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Springs of Lima the

370 North Eastown Road, Lima, OH 45807 · Allen County · (419) 221-6051

56 certified beds, about 53 residents a day · For profit - Corporation · Medicare and Medicaid since 2018

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366464 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 0 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 18 health citations since September 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.86 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

30.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
0E
0F
Potential for minimal harm
0A
0B
1C
July 24, 2025Standard inspection · 0 citations
November 1, 2024Complaint inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2024
    Inspectors wroteBased on record review, observation, staff interview, and policy review, the facility failed to ensure medications were not prepared prior to administration. This affected three (#03, #04, and #13) out of three residents reviewed for medication administration. The facility census was 54.
August 15, 2024Complaint inspection · 3 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a care plan was initiated to address care and services for a resident with a respiratory infection. This affected one (#15) of three reviewed for respiratory infections. The census was 55.
  2. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure care and treatment of a resident's colostomy was provided. This affected one (#16) of one resident reviewed for colostomy care. The census was 55.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2024
    Inspectors wroteBased on observation, medical record review, resident and staff interview, and review of a facility policy, the facility failed to ensure medications were taken by the resident when administered and administered as ordered. This one (#13) of three residents reviewed for medications. The census was 55.
September 12, 2022Standard inspection · 7 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to notify the physician of resident's weight gain as ordered. This affected one (Resident #40) of three residents reviewed for weight changes. The facility census was 45.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, observations, staff interview, and review of the facility's policy, the facility failed to ensure Resident #37, who required assistance limited staff assistance for activities of daily living (ADL) care, received adequate assistance with nail care to promote proper hygiene. This affected one (#37) of three residents reviewed for activities of daily living. The facility identified all 45 residents residing in the facility required staff assistance with dressing and bathing.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, resident and staff interview, and review of a facility policy, the facility failed to ensure resident weights were obtained as physician ordered. This affected one (Resident #40) of three residents reviewed for weight changes. The census was 45.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, observations, staff interviews, and review of the facility's policy, the facility failed to ensure a resident's fall interventions were in place as care planned. This affected one (#37) of four residents reviewed for falls. The facility census was 45.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure medications were re-ordered correctly and administered as physician ordered. This affected one (Resident #41) of six residents reviewed for unnecessary medications. The facility census was 45.
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on medical record review, observation, staff interview, policy review, and review of manufacturer's instructions, the facility failed to administer insulin as physician ordered and per the manufacturer's instructions which resulted in a significant medication error. This affected one (#25) of three residents observed during medication administration. The facility identified 14 residents in the facility who receive insulin. The facility census was 45.
  7. C
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 30, 2022
    Inspectors wroteBased on review of Quality Assessment and Assurance (QAA) Committee/Quality Assurance Improvement Program (QAPI) meeting sign in sheets and staff interview, the facility failed to ensure the Medical Director or designee attended QAA Committee/QAPI meetings at least quarterly. This had the potential to affect all 45 residents residing in the facility.
September 5, 2019Standard inspection · 7 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on medical record review, resident and staff interview, and review of facility policies, the facility failed to ensure the physician and dialysis center were notified of a change in a resident's condition. This affected one (Resident #15) of one resident reviewed for dialysis. The facility identified only one resident receiving dialysis. The facility census was 54.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a care plan was implemented for safety concerns related to utilization of a motorized wheelchair. This affected one resident (#39) of 15 reviewed for care plans. The facility census was 54.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on observation, medical record review, staff and resident interview, and review of a facility policy, the facility failed to observe a resident during medication administration, resulting in unsupervised medications. This affected one randomly observed Resident (#25) during the first stage of the survey process. This also had the potential to affect one Resident (#45) whom the facility identified as confused and independently ambulatory on the 300 hall. The facility census was 54.
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on record review and staff interview the facility failed to follow physician orders regarding catheter care for residents. This affected one resident, (Resident #42) of one reviewed for catheter care. The current census was 54.
  5. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on observation, medical record review, staff interview and review of a facility policy, the facility failed to ensure a resident received a mechanically altered diet per the physician's order. This affected one (Resident #2) of three residents reviewed for nutrition. This had the potential to affect 11 residents the facility identified as receiving mechanically altered diets. The facility census was 54.
  6. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on medical record review, resident and staff interview, and review of a facility policy, the facility failed to ensure communication of a resident's condition with the dialysis center. This affected one (Resident #15) of one residents reviewed for dialysis. The facility identified only one resident receiving dialysis. The facility census was 54.
  7. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2019
    Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure a resident's blood pressure medication was held per the physician's order. This affected one (Resident #15) of one reviewed for dialysis. The facility identified only one resident receiving dialysis. The facility census was 54.

