FAIRMONT REHABILITATION CENTER LLC
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
Back to Health Care Regulatory Services
Basic Information Address: 3518 S LAFOUNTAIN ST City: KOKOMO Telephone: (765) 453-4666 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: FAIRMONT REHABILITATION CENTER, LLC 215 SOUTH EAST FOURTH ST EVANSVILLE IN 47713 Ownership type: PROFIT Officer(s): KENNETH ROSS JENNIFER BATTHAMER WILLIAM MUTRYN Name of previous owner: MANORCARE HEALTH SERVICES INC Date of last change of ownership: 05/12/2008 Administrator: DEBORAH ROGERS Administrator start date: 07/09/2012 License number: 12-000025-1 License effective date: 05/01/2012 License expiration date: 04/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 50 Number of comprehensive care resident rooms with battery operated smoke detectors: 0 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - DEBORAH ROGERS Title - ED Date form completed - 10/30/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 04/01/1999 NATCEP expires: 04/01/2001 NATCEP banned: YES NATCEP ban expires: 05/05/2013 This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 03/01/2011 Terminated: 05/06/2011 SCHOOL OF NURSE AIDES, LLC Approved: 03/03/2009 Terminated: 05/06/2011 KOKOMO AREA CAREER TRAINING Approved: 09/14/2010 Terminated: 05/06/2011 FAIRMONT REHABILITATION CENTER LLC Approved: 03/01/1999 Terminated: 05/06/2011 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 20 # of Medicare/Medicaid beds (SNF/NF): 85 Total number of comprehensive care beds: 105 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 105 Facility census: 60 as of: 10/12/2012 Results of Surveys Date of last annual health survey: 10/12/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/20/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 5 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: VW4N11 Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $5000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 08/25/2011 Date Ended: 10/04/2011 Amount proposed per day: 250 Civil Money Penalty Date Imposed: 03/07/2011 Date Ended: 05/16/2011 Amount proposed per day: 200 Civil Money Penalty Date Imposed: 09/22/2010 Date Ended: 10/06/2010 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A FAIRMONT REHABILITATION CENTER LLC
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page