Waters Of Huntingburg, The - Huntingburg Nursing Home

General Information

UPDATE
Federal Provider Number
155217
Provider Name
WATERS OF HUNTINGBURG, THE
Provider Address
1712 LELAND DR
HUNTINGBURG, IN 47542
Provider Phone Number
8126834090
Provider SSA County
180
Provider County Name
Dubois
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-07-15
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06349
Reported LPN Staffing Hours per Resident per Day
1.18810
Reported RN Staffing Hours per Resident per Day
0.81349
Reported Licensed Staffing Hours per Resident per Day
2.00159
Reported Total Nurse Staffing Hours per Resident per Day
4.06508
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09048
Expected CNA Staffing Hours per Resident per Day
2.30454
Expected LPN Staffing Hours per Resident per Day
0.64228
Expected RN Staffing Hours per Resident per Day
1.05178
Expected Total Nurse Staffing Hours per Resident per Day
3.99859
Adjusted CNA Staffing Hours per Resident per Day
2.19705
Adjusted LPN Staffing Hours per Resident per Day
1.53535
Adjusted RN Staffing Hours per Resident per Day
0.57792
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09793
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
157
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
157
Total Weighted Health Survey Score
81.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
5265
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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