Fire safety inspections

12 fire safety citations on file: 1 on July 24, 2025, 5 on September 12, 2022, 6 on September 5, 2019.

Every fire safety citation12 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 24, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 12, 2022 · Corrected (the home has a date of correction)
  3. F
    Ensure proper usage of power strips and extension cords.
    K 920 · September 12, 2022 · Corrected (the home has a date of correction)
  4. E
    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.
    K 222 · September 12, 2022 · Corrected (the home has a date of correction)
  5. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2022 · Corrected (the home has a date of correction)
  6. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · September 12, 2022 · Corrected (the home has a date of correction)
  7. F
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · September 5, 2019 · Corrected (the home has a date of correction)
  8. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · September 5, 2019 · Corrected (the home has a date of correction)
  9. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · September 5, 2019 · Corrected (the home has a date of correction)
  10. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 5, 2019 · Corrected (the home has a date of correction)
  11. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 5, 2019 · Corrected (the home has a date of correction)
  12. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 5, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.863.693.86
Registered nurses0.790.640.69
All nursing staff on weekends3.303.283.42
Nurse aides2.04
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)30.6%48.7%45.8%
Registered nurse turnover22.2%43.9%42.9%
Administrators who left1

CMS expects 4.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.09 on weekdays and 3.30 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 3.86 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.860.794.093.30 0.0%0 of 9053
Oct to Dec 20254.010.804.243.43 0.0%0 of 9251
Jul to Sep 20253.540.703.733.08 0.0%0 of 9251
Apr to Jun 20253.400.753.572.96 0.0%0 of 9153
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.15.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.36.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.43.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
1.18.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.324.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.112.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.81.8

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF LIMA II, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Griffin-American Healthcare Reit III, Inc.5% or greater indirect ownership interestOrganization10/01/2018
Griffin-American Healthcare Reit IV Holdings, LP5% or greater indirect ownership interestOrganization10/01/2018
Northstar Healthcare Income Inc5% or greater indirect ownership interestOrganization10/01/2018
Northstar Healthcare Income Operating Partnership LP5% or greater indirect ownership interestOrganization10/01/2018
Trilogy Holdings Nt-Hci, LLC5% or greater indirect ownership interestOrganization10/01/2018
Corbin, KathyW-2 managing employeeIndividual05/29/2018
Fightmaster, LisaW-2 managing employeeIndividual12/01/2015
Barber, RobinCorporate officerIndividual04/03/2018
Barney, LeighCorporate officerIndividual01/01/2001
Bryant, WilliamCorporate officerIndividual01/06/2016
Bufford, RandallCorporate officerIndividual12/10/1997
Davis, DavidCorporate officerIndividual08/21/2017
Prosky, DannyCorporate officerIndividual12/01/2015
Streiff, MathieuCorporate officerIndividual12/01/2015
Williamson, BradleyCorporate officerIndividual01/21/2014
Trilogy Health Services LLCOperational/managerial controlOrganization12/01/2015
Trilogy Management Services LLCOperational/managerial controlOrganization12/01/2015
Trinko, JessicaOperational/managerial controlIndividual07/30/2018

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on August 15, 2024: "Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on November 1, 2024: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 15, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 12, 2022: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Springs of Lima the's Medicare star rating?
CMS rates Springs of Lima the 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Springs of Lima the get at its last inspection?
0 health deficiencies at the standard inspection on July 24, 2025. The Ohio average is 10.5.
Has Springs of Lima the been fined?
CMS lists no fines in the last three years.
Does Springs of Lima the accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Springs of Lima the?
CMS lists 18 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF LIMA II, LLC.

Sources

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