GOLDEN LIVING CENTER-MISHAWAKA
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: 811 E 12TH ST City: MISHAWAKA Telephone: (574) 259-1917 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: LUANN PONTIUS Administrator start date: 03/21/2011 License number: 12-000045-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 41 Number of comprehensive care resident rooms with battery operated smoke detectors: 41 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - DON GRANNAN Title - DIRECTOR OF MAINTENA Date form completed - 07/13/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 02/25/2002 NATCEP expires: 04/01/2004 NATCEP banned: YES NATCEP ban expires: 06/18/2010 This facility is a Clinical training site for the following NAT classroom sites: MICHIANA HEALTHCARE TRAINING INC Approved: 03/13/2002 Terminated: 11/14/2007 HAMILTON SCHOOL - HEALTH OCCUPATIONS Approved: 10/04/1996 Terminated: 11/14/2007 THE APPRENTICE ACADEMY Approved: 04/06/2011 Terminated: N/A SOUTH BEND COMMUNITY SCHOOL CORP Approved: 04/06/2011 Terminated: N/A ELKHART AREA CAREER CENTER-HEALTH Approved: 08/13/2012 Terminated: N/A IVY TECH COMMUNITY COLLEGE NORTH-CENTRAL Approved: 05/03/2012 Terminated: N/A GOLDEN LIVING CENTER-MISHAWAKA Approved: 03/10/1998 Terminated: 11/14/2007 GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE Approved: 04/16/1999 Terminated: 11/14/2007 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: 53 as of: 11/15/2011 Results of Surveys Date of last annual health survey: 10/21/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 11/07/2011 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: 11/14/2007 Immediate jeopardy designations: N/A 11/14/2007 State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A GOLDEN LIVING CENTER-MISHAWAKA
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page