NORTH PARK NURSING CENTER
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: 650 FAIRWAY DR City: EVANSVILLE Telephone: (812) 425-5243 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY 3838 N RURAL ST INDIANAPOLIS IN 46205 Ownership type: OTHER Officer(s): JAMES MINER LULA JOURNEY GREGORY FEHRIBACH ROBERT PFEIFER DAVID CRABB JOYCE IRWIN MATT GUTWEIN DAN SELLERS MAJORIE OLAUGHLIN Name of previous owner: INDIANA HEALTH AND REHABILITATION CENTERS Date of last change of ownership: 01/01/2009 Administrator: JUDITH CARTER Administrator start date: 10/01/2012 License number: 13-000069-1 License effective date: 01/01/2013 License expiration date: 12/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 54 Number of comprehensive care resident rooms with battery operated smoke detectors: 54 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - CLARENCE BOYKIN Title - EXECUTIVE DIRECTOR Date form completed - 09/04/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 01/01/2013 NATCEP expires: 12/31/2013 NATCEP banned: YES NATCEP ban expires: 03/31/2012 This facility is a Clinical training site for the following NAT classroom sites: CYPRESS GROVE REHABILITATION CENTER Approved: N/A Terminated: 06/27/2002 WESTPARK REHABILITATION CENTER Approved: N/A Terminated: 06/27/2002 EXTENDACARE TRAINING CENTER Approved: N/A Terminated: 06/27/2002 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 12 # of Medicare/Medicaid beds (SNF/NF): 91 Total number of comprehensive care beds: 103 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 103 Facility census: 94 as of: 11/16/2011 Results of Surveys Date of last annual health survey: 11/10/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 4 # of substantiated complaints: 2 years previous 4 Substandard quality of care designations: 04/01/2010 01/10/2006 Immediate jeopardy designations: N/A 04/01/2010 01/10/2006 State Licensure Actions Event ID: 7LE711 Notice to facility: 03/03/2006 Appeal: N/A Action Cease/Recind: 05/12/2006 Case Closed: 05/12/2006 Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: 04/30/1999 Appeal: 06/07/1999 Action Cease/Recind: 09/07/1999 Case Closed: N/A Initial Amount: $3000 Event ID: Action - Citation / Fine Notice to facility: 03/31/1998 Appeal: 04/17/1998 Action Cease/Recind: 03/03/1999 Case Closed: N/A Initial Amount: $3000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 05/23/2012 Date Ended: 06/11/2012 Amount proposed per day: 200 Civil Money Penalty Date Imposed: 11/10/2011 Date Ended: 12/15/2011 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 03/31/2010 Date Ended: 05/17/2010 Amount proposed per day: 3600 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A NORTH PARK NURSING CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page