The Waters of White Hall, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045372. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 9209 Dollarway Road, White Hall, AR 71602. The overall rating is 2.
Federal Provider Number | 045372 |
Provider Name | THE WATERS OF WHITE HALL, LLC |
Legal Business Name | THE WATERS OF WHITE HALL LLC |
Address |
9209 Dollarway Road White Hall AR 71602 |
County | Jefferson |
Telephone | 8702470800 |
Ownership Type | For profit - Limited Liability company |
Provider Type | Medicare and Medicaid |
Date Approved | 2002-05-09 |
Number of Certified Beds | 120 |
Average Number of Residents per Day | 66 |
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 | 2 |
Health Inspection Rating | 2 |
Quality Measure Rating | 4 |
Long Stay Quality Measure Rating | 5 |
Short Stay Quality Measure Rating | 4 |
Staffing Rating | 3 |
Registered Nurses Staffing Rating | 2 |
Reported CNA Staffing Hours per Resident per Day | 3.24177 |
Reported LPN Staffing Hours per Resident per Day | 1.32505 |
Reported RN Staffing Hours per Resident per Day | 0.34814 |
Reported Licensed Staffing Hours per Resident per Day | 1.67318 |
Reported Total Nurse Staffing Hours per Resident per Day | 4.91495 |
Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08024 |
Expected CNA Staffing Hours per Resident per Day | 1.87282 |
Expected LPN Staffing Hours per Resident per Day | 0.67166 |
Expected RN Staffing Hours per Resident per Day | 0.35478 |
Expected Total Nurse Staffing Hours per Resident per Day | 2.89926 |
Adjusted CNA Staffing Hours per Resident per Day | 3.56367 |
Adjusted LPN Staffing Hours per Resident per Day | 1.46166 |
Adjusted RN Staffing Hours per Resident per Day | 0.39271 |
Adjusted Total Nurse Staffing Hours per Resident per Day | 5.42460 |
Rating Cycle 1 Standard Survey Health Date | 2020-08-28 |
Rating Cycle 1 Total Number of Health Deficiencies | 7 |
Rating Cycle 1 Number of Standard Health Deficiencies | 7 |
Rating Cycle 1 Number of Complavarchar Health Deficiencies | 1 |
Rating Cycle 1 Health Deficiency Score | 60 |
Rating Cycle 1 Number of Health Revisits | 1 |
Rating Cycle 1 Health Revisit Score | 0 |
Rating Cycle 1 Total Health Score | 60 |
Rating Cycle 2 Standard Health Survey Date | 2019-04-12 |
Rating Cycle 2 Total Number of Health Deficiencies | 10 |
Rating Cycle 2 Number of Standard Health Deficiencies | 10 |
Rating Cycle 2 Number of Complavarchar Health Deficiencies | 4 |
Rating Cycle 2 Health Deficiency Score | 96 |
Rating Cycle 2 Number of Health Revisits | 1 |
Rating Cycle 2 Health Revisit Score | 0 |
Rating Cycle 2 Total Health Score | 96 |
Rating Cycle 3 Standard Health Survey Date | 2018-06-29 |
Rating Cycle 3 Total Number of Health Deficiencies | 15 |
Rating Cycle 3 Number of Standard Health Deficiencies | 10 |
Rating Cycle 3 Number of Complavarchar Health Deficiencies | 5 |
Rating Cycle 3 Health Deficiency Score | 96 |
Rating Cycle 3 Number of Health Revisits | 1 |
Rating Cycle 3 Health Revisit Score | 0 |
Rating Cycle 3 Total Health Score | 96 |
Total Weighted Health Survey Score | 78.000 |
Number of Facility Reported Incidents | 0 |
Number of Substantiated Complavarchars | 6 |
Number of Citations from Infection Control Inspections | 1 |
Number of Fines | 0 |
Total Amount of Fines in Dollars | 0.00 |
Number of Payment Denials | 0 |
Total Number of Penalties | 0 |
Processing Date | 2021-05-01 |
Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
---|---|---|---|---|
