Provider Name: CAPRI GARDENS
Address: 6975 GRAPHICS WAY, LEWIS CENTER, OH 43035
Phone: (740) 657-2200
County: Delaware (210)
Ownership Type: For profit - Corporation
Certified Beds: 82
Average Residents Per Day: 78.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CARDINAL DELAWARE INC
First Approved Date: October 1, 2019
Affiliated Entity: FOUNDATIONS HEALTH SOLUTIONS (225)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.97906, LPN Staff Hours Per Day: 0.8742, RN Staff Hours Per Day: 0.6777, Licensed Staff Hours Per Day: 1.5519
Total Nurse Staff Hours Per Day, per resident: 3.53103
Weekend Nurse Staff Hours: 3.15359, Weekend RN Staff Hours: 0.5873
PT Staff Hours Per Day, per resident: 0.0250
Nurse Staff Turnover: 55.6, Nurse Turnover Note:
RN Turnover: 56.3, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.6505, Case Mix LPN Hours Per Day: 1.0419, Case Mix RN Hours Per Day: 0.4713
Adjusted Nurse Aide Hours Per Day, per resident: 1.52115, Adjusted LPN Hours Per Day: 0.6191, Adjusted RN Hours Per Day: 0.5418
Total Adjusted Nurse Hours Per Day, per resident: 2.67301
Adjusted Weekend Nurse Hours Per Day, per resident: 2.38729
Health Survey Dates and Scores: Cycle 1: 2022-07-28 (Score: 36), Cycle 2: 2019-10-01 (Score: 0), Cycle 3: (Score: .)
Total Weighted Health Score: 21.600
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12460.50, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 6975 GRAPHICS WAY,LEWIS CENTER,OH,43035 (40.1848, -83.021)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide activities to meet all resident's needs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Health, Deficiency: 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.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-17
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2021-06-16
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-03-16
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-03-16
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0753, Version: New
Description: Have restrictions on the use of highly flammable decorations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-08-12