Indiana Nursing Homes >> Dillsboro Nursing Homes >> Waters Of Dillsboro-ross Manor, The

Waters Of Dillsboro-ross Manor, The - Dillsboro Nursing Home

General Information

UPDATE
Federal Provider Number
155280
Provider Name
WATERS OF DILLSBORO-ROSS MANOR, THE
Provider Address
12803 LENOVER ST
DILLSBORO, IN 47018
Provider Phone Number
(812) 432-5226
Provider SSA County
140
Provider County Name
Dearborn
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-10-31
Continuing Care Retirement Community
N
Special Focus Facility
N
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88500
Reported LPN Staffing Hours per Resident per Day
1.14278
Reported RN Staffing Hours per Resident per Day
0.56944
Reported Licensed Staffing Hours per Resident per Day
1.71222
Reported Total Nurse Staffing Hours per Resident per Day
3.59722
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09667
Expected CNA Staffing Hours per Resident per Day
2.45762
Expected LPN Staffing Hours per Resident per Day
0.68141
Expected RN Staffing Hours per Resident per Day
1.13216
Expected Total Nurse Staffing Hours per Resident per Day
4.27119
Adjusted CNA Staffing Hours per Resident per Day
1.88200
Adjusted LPN Staffing Hours per Resident per Day
1.39198
Adjusted RN Staffing Hours per Resident per Day
0.37582
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39485
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
3835
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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