The Waters of West Dixon, LLC · The Waters of West Dixon LLC

5018884200 · 2821 W Dixon Rd, Little Rock, AR 72206

Overview

The Waters of West Dixon, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045446. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 2821 W Dixon Rd, Little Rock, AR 72206. The overall rating is 1.

Federal Provider Number 045446
Provider Name THE WATERS OF WEST DIXON, LLC
Legal Business Name THE WATERS OF WEST DIXON LLC
Address 2821 W Dixon Rd
Little Rock
AR 72206
County Pulaski
Telephone 5018884200
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 2011-10-25
Number of Certified Beds 140
Average Number of Residents per Day 75.1
Provider Resides in Hospital N
Continuing Care Retirement Community N
Special Focus Facility SFF Candidate
Abuse Icon Y
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 4
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 3
Staffing Rating 3
Registered Nurses Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.98448
Reported LPN Staffing Hours per Resident per Day 1.05896
Reported RN Staffing Hours per Resident per Day 0.37601
Reported Licensed Staffing Hours per Resident per Day 1.43497
Reported Total Nurse Staffing Hours per Resident per Day 4.41945
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03696
Expected CNA Staffing Hours per Resident per Day 1.77036
Expected LPN Staffing Hours per Resident per Day 0.66977
Expected RN Staffing Hours per Resident per Day 0.36214
Expected Total Nurse Staffing Hours per Resident per Day 2.80227
Adjusted CNA Staffing Hours per Resident per Day 3.47072
Adjusted LPN Staffing Hours per Resident per Day 1.17143
Adjusted RN Staffing Hours per Resident per Day 0.41553
Adjusted Total Nurse Staffing Hours per Resident per Day 5.04655
Rating Cycle 1 Standard Survey Health Date 2019-09-11
Rating Cycle 1 Total Number of Health Deficiencies 33
Rating Cycle 1 Number of Standard Health Deficiencies 26
Rating Cycle 1 Number of Complavarchar Health Deficiencies 9
Rating Cycle 1 Health Deficiency Score 304
Rating Cycle 1 Number of Health Revisits 2
Rating Cycle 1 Health Revisit Score 152
Rating Cycle 1 Total Health Score 456
Rating Cycle 2 Standard Health Survey Date 2018-10-19
Rating Cycle 2 Total Number of Health Deficiencies 12
Rating Cycle 2 Number of Standard Health Deficiencies 6
Rating Cycle 2 Number of Complavarchar Health Deficiencies 6
Rating Cycle 2 Health Deficiency Score 68
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 68
Rating Cycle 3 Standard Health Survey Date 2017-09-14
Rating Cycle 3 Total Number of Health Deficiencies 6
Rating Cycle 3 Number of Standard Health Deficiencies 6
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 48
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 258.667
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 15
Number of Citations from Infection Control Inspections 7
Number of Fines 1
Total Amount of Fines in Dollars 11050.00
Number of Payment Denials 0
Total Number of Penalties 1
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 WEST DIXON, LLC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTA&F REALTY LLCOrganization7%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 EMPLOYEEBLISKO, MICHAELIndividualsince 01/23/2019

Location Information

Street Address 2821 W DIXON RD
City LITTLE ROCK
State AR
Zip Code 72206

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Presbyterian Village, Inc · Presbyterian Village Inc. 500 Brookside Drive, Little Rock, AR 7220550122516152010-12-092
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Midtown Post Acute and Rehabilitation - A Waters Community LLC 5720 West Markham Street, Little Rock, AR 7220550166462002012-08-013
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The Waters of Woodland Hills, LLC · The Waters of Woodland Hills LLC 8701 Riley Drive, Little Rock, AR 7220550122427001994-11-10
Allay Health and Rehab · Clr Healthcare Operations LLC 3115 Bowman Road, Little Rock, AR 7221150122848481995-06-303
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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.