Number of off-campus day program sites used by ICF clients
1
Number of discrete living units
1
Is the ICF a distinct part of a hospital, SNF or NF?
No
Type of distinct part
N/A
ICF Website
STATE LICENSURE SURVEYS
4/17/2025 Most Recent
2/16/2024 2nd Most Recent
11/16/2022 3rd Most Recent
Number of Deficiencies
16
2
3
State Average for the year of the survey (rounded to nearest whole integer.)
6
6
5
OWNERSHIP/ADMISTRATOR CHANGES
Type of Change
4/17/2025 Most Recent
2/16/2024 2nd Most Recent
11/16/2022 3rd Most Recent
Ownership Change
No
No
No
Administrator Change
No
No
No
SUBSTANTIATED COMPLAINTS
Any person may file a complaint with the ISDH about an ICF. The ISDH
investigates all complaints. If in the course of the investigation a violation of
state or federal rules or regulations is found by surveyors, the complaint is said
'to be substantiated with findings.' If the surveyor verifies the facts of the
complaint but finds that no violation occurred of state rules or federal
regulations, the complaint is said to be 'substantiated without findings.' If
deficiencies are cited on a complaint survey, the ICF may be requested by the
ISDH to complete a plan of correction on how and when they will correct each
deficiency and who will be responsible to ensure the corrections are made and will
not reoccur in the future. The plan of correction is generally submitted by the
ICF and reviewed by the ISDH within fifteen (15) days of the survey.
The following is a summary of the number of substantiated complaint
investigations for the past three years. This only indicates whether the complaint
was substantiated and does not indicate whether the ICF was found in
compliance with state rules or federal regulations.
Current Year
01/01/2024 to 12/31/2024
01/01/2023 to 12/31/2023
0
0
0
FEDERAL MEDICARE CERTIFICATION SURVEY RESULTS
Federal Medicare certification surveys are conducted to determine ICF
compliance with the Federal Conditions of Participation. For non-accredited
federally certified ICF's, a federal Medicare certification survey is completed
annually. A federal certification survey may also be completed if
the Center for Medicare and Medicaid Services (CMS) finds the ICF to be out
of compliance with a federal condition of participation and CMS requests that a
certification survey be completed. The table below is a summary of the most
recent federal certification survey.
Date of Last Federal Certification Survey
4/17/2025
Number of Standards not in compliance during the last federal certification survey
0
Number of Conditions not in compliance during the last federal certification survey
0
SURVEY HISTORY
The following is a list of state licensure, complaint, and federal
surveys completed at the ICF in the past five years.
The survey report is not posted until the report has been provided to the facility
and their plan of correction submitted and approved, if required.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.
