ARBORS AT MICHIGAN CITY
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: 1101 E COOLSPRING AVE City: MICHIGAN CITY Telephone: (219) 874-5211 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: THE ARBORS OPERATOR, LLC 8131 MONTICELLO AVENUE SKOKIE IL 60076 Ownership type: PROFIT Officer(s): YOSEF MEYSTEL DAVID BERKOWITZ JAY MEYSTEL JOEL MEYSTEL CYNTHIA MEYSTEL Name of previous owner: TRILOGY HEALTH CARE CENTERS LLC Date of last change of ownership: 08/01/2012 Administrator: ROGER PIOTROWICZ Administrator start date: 12/03/2012 License number: 12-000076-1 License effective date: 08/01/2012 License expiration date: 07/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 115 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: 115 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 - JOHN KUKLA Title - EXECUTIVE DIRECTOR Date form completed - 09/07/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/22/2000 NATCEP expires: 04/01/2002 NATCEP banned: YES NATCEP ban expires: 05/08/2009 This facility is a Clinical training site for the following NAT classroom sites: MED ED INCORPORATED Approved: 06/17/2009 Terminated: N/A A K SMITH CAREER CENTER Approved: 10/18/2004 Terminated: 05/09/2007 IN TRAINING COLLEGE OF ADULT EDUCATION Approved: 04/09/1997 Terminated: 01/29/2002 MICHIGAN CITY HIGH SCHOOL HEALTH OCCUPATIONS Approved: 05/28/1997 Terminated: 01/29/2002 PROFESSIONAL RESOURCES Approved: 04/26/1996 Terminated: 01/29/2002 ARBORS AT MICHIGAN CITY Approved: 03/18/1996 Terminated: 05/09/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 33 # of Medicare/Medicaid beds (SNF/NF): 147 Total number of comprehensive care beds: 180 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 180 Facility census: 158 as of: 08/27/2012 Results of Surveys Date of last annual health survey: 08/27/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 09/26/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 2 Substandard quality of care designations: 05/09/2007 Immediate jeopardy designations: N/A 05/09/2007 State Licensure Actions Event ID: DRFN11 Action - Citation / Fine Notice to facility: 06/24/2005 Appeal: N/A Action Cease/Recind: 12/13/2006 Case Closed: 12/13/2006 Initial Amount: $6750 Event ID: JACK11 Action - Citation / Fine Notice to facility: 01/08/2004 Appeal: N/A Action Cease/Recind: 01/25/2005 Case Closed: 01/25/2005 Initial Amount: $3750 Event ID: Action - Citation / Fine Notice to facility: 01/31/2000 Appeal: 02/17/2000 Action Cease/Recind: 06/15/2000 Case Closed: N/A Initial Amount: $3000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 07/18/2011 Date Ended: 08/23/2011 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A ARBORS AT MICHIGAN CITY
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page