11 health deficiencies
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lima, OH
2-star overall rating with 2-star inspections with $73,069 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
804 South Mumaugh Road, Lima, OH
(419) 225-9040
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.37
Registered nurse staffing
LPN hours / resident day
1.05
Licensed practical nurse staffing
Aide hours / resident day
1.78
Nurse aide staffing
Weekend hours
2.85
Weekend nurse staffing
RN turnover
33%
Annual RN turnover
Total nurse turnover
52%
Annual nurse turnover
Quality measures
| 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 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.3%
1.9 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 74.0% |
26.1%
47.9 pts worse
|
11.4%
62.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.2%
2.3 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
25.4%
13 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.7% |
11.5%
4.8 pts better
|
16.7%
10 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 0.0% |
7.7%
7.7 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 0.8% |
6.2%
5.4 pts better
|
14.9%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
21.7%
6.9 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
3.7%
2.2 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.1%
21.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.2%
0.7 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
75.6%
22.6 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-27
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-19
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-12-19
Fire Safety
Use approved construction type or materials.
Corrected 2022-12-19
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2022-12-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-12-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-10
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 2020-01-10
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2020-01-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-10
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-27
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-27
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-06-27
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-27
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-06-27
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-27
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-06-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-27
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-06-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-11
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-26
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-02-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-19
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-19
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-12-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-19
Health
Provide or obtain dental services for each resident.
Corrected 2022-12-19
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-12-16
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2022-12-16
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 2020-01-10
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2020-01-10
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2020-01-10
Health
Respond appropriately to all alleged violations.
Corrected 2020-01-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-01-10
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2020-01-10
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2020-01-10
Penalties and ownership
Fine · fine $52,875
Fine
Fine · fine $20,194
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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