Indiana Nursing Homes >> Fort Wayne Nursing Homes >> Woodview A Waters Community

Woodview A Waters Community - Fort Wayne Nursing Home

General Information

UPDATE
Federal Provider Number
155255
Provider Name
WOODVIEW A WATERS COMMUNITY
Provider Address
3420 EAST STATE BLVD
FORT WAYNE, IN 46805
Provider Phone Number
(260) 484-3120
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-05-17
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.51412
Reported LPN Staffing Hours per Resident per Day
1.17824
Reported RN Staffing Hours per Resident per Day
0.47000
Reported Licensed Staffing Hours per Resident per Day
1.64824
Reported Total Nurse Staffing Hours per Resident per Day
4.16236
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20059
Expected CNA Staffing Hours per Resident per Day
2.58500
Expected LPN Staffing Hours per Resident per Day
0.63747
Expected RN Staffing Hours per Resident per Day
0.98623
Expected Total Nurse Staffing Hours per Resident per Day
4.20870
Adjusted CNA Staffing Hours per Resident per Day
2.38642
Adjusted LPN Staffing Hours per Resident per Day
1.53410
Adjusted RN Staffing Hours per Resident per Day
0.35609
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98652
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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