The Waters of Fort Smith, LLC · Waters of Fort Smith LLC

4796463454 · 5301 Wheeler Avenue, Fort Smith, AR 72901

Overview

The Waters of Fort Smith, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045345. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 5301 Wheeler Avenue, Fort Smith, AR 72901. The overall rating is 1.

Federal Provider Number 045345
Provider Name THE WATERS OF FORT SMITH, LLC
Legal Business Name WATERS OF FORT SMITH LLC
Address 5301 Wheeler Avenue
Fort Smith
AR 72901
County Sebastian
Telephone 4796463454
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 1998-09-11
Number of Certified Beds 117
Average Number of Residents per Day 102.6
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Long Stay Quality Measure Rating 3
Short Stay Quality Measure Rating 3
Staffing Rating 2
Registered Nurses Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.42344
Reported LPN Staffing Hours per Resident per Day 0.82804
Reported RN Staffing Hours per Resident per Day 0.33265
Reported Licensed Staffing Hours per Resident per Day 1.16070
Reported Total Nurse Staffing Hours per Resident per Day 3.58414
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04247
Expected CNA Staffing Hours per Resident per Day 1.84702
Expected LPN Staffing Hours per Resident per Day 0.66674
Expected RN Staffing Hours per Resident per Day 0.36411
Expected Total Nurse Staffing Hours per Resident per Day 2.87788
Adjusted CNA Staffing Hours per Resident per Day 2.70130
Adjusted LPN Staffing Hours per Resident per Day 0.92015
Adjusted RN Staffing Hours per Resident per Day 0.36562
Adjusted Total Nurse Staffing Hours per Resident per Day 3.98518
Rating Cycle 1 Standard Survey Health Date 2020-10-23
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 11
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 100
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 100
Rating Cycle 2 Standard Health Survey Date 2019-05-03
Rating Cycle 2 Total Number of Health Deficiencies 19
Rating Cycle 2 Number of Standard Health Deficiencies 14
Rating Cycle 2 Number of Complavarchar Health Deficiencies 5
Rating Cycle 2 Health Deficiency Score 156
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 156
Rating Cycle 3 Standard Health Survey Date 2018-06-22
Rating Cycle 3 Total Number of Health Deficiencies 16
Rating Cycle 3 Number of Standard Health Deficiencies 15
Rating Cycle 3 Number of Complavarchar Health Deficiencies 1
Rating Cycle 3 Health Deficiency Score 140
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 140
Total Weighted Health Survey Score 125.333
Number of Facility Reported Incidents 1
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 6
Number of Fines 2
Total Amount of Fines in Dollars 13455.00
Number of Payment Denials 0
Total Number of Penalties 2
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
THE WATERS OF FORT SMITH, LLC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTA&F REALTY LLCOrganization8%since 01/23/2019
5% OR GREATER DIRECT OWNERSHIP INTERESTBLISKO, MICHAELIndividual46%since 01/23/2019
5% OR GREATER DIRECT OWNERSHIP INTERESTGUBIN ENTERPRISES LIMITED PARTNERSHIPOrganization46%since 01/23/2019
MANAGING EMPLOYEEPAGAN, GINAIndividualsince 01/23/2019

Location Information

Street Address 5301 WHEELER AVENUE
City FORT SMITH
State AR
Zip Code 72901

Nursing Homes in the same city

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Covington Court Health and Rehabilitation Center · Northport Health Services of Arkansas, LLC 4500 Old Greenwood Rd, Fort Smith, AR 7290347964657002001-04-033
Fianna Hills Nursing and Rehabilitation Center · Kmj Enterprises Fianna Hills LLC 8411 South 28th Street, Fort Smith, AR 7290847964896002000-01-251
Chapel Ridge Health and Rehab · Chapel Ridge Nursing Center LLC 4623 Rogers Ave, Fort Smith, AR 7290347945215412001-03-175
Methodist Health and Rehab · Methodist Nursing Home of Fort Smith, Inc. 7425 Euper Lane, Fort Smith, AR 7290347945216112006-06-072
Legacy Health and Rehabilitation Center · Northport Health Services of Arkansas, LLC 3310 North 50th Street, Fort Smith, AR 7290447978331011995-01-012

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.