Ohio Nursing Homes >> Lima Nursing Homes >> Shawnee Manor

Shawnee Manor - Lima Nursing Home

General Information

UPDATE
Federal Provider Number
365361
Provider Name
SHAWNEE MANOR
Provider Address
2535 FORT AMANDA ROAD
LIMA, OH 45804
Provider Phone Number
(419) 999-2055
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
137
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF SHAWNEE, INC.
Date First Approved to Provide Medicare and Medicaid services
1977-09-20
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
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
2.25075
Reported LPN Staffing Hours per Resident per Day
0.53507
Reported RN Staffing Hours per Resident per Day
0.68284
Reported Licensed Staffing Hours per Resident per Day
1.21791
Reported Total Nurse Staffing Hours per Resident per Day
3.46866
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07799
Expected CNA Staffing Hours per Resident per Day
2.57459
Expected LPN Staffing Hours per Resident per Day
0.70474
Expected RN Staffing Hours per Resident per Day
1.21897
Expected Total Nurse Staffing Hours per Resident per Day
4.49830
Adjusted CNA Staffing Hours per Resident per Day
2.14506
Adjusted LPN Staffing Hours per Resident per Day
0.63018
Adjusted RN Staffing Hours per Resident per Day
0.41857
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10825
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-11-14
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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