Waters Of Indianapolis, The - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155409
Provider Name
WATERS OF INDIANAPOLIS, THE
Provider Address
3895 S KEYSTONE AVE
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
Provider Phone Number
(317) 787-5364
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
81
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
3
Health Inspection Rating Footnote
QM Rating
1
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
2.28091
Reported LPN Staffing Hours per Resident per Day
0.41182
Reported RN Staffing Hours per Resident per Day
0.81273
Reported Licensed Staffing Hours per Resident per Day
1.22455
Reported Total Nurse Staffing Hours per Resident per Day
3.50546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05182
Expected CNA Staffing Hours per Resident per Day
2.36874
Expected LPN Staffing Hours per Resident per Day
0.70587
Expected RN Staffing Hours per Resident per Day
1.34976
Expected Total Nurse Staffing Hours per Resident per Day
4.42437
Adjusted CNA Staffing Hours per Resident per Day
2.36272
Adjusted LPN Staffing Hours per Resident per Day
0.48424
Adjusted RN Staffing Hours per Resident per Day
0.44991
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19371
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-15
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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