5% OR GREATER DIRECT OWNERSHIP INTEREST | A&F REALTY LLC | Organization | 7% | since 01/23/2019 |
5% OR GREATER DIRECT OWNERSHIP INTEREST | BLISKO, MICHAEL | Individual | 46% | since 01/23/2019 |
5% OR GREATER DIRECT OWNERSHIP INTEREST | GUBIN ENTERPRISES LIMITED PARTNERSHIP | Organization | 46% | since 01/23/2019 |
MANAGING EMPLOYEE | MORTON, DONNA MARIE | Individual | since 01/23/2019 |
Street Address |
9209 DOLLARWAY ROAD |
City | WHITE HALL |
State | AR |
Zip Code | 71602 |
Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
---|---|---|---|---|
White Hall Nursing & Rehab Center · White Hall Nursing and Rehabilitation Center, LLC | 620 West Bridgeport, White Hall, IL 62092 | 2173742144 | 1985-04-01 | 1 |
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Barrow Creek Health and Rehab · Slr Health Services, LLC | 2600 Barrow Road, Little Rock, AR 72204 | 5012244173 | 2010-07-25 | |
Mitchell's Nursing Home, Inc · Mitchells Nursing Home Inc | 501 W 10th, Danville, AR 72833 | 4794952914 | 2013-07-17 | 4 |
Superior Health & Rehab, LLC · Superior Health & Rehab LLC | 625 Tommy Lewis Dr, Conway, AR 72033 | 5015856800 | 2019-06-11 | 5 |
Cavalier Healthcare of England, LLC | 400 Stuttgart Highway, England, AR 72046 | 5018422771 | 2011-03-11 | 1 |
Chc Gosnell Health and Rehab LLC | 700 Moody Street, Gosnell, AR 72315 | 8705325550 | 2010-11-29 | 5 |
Deerview, LLC | 502 West Pennington, Ola, AR 72853 | 4794895237 | 2012-03-16 | 2 |
Crestpark Marianna, L L C · Crestpark Marianna LLC | 700 West Chestnut, Marianna, AR 72360 | 8702953466 | 2012-05-22 | 4 |
The Village At Valley Ranch · Vvr Healthcare Operations LLC | 6411 Valley Ranch Drive, Little Rock, AR 72223 | 5018688857 | 2010-03-23 | 2 |
Corning Therapy and Living Center · Cnnc, Inc. | 831 North Missouri, Corning, AR 72422 | 8708573100 | 2010-07-15 | 5 |
Apple Creek Health and Rehab, LLC | 1570 W Centerton Blvd, Centerton, AR 72719 | 4792244817 | 2017-09-12 | 4 |
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Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
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White Oak Manor - Newberry · White Oak Manor Inc | 2555 Kinard Street, Newberry, SC 29108 | 8032766060 | 1971-06-25 | 5 |
White Oak Manor - Lancaster · White Oak Manor Inc | 253 Craig Manor Road, Lancaster, SC 29720 | 8032861464 | 1967-01-01 | 5 |
White Plains Center for Nursing Care, L L C · Optima Care White Plains LLC | 220 West Post Road, White Plains, NY 10606 | 9146868880 | 1967-06-12 | 3 |
White Oak Manor - York · White Oak Manor Inc | 111 South Congress Street, York, SC 29745 | 8036840035 | 1972-06-23 | 4 |
White Oak At North Grove Inc · White Oak Manor Inc | 290 N Grove Medical Park Drive, Spartanburg, SC 29303 | 8643451700 | 2017-05-04 | 5 |
Darcy Hall of Life Care · Darcy Hall Medical Investors, LLC | 2170 Palm Beach Lakes Blvd, West Palm Beach, FL 33409 | 5616833333 | 1985-11-01 | 2 |
White Hall Nursing & Rehab Center · White Hall Nursing and Rehabilitation Center, LLC | 620 West Bridgeport, White Hall, IL 62092 | 2173742144 | 1985-04-01 | 1 |
White Oak Manor - Columbia · White Oak Manor Inc | 3001 Beechaven Road, Columbia, SC 29204 | 8037824363 | 1970-02-01 | 5 |
White Memorial Medical Ctr Dp · White Memorial Medical Center | 1720 Cesar E. Chavez Avenue, Los Angeles, CA 90033 | 3232685000 | 1988-08-29 | 5 |
Ivy Hall Nursing Home · Ivy Hall Inc | 301 Watauga Ave, Elizabethton, TN 37643 | 4235426512 | 2002-12-01 | 4 |
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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.