Complaints
Licensing and Certification
Survey Report System
Contact
Newsletter
The Long Term Care Newsletter provides program updates related to licensing and healthcare quality information for long term care facilities.
Report a Complaint, Incident or Crime
Report a complaint regarding a health care facility
Any individual may submit a complaint to the IDOH about care provided at any licensed or certified Indiana health care facility or entity. The IDOH investigates all complaints. The above link is to a page that provides information about the complaint process and how to report a complaint. A Complaint report form is provided for individuals to assist in the reporting of care issues.
Report an incident regarding a health care facility
State or federal regulations require health facilities or entities to report certain types of “incidents” to the IDOH. The above link is to a page that provides information about the incident reporting process and how a health care facility or entity reports incidents.
Report a reasonable suspicion of a crime against a long term care resident
Federal law requires “covered individuals” to report a reasonable suspicion of a crime against a long term care resident to the IDOH and a local law enforcement entity. Covered individuals include an owner, operator, employee, manager, agent, or contractor of the facility. The included facilities include a nursing home, hospice, or intermediate care facility for individuals with intellectual disabilities (ICF-IID). The above link is to a page that provides information for long term care providers about the crime reporting requirements and how to report a reasonable suspicion of a crime against a resident. A Reporting a crime form is provided for individuals to report suspected crimes to the IDOH.
Long Term Care Licensing and Certification Programs
Survey Report System
Access the Survey Report System
The Survey Report System will be utilized as part of the state licensing and federal certification of healthcare facilities. The Survey Report System will enable facilities to view/print survey reports and survey-related documents online. The Survey Report System will also allow facilities to complete the survey Plan of Correction (POC) online via an internet-based system. The Survey Report System allows the facility to upload supporting documents as part of the Plan of Correction.
Contact
Indiana Department of Health Division of Long Term Care 2 North Meridian Street, 4B Indianapolis, IN 46204 | Division Director Brenda Buroker bburoker@health.in.gov |
Long Term Care Switchboard: 317-233-7442 IDOH Main Switchboard: 317-233-1325 |
317-234-7340 Administrative Assistant: 317-233-7712 Fax: 317-233-7322 |
Rules and Regulations Questions LTCRulesandRegulations@health.in.gov | Division Organization Chart Long Term Care Contact List Survey Area Map |
Title | Name | |
---|---|---|
Assistant Commissioner, Consumer Services & Health Care Regulation | Jordan Stover, JD | JStover1@health.in.gov |
Director, Long Term Care | Brenda Buroker | BBuroker@health.in.gov |
Deputy Director, Long Term Care | Tammy Alley | TAlley@health.in.gov |
Administrative Assistant | Loretta Fulkerson-Bird | LFulkersonBird@health.IN.gov |
Program Coordinator (Certificate of Need) | Randy Homeyer | RHomeyer@health.in.gov |
Long Term Care Rules and Regulation | LTCRulesandRegulations@health.in.gov | |
Aide Investigations | Nicole Tipton | NTipton1@health.in.gov |
Aides Registry | Angelita Washington | Aides@health.in.gov |
Complaints and Incidents | David Burgess | RBurgess@health.in.gov |
Life Safety Code | Amy Kelley | AmKelley@health.in.gov |
New Construction and Remodeling | Lisa Hensley | LHensley@health.in.gov |
Enforcement | Miriam Buffington | MBuffington@health.in.gov |
Facility/Bed Changes, Waivers, License Verification/Renewal/Certification | Jennifer Wigley | JWigley@health.in.gov |
LTC Provider Services | LTCProviderServices@health.in.gov | |
Informal Dispute Resolution | Linda Kay | LKay@health.in.gov |
Facility Data Inquiries | Maggie Ansty | MaAnsty@health.in.gov |
Licensed Facility Records Requests | LTCRecords@health.in.gov | |
MDS/RAI Clinical Help Desk | LTCRulesandRegulations@health.in.gov | |
MDS Technical Help Desk | 317-233-7206 | |
Survey Area Supervisors | ||
Area 1 Supervisor | Heather Bilsland | HBilsland@health.in.gov |
Area 2 Supervisor | Sharon Ewing | SEwing1@health.in.gov |
Area 3 Supervisor | Christine Fodrea | CFodrea@health.in.gov |
Area 4 Supervisor | Winter Hyde | WHyde@health.in.gov |
Area 5 Supervisor | Nicole Richmond | NiRichmond@health.in.gov |
Area 6 Supervisor | Tracina Moody | TrMoody@health.in.gov |
Area 7 Supervisor | Cheryl Fielden | CFielden1@health.in.gov |
Area 8 Supervisor | Tammy Forthofer | TForthofer@health.in.gov |
Area 9 Supervisor | Anna Baker | AnnaBaker@health.in.gov |
Area 10 Supervisor | Jodi Meyer | JMeyer@health.in.gov |