Waters Of Covington, The - Covington Nursing Home
General Information
UPDATEFederal Provider Number
155223
Provider Name
WATERS OF COVINGTON, THE
Provider Address
1600 E LIBERTY ST
COVINGTON, IN 47932
COVINGTON, IN 47932
Provider Phone Number
(765) 793-4818
Provider SSA County
220
Provider County Name
Fountain
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
119
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-03-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91154
Reported LPN Staffing Hours per Resident per Day
0.86319
Reported RN Staffing Hours per Resident per Day
0.64341
Reported Licensed Staffing Hours per Resident per Day
1.50659
Reported Total Nurse Staffing Hours per Resident per Day
3.41814
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06264
Expected CNA Staffing Hours per Resident per Day
2.48210
Expected LPN Staffing Hours per Resident per Day
0.70354
Expected RN Staffing Hours per Resident per Day
1.18015
Expected Total Nurse Staffing Hours per Resident per Day
4.36580
Adjusted CNA Staffing Hours per Resident per Day
1.88967
Adjusted LPN Staffing Hours per Resident per Day
1.01835
Adjusted RN Staffing Hours per Resident per Day
0.40737
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15594
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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