Springview Manor - Lima Nursing Home

General Information

UPDATE
Federal Provider Number
366221
Provider Name
SPRINGVIEW MANOR
Provider Address
883 WEST SPRING STREET
LIMA, OH 45805
Provider Phone Number
4192273661
Provider SSA County
10
Provider County Name
Allen
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF ALLEN II LLC
Date First Approved to Provide Medicare and Medicaid services
2001-08-02
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.13727
Reported LPN Staffing Hours per Resident per Day
0.74273
Reported RN Staffing Hours per Resident per Day
1.08182
Reported Licensed Staffing Hours per Resident per Day
1.82455
Reported Total Nurse Staffing Hours per Resident per Day
3.96182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02636
Expected CNA Staffing Hours per Resident per Day
2.48022
Expected LPN Staffing Hours per Resident per Day
0.66935
Expected RN Staffing Hours per Resident per Day
1.09737
Expected Total Nurse Staffing Hours per Resident per Day
4.24695
Adjusted CNA Staffing Hours per Resident per Day
2.11442
Adjusted LPN Staffing Hours per Resident per Day
0.92099
Adjusted RN Staffing Hours per Resident per Day
0.73661
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76028
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
2014-02-20
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
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-11-15
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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