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Waters Of Summit City
2940 N CLINTON ST
Fort Wayne, IN 46805
(260) 484-0602
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 88 |
| Number of Residents: | 59 |
| Percent of Occupied Beds: | 67% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070925 | Health | Administration Deficiencies | post nurse staffing information. | Widespread | Potential for minimal harm | 20070925 |
| 20070925 | Health | Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | Pattern | Minimal harm or potential for actual harm | 20070925 |
| 20070925 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20071012 |
| 20090121 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20090121 |
| 20090121 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20090121 |
| 20090121 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Actual harm | 20090121 |
| 20090121 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | 20090121 |
| 20090121 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20090121 |
| 20100614 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100702 |
| 20100805 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20100806 |
| 20100805 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Isolated | Minimal harm or potential for actual harm | 20100806 |
| 20101027 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20101117 |
| 20101027 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20101117 |
| 20101027 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101117 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 95 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 95 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 23 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 3 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 5 | |
| Percent of long-stay residents who are more depressed or anxious: | 22 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 33 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 4 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 8 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 73 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 8 | |
| Percent of short-stay residents who have pressure sores: | 1 | |
| # of Residents: | 59 |
| # RN Hours per Resident: | 0.43 |
| # LPN Hours per Resident: | 1.17 |
| # CNA Hours per Resident: | 1.86 |
| Total Staff Hours per Resident: | 1.6 |
