Cycle 1
Health 2025-04-24 · Fire 2025-04-24
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
North Lima, OH
Caprice Health Care Center
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
9184 Market St, North Lima, OH
(330) 965-9200
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
75
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-06-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.89
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.44
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.33
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.60
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.56
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
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.74
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9845
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.51
Baseline 21.94% · Performance 21.44% · Measure score 0.51 · Achievement 0 · Improvement 0.51
Healthcare-associated infections
2.78
Baseline 8.71% · Performance 7.49% · Measure score 2.78 · Achievement 1.14 · Improvement 2.78
Total nurse turnover
6.41
Baseline 42.31% · Performance 37.50% · Measure score 6.41 · Achievement 6.41 · Improvement 2.25
Adjusted total nurse staffing
1.23
Baseline 2.96 hours · Performance 3.43 hours · Measure score 1.23 · Achievement 1.23 · Improvement 1.15
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.79% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 18.18% · Lower 95% interval 9.22% |
| Discharge to community | 53.26% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 42.31% · Lower 95% interval 40.6% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 67 · Denominator 67 |
| Falls with major injury | 1.49% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 67 |
| Discharge self-care score | 51.22% |
53.69%
2.5 pts worse
|
Numerator 21 · Denominator 41 |
| Discharge mobility score | 53.66% |
50.94%
2.7 pts better
|
Numerator 22 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 8.96% |
2.29%
6.7 pts worse
|
Numerator 6 · Denominator 67 · Adjusted rate 7.71% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 9.72% · Lower 95% interval 4.85% |
| Staff COVID-19 vaccination coverage | 48.73% |
8.2%
40.5 pts better
|
Numerator 77 · Denominator 158 |
| Staff flu vaccination coverage | 11.35% |
42%
30.6 pts worse
|
Numerator 26 · Denominator 229 |
| Discharge function score | 58.54% |
56.45%
2.1 pts better
|
Numerator 24 · Denominator 41 |
| Transfer of health information to provider | 94.29% |
95.95%
1.7 pts worse
|
Numerator 33 · Denominator 35 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 35.71% |
25.2%
10.5 pts better
|
Numerator 10 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.3%
1.7 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 0.0% · Q4 2.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.2% |
26.1%
11.9 pts better
|
11.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 14.3% · Q3 10.0% · Q4 17.5% · 4Q avg 14.2% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.2%
1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 11.9% · Q3 7.3% · Q4 0.0% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.5% |
25.4%
12.1 pts worse
|
19.6%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 38.1% · Q3 31.7% · Q4 38.6% · 4Q avg 37.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
11.5%
5.7 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.7% · Q3 2.8% · Q4 10.5% · 4Q avg 5.8% · 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 | 8.6% |
7.7%
0.9 pts worse
|
16.3%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
6.2%
1.7 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.0% · Q3 3.0% · Q4 5.9% · 4Q avg 4.5% · 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 | 2.7% |
0.5%
2.2 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.1% · Q3 0.0% · Q4 4.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
21.7%
5.8 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 15.9% · Q3 12.4% · Q4 17.7% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
3.7%
0.1 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.1% · Q3 1.3% · Q4 4.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
78.1%
20.6 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.2% · Q3 97.7% · Q4 98.5% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.8% |
12.5%
5.3 pts worse
|
12.0%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 21.7% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
75.6%
22.1 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
25.1%
3.1 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 41.3% · Expected 34.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-27 · Fire 2022-10-27
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-10-17 · Fire 2019-10-17
1 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-24
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-07-24
E · Potential for more than minimal harm
2025-04-24
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-30
E · Potential for more than minimal harm
2025-04-24
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2025-06-30
F · Potential for more than minimal harm
2022-10-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-09
E · Potential for more than minimal harm
2022-10-27
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-09
E · Potential for more than minimal harm
2022-10-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-09
E · Potential for more than minimal harm
2022-10-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-09
E · Potential for more than minimal harm
2022-10-27
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-11-09
E · Potential for more than minimal harm
2019-10-17
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-11-19
E · Potential for more than minimal harm
2019-10-17
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-19
E · Potential for more than minimal harm
2019-10-17
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-11-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-24
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-04-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-30
D · Potential for more than minimal harm
2025-04-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-30
D · Potential for more than minimal harm
2022-10-27
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-11-09
D · Potential for more than minimal harm
2019-10-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-19
Penalties and ownership
What sits behind the stars
Ownership
Berardino, Nicholas
5% Or Greater Direct Ownership Interest · Individual
Cilone, Joseph
5% Or Greater Direct Ownership Interest · Individual
Huber, Michael
5% Or Greater Direct Ownership Interest · Individual
Petrozzi, Larry
5% Or Greater Direct Ownership Interest · Individual
Berardino, Nicholas
Operational/Managerial Control · Individual
Berardino, Nicholas
Corporate Director · Individual
Berardino, Nicholas
Corporate Officer · Individual
Carson, Jessica
Operational/Managerial Control · Individual
Cilone, Joseph
Operational/Managerial Control · Individual
Cilone, Joseph
Corporate Director · Individual
Cilone, Joseph
Corporate Officer · Individual
Huber, Michael
Corporate Director · Individual
Huber, Michael
Corporate Officer · Individual
Jcth Holdings, Inc.
Operational/Managerial Control · Organization
Lument Real Estate Capital LLC
5% Or Greater Mortgage Interest · Organization
Petrozzi, Larry
Corporate Director · Individual
Petrozzi, Larry
Corporate Officer · Individual
Volino, Louis
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Willow Woods Rehabilitation And Nursing
North Lima, OH
3-star overall rating with 2-star inspections with abuse icon flag with $49,422 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Shepherd Of The Valley Poland
Poland, OH
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Aventura At Assumption Village
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
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