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GOLDEN LIVING CENTER-INDIANAPOLIS

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 2860 CHURCHMAN AVE City: INDIANAPOLIS Telephone: (317) 787-3451 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: INDIANAPOLIS OPERATING LLC Date of last change of ownership: 09/01/2012 Administrator: MARGO LUTTON Administrator start date: 06/04/2012 License number: 12-000063-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 56 Number of comprehensive care resident rooms with battery operated smoke detectors: 56 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - MARGO LUTTON Title - INTERIM EXECUTIVE DI Date form completed - 08/10/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 07/26/2002 NATCEP expires: 04/01/2004 NATCEP banned: YES NATCEP ban expires: 12/08/2012 This facility is a Clinical training site for the following NAT classroom sites: NURSE AIDE TRAINING CENTER INC Approved: 10/20/2005 Terminated: 08/22/2006 BENCHMARQ MEDICAL EDUCATION,INC Approved: 08/10/2006 Terminated: 08/22/2006 HEALTH CARE INSTITUTE Approved: 02/10/1998 Terminated: 08/22/2006 IVY TECH COMMUNITY COLLEGE Approved: 09/21/1999 Terminated: 08/22/2006 GOLDEN LIVING CENTER- BROOKVIEW Approved: 12/23/1996 Terminated: 06/28/2006 GOLDEN LIVING CENTER-INDIANAPOLIS Approved: 05/18/1998 Terminated: 12/09/2010 HARCOURT TERRACE NURSING AND REHABILITATION Approved: 03/10/1998 Terminated: 08/22/2006 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 115 Total number of comprehensive care beds: 115 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 115 Facility census: 86 as of: 12/06/2011 Results of Surveys Date of last annual health survey: 12/01/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 02/03/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: 04/30/2007 Immediate jeopardy designations: N/A 04/30/2007 State Licensure Actions Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 10/21/2010 Date Ended: 11/22/2010 Amount proposed per day: 350 Date terminated from Medicare.Medicaid: N/A

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