Hours per Resident per Day
1.29871
Expected Total Nurse Staffing Hours per Resident per Day
4.42709
Adjusted CNA Staffing Hours per Resident per Day
2.31881
Adjusted LPN Staffing Hours per Resident per Day
1.02096
Adjusted RN Staffing Hours per Resident per Day
0.52781
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71081
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
28
Cycle 3 Standard Health Survey Date
2011-11-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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