Waters Of Yorktown, The - Yorktown Nursing Home
General Information
UPDATEFederal Provider Number
155238
Provider Name
WATERS OF YORKTOWN, THE
Provider Address
2000 S ANDREWS RD
YORKTOWN, IN 47396
YORKTOWN, IN 47396
Provider Phone Number
(765) 759-7740
Provider SSA County
170
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE WATERS OF YORKTOWN, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-20
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.87154
Reported LPN Staffing Hours per Resident per Day
0.76077
Reported RN Staffing Hours per Resident per Day
0.54308
Reported Licensed Staffing Hours per Resident per Day
1.30385
Reported Total Nurse Staffing Hours per Resident per Day
3.17539
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10308
Expected CNA Staffing Hours per Resident per Day
2.41012
Expected LPN Staffing Hours per Resident per Day
0.68081
Expected RN Staffing Hours per Resident per Day
1.21212
Expected Total Nurse Staffing Hours per Resident per Day
4.30305
Adjusted CNA Staffing Hours per Resident per Day
1.90538
Adjusted LPN Staffing Hours per Resident per Day
0.92748
Adjusted RN Staffing Hours per Resident per Day
0.33478
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97456
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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