LAKEVIEW MANOR
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
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Basic Information Address: 45 BEACHWAY DR City: INDIANAPOLIS Telephone: (317) 243-3721 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: BOARD OF TRUSTEES OF FLAVIUS J WITHAM MEMORIAL 12953 PUBLISHRS DR STE 200 FISHERS IN 46038 Ownership type: OTHER Officer(s): MARGARET MCFRYE DON BOYER MD JACK JONES NANCY MORTON BEVERLY NEWHART JUDY PSIKULA RAYMOND INGHAM GEORGE POGAS MELISSA GUM MICHELLE HINZE Name of previous owner: LAKEVIEW MANOR INC Date of last change of ownership: 11/01/2011 Administrator: SARA CHARLES Administrator start date: 08/15/2012 License number: 12-000032-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 93 Number of comprehensive care resident rooms with battery operated smoke detectors: 84 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 9 If hard wired and/or wireless smoke detectors are provided in resident's room, do they: (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes (B) Transmit to a central station service - Yes (C) Connect to the health facility's fire alarm system - Yes Person completing form - BARRY MILBY Title - Date form completed - 09/24/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/23/2006 NATCEP expires: 04/01/2008 NATCEP banned: YES NATCEP ban expires: 07/08/2010 This facility is a Clinical training site for the following NAT classroom sites: AREA 31 CAREER CENTER Approved: 11/30/1998 Terminated: 04/06/2006 MEDTECH COLLEGE-GREENWOOD CAMPUS Approved: 08/23/2012 Terminated: N/A ADVANCED HEALTHCARE VOCATIONAL INSTITUTE Approved: 07/08/2010 Terminated: N/A MEDTECH COLLEGE-INDIANAPOLIS CAMPUS Approved: 08/23/2012 Terminated: N/A NURSE AIDE TRAINING CENTER INC Approved: 07/14/2010 Terminated: N/A LAKEVIEW MANOR Approved: N/A Terminated: 08/28/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 32 # of Medicare/Medicaid beds (SNF/NF): 152 Total number of comprehensive care beds: 184 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 184 Facility census: 128 as of: 11/08/2012 Results of Surveys Date of last annual health survey: 11/08/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 11/30/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 7 Substandard quality of care designations: 08/28/2007 04/06/2006 Immediate jeopardy designations: N/A 04/06/2006 State Licensure Actions Event ID: GKNJ11 Action - Citation / Fine Notice to facility: 08/31/2004 Appeal: N/A Action Cease/Recind: 09/08/2004 Case Closed: 09/08/2004 Initial Amount: $2800 Federal Certification Actions Imposed Directed Inservice Training Date Imposed: 08/01/2012 Date Ended: 07/25/2012 Date terminated from Medicare.Medicaid: N/A LAKEVIEW MANOR
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page