Indiana Nursing Homes >> Kokomo Nursing Homes >> Waterford Place Health Campus

Waterford Place Health Campus - Kokomo Nursing Home

General Information

UPDATE
Federal Provider Number
155678
Provider Name
WATERFORD PLACE HEALTH CAMPUS
Provider Address
800 ST JOSEPH DR
KOKOMO, IN 46901
Provider Phone Number
(765) 236-1239
Provider SSA County
330
Provider County Name
Howard
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
103
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2000-09-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.14888
Reported LPN Staffing Hours per Resident per Day
1.61685
Reported RN Staffing Hours per Resident per Day
1.41067
Reported Licensed Staffing Hours per Resident per Day
3.02753
Reported Total Nurse Staffing Hours per Resident per Day
5.17640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14831
Expected CNA Staffing Hours per Resident per Day
2.35168
Expected LPN Staffing Hours per Resident per Day
0.68298
Expected RN Staffing Hours per Resident per Day
1.24208
Expected Total Nurse Staffing Hours per Resident per Day
4.27673
Adjusted CNA Staffing Hours per Resident per Day
2.24210
Adjusted LPN Staffing Hours per Resident per Day
1.96491
Adjusted RN Staffing Hours per Resident per Day
0.84862
Adjusted Total Nurse Staffing Hours per Resident per Day
4.87885
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
7020
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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