16 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
North Lima, OH
2-star overall rating with 2-star inspections with $14,680 in total fines with 16 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
9800 Market Street, North Lima, OH
(330) 549-0740
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aventura Health Group
Operator or chain grouping
Approved since
1990-02-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.39
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,901
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.10
Composite VBP score used to determine payment impact.
Payment multiplier
0.9828
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6
Baseline 19.79% · Performance 18.65% · Measure score 6 · Achievement 6 · Improvement 3.63
Healthcare-associated infections
1.33
Baseline 5.58% · Performance 7.44% · Measure score 1.33 · Achievement 1.33 · Improvement 0
Total nurse turnover
0
Performance 61.91% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.51
Baseline 2.91 hours · Performance 3.49 hours · Measure score 1.51 · Achievement 1.45 · Improvement 1.51
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.18% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 8.33% · Lower 95% interval 6.77% |
| Discharge to community | 42.79% |
50.57%
7.8 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 36.96% · Lower 95% interval 33.46% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.18% |
95.27%
2.9 pts better
|
Numerator 54 · Denominator 55 |
| Falls with major injury | 1.82% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 55 |
| Discharge self-care score | 59.46% |
53.69%
5.8 pts better
|
Numerator 22 · Denominator 37 |
| Discharge mobility score | 51.35% |
50.94%
0.4 pts better
|
Numerator 19 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 3.64% |
2.29%
1.4 pts worse
|
Numerator 2 · Denominator 55 · Adjusted rate 3.82% |
| Healthcare-associated infections requiring hospitalization | 7.44% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 71 · Observed rate 7.04% · Lower 95% interval 4.11% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 148 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 54.05% |
56.45%
2.4 pts worse
|
Numerator 20 · Denominator 37 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 44% |
25.2%
18.8 pts better
|
Numerator 11 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.8% |
92.4%
2.6 pts worse
|
93.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 93.1% · Q3 89.0% · Q4 80.4% · 4Q avg 89.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
94.5%
1.2 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.3%
1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 1.2% · Q4 3.3% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
26.1%
22 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.5% · Q3 3.9% · Q4 4.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.2%
0.8 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 5.6% · Q3 1.4% · Q4 7.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.3% |
25.4%
5.1 pts better
|
19.6%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 21.6% · Q3 17.8% · Q4 19.0% · 4Q avg 20.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
11.5%
7.3 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 21.9% · Q3 20.0% · Q4 17.1% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.7% |
7.7%
2 pts better
|
16.3%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.2% · Q3 0.0% · Q4 5.5% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.2% |
6.2%
2 pts better
|
14.9%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 2.8% · Q3 1.4% · Q4 6.8% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.5%
0.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
21.7%
4.7 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 24.5% · Q3 30.6% · Q4 19.9% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
3.7%
0.3 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.8% · Q3 2.6% · Q4 2.8% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.0% |
78.1%
54.1 pts worse
|
81.7%
57.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 25.3% · Q3 15.9% · Q4 19.4% · 4Q avg 24.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
12.5%
3.8 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 9.3% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 32.0% |
75.6%
43.6 pts worse
|
79.7%
47.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 32.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
25.1%
4.4 pts better
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 23.3% · Expected 26.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (5 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-02-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-04
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-02-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-10
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-24
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-08
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-02-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-04
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-02-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-04
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-04
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-02-04
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-02-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-16
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-08-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-06
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-11-06
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-06
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-11-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-14
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-12-10
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-12-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-12-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-12-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-12-10
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-12-10
Penalties and ownership
Fine · fine $14,680
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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