PARKVIEW OAKS
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: 411 N WOLF RD City: COLUMBIA CITY Telephone: (260) 248-9830 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: WHITLEY MEMORIAL HOSPITAL INC 1260 E STATE ROAD 205 COLUMBIA CITY IN 46725 Ownership type: NON-PROFIT Officer(s): MIKE PACKNETT LISA PEPPLER SCOTT GABRIEL Name of previous owner: N/A Date of last change of ownership: N/A Administrator: CHAD SMYTH Administrator start date: 06/12/2010 License number: 12-000055-1 License effective date: 04/01/2012 License expiration date: 03/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 43 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 - CHAD SMYTH Title - EXEC DIR Date form completed - 07/20/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 12/09/2002 NATCEP expires: 04/01/2004 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: MANNIA GREEN HEALTHCARE ADVANTAGE, INC Approved: 10/07/2002 Terminated: 03/12/2003 IVY TECH COMMUNITY COLLEGE Approved: 08/14/2001 Terminated: N/A FORT WAYNE COMMUNITY SCHOOLS-ANTHIS CAREER CTR Approved: 05/18/1998 Terminated: N/A PARKVIEW OAKS Approved: 12/09/2002 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 16 # of Medicare/Medicaid beds (SNF/NF): 66 Total number of comprehensive care beds: 82 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 82 Facility census: 46 as of: 07/20/2012 Results of Surveys Date of last annual health survey: 06/29/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 08/14/2012 Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: NWO511 Action - Citation / Fine Notice to facility: 09/13/2012 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $2000 Event ID: N2T011 Action - Citation / Fine Notice to facility: 05/16/2003 Appeal: N/A Action Cease/Recind: 06/18/2003 Case Closed: 06/18/2003 Initial Amount: $2500 Event ID: BISJ11 Action - Citation / Fine Notice to facility: 10/25/2001 Appeal: N/A Action Cease/Recind: 12/18/2001 Case Closed: 12/18/2001 Initial Amount: $4000 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A PARKVIEW OAKS
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page