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RIVERVIEW VILLAGE

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 586 EASTERN BLVD City: CLARKSVILLE Telephone: (812) 282-6663 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: N/A Date of last change of ownership: N/A Administrator: RHONDA MULLINS Administrator start date: 03/05/2012 License number: 13-000082-1 License effective date: 01/01/2013 License expiration date: 12/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 0 Number of comprehensive care resident rooms with battery operated smoke detectors: 81 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - CURTIS HARDING Title - MAINTENANCE Date form completed - 08/14/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/01/1999 NATCEP expires: 04/01/2001 NATCEP