Alpha Home - A Waters Community - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155717
Provider Name
ALPHA HOME - A WATERS COMMUNITY
Provider Address
2640 COLD SPRING RD
INDIANAPOLIS, IN 46222
INDIANAPOLIS, IN 46222
Provider Phone Number
3179231518
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Non profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE ALPHA HOME ASSOCIATION OF GREATER INDIANAPOLIS, INC
Date First Approved to Provide Medicare and Medicaid services
2002-10-11
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05690
Reported LPN Staffing Hours per Resident per Day
0.99828
Reported RN Staffing Hours per Resident per Day
1.08276
Reported Licensed Staffing Hours per Resident per Day
2.08103
Reported Total Nurse Staffing Hours per Resident per Day
4.13794
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05862
Expected CNA Staffing Hours per Resident per Day
2.37030
Expected LPN Staffing Hours per Resident per Day
0.59300
Expected RN Staffing Hours per Resident per Day
0.81618
Expected Total Nurse Staffing Hours per Resident per Day
3.77948
Adjusted CNA Staffing Hours per Resident per Day
2.12927
Adjusted LPN Staffing Hours per Resident per Day
1.39727
Adjusted RN Staffing Hours per Resident per Day
0.99125
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41321
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-08-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
20
Cycle 3 Health Deficiency Score
251
Cycle 3 Standard Health Survey Date
2013-09-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
251
Total Weighted Health Survey Score
97.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
Number of Fines
3
Total Amount of Fines in Dollars
64450
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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