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Waters Edge Village

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About Waters Edge Village

General Information

Legal Business NameThe Health And Hospital Corporation Of Marion County
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity74
Residents49
Percent Occupied66%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Waters Edge Village

Waters Edge Village
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 7, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

July 8, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProtect a residents' right to refuse some types of non-requested transfers within the nursing home.
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

April 25, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

December 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

September 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

October 29, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

September 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Waters Edge Village require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 20min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
55min
1hr 15min
ReportedExpected
RN
4hr 40min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.4%
100.0%
100.0%
100.0%
93.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
98.2%
100.0%
100.0%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
47.2%
50.0%
57.7%
50.0%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of low risk long-stay residents who lose control of their bowels or bladder
44.2%
41.2%
39.1%
36.2%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
33.7%
20.2%
16.2%
10.0%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose ability to move independently worsened
27.3%
25.0%
18.4%
11.1%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antipsychotic medication
24.5%
10.0%
10.9%
10.9%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose need for help with daily activities has increased
22.4%
11.8%
1.7%
0.0%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who self-report moderate to severe pain
7.4%
1.8%
11.1%
10.4%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who lose too much weight
7.4%
11.4%
10.3%
8.0%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of high risk long-stay residents with pressure ulcers
10.4%
22.2%
6.7%
2.2%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who have depressive symptoms
3.7%
1.8%
2.1%
8.3%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a urinary tract infection
3.6%
5.3%
6.1%
6.2%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.8%
3.3%
2.1%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

55.6%
74.4%
97.8%
97.7%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.4%
87.8%
87.8%
87.8%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
60.3%
-
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
25.0%
-
-
-
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
4.3%
0.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
1.8%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents with pressure ulcers that are new or worsened