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GOLDEN LIVING CENTER-LAPORTE

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 1700 I ST City: LA PORTE Telephone: (219) 362-6234 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: HENDRICKS COUNTY HOSPITAL 1000 EAST MAIN STREET DANVILLE IN 46122 Ownership type: OTHER Officer(s): DENNIS DAWES JOHN KOMENDA JOHN SPARZO Name of previous owner: BEVERLY HEALTHCARE LLC Date of last change of ownership: 09/01/2012 Administrator: JANICE KURTH Administrator start date: 04/28/2011 License number: 12-000023-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 44 Number of comprehensive care resident rooms with battery operated smoke detectors: 44 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - KELLY BRADFORD Title - RN, BSN, DNS Date form completed - 08/08/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/22/2000 NATCEP expires: 04/01/2014 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: MED ED INCORPORATED Approved: 12/05/2007 Terminated: N/A MICHIGAN CITY HIGH SCHOOL HEALTH OCCUPATIONS Approved: 11/02/1998 Terminated: 12/10/2001 OLYMPIA COLLEGE Approved: 05/02/1997 Terminated: 12/10/2001 GOLDEN LIVING CENTER-LAPORTE Approved: 04/20/2004 Terminated: N/A GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE Approved: 05/06/1997 Terminated: 12/10/2001 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 87 Total number of comprehensive care beds: 87 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 87 Facility census: 74 as of: 01/04/2012 Results of Surveys Date of last annual health survey: 12/09/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 01/06/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: HHT811 Action - Citation / Fine Notice to facility: 05/21/2002 Appeal: 06/06/2002 Action Cease/Recind: 07/01/2002 Case Closed: 08/30/2003 Initial Amount: $4500 Event ID: NYI511 Action - Citation / Fine Notice to facility: 05/01/2002 Appeal: N/A Action Cease/Recind: 09/29/2003 Case Closed: 09/29/2003 Initial Amount: $4000 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A

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