Westpark A Waters Community - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155389
Provider Name
WESTPARK A WATERS COMMUNITY
Provider Address
1316 N TIBBS AVE
INDIANAPOLIS, IN 46222
INDIANAPOLIS, IN 46222
Provider Phone Number
(317) 634-8330
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
89
Number of Residents in Certified Beds
58
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.38793
Reported LPN Staffing Hours per Resident per Day
1.30431
Reported RN Staffing Hours per Resident per Day
0.73879
Reported Licensed Staffing Hours per Resident per Day
2.04310
Reported Total Nurse Staffing Hours per Resident per Day
4.43103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09828
Expected CNA Staffing Hours per Resident per Day
2.27011
Expected LPN Staffing Hours per Resident per Day
0.69655
Expected RN Staffing Hours per Resident per Day
1.21992
Expected Total Nurse Staffing Hours per Resident per Day
4.18657
Adjusted CNA Staffing Hours per Resident per Day
2.58105
Adjusted LPN Staffing Hours per Resident per Day
1.55420
Adjusted RN Staffing Hours per Resident per Day
0.45251
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26627
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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