Contact Information

WATERFORD PLACE HEALTH CAMPUS
WITHAM MEMORIAL HOSPITAL
800 ST JOSEPH DR
KOKOMO, IN 46901
(765) 236-1239
For profit - Corporation
Medicare certification date2: September 21, 2000
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  74 residents

  103 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 7
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 74 residents Indiana Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 2 minutes 39 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 18 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 47 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 11 minutes 6 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • WITHAM MEMORIAL HOSPITAL

DIRECTOR

  • BRAND, JOHN
  • HAWKINS, C ARCHIBALD
  • JONES, JACK
  • MCFRYE, MARGARET
  • MORTON, NANCY
  • NEWHART, BEVERLY

OFFICER

  • INGHAM, RAYMOND
  • POGAS, GEORGE

OPERATIONAL/MANAGERIAL CONTROL

  • TRILOGY HEALTHCARE OF KOKOMO LLC
  • CALISTO, FABIAN
  • MEADOWS, MICHAEL

Nursing Home Report

In 2016, WATERFORD PLACE HEALTH CAMPUS charged a total of $6,696,720 for 305 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 28% Alzheimer's 45%
Asthma 42% Cancer 17%
Congestive Heart Failure 50% Kidney Disease 64%
COPD 41% Depression 48%
Diabetes 47% Hyperlipidemia 70%
Hypertension n/a Ischemic Heart Disease 60%
Osteoporosis 20% RA / OA 63%
Schizophrenia 7% Stroke 15%
Demographics
Medicare Beneficiaries 305 Average Age 79
Male 99 Female 206
White 287
Black 13
Asian n/a
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Jul 31, 2017; fire safety inspection: Sep 05, 2017

Health Deficiencies as of 07/31/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 09/05/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies 2
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 4
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 4
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 3

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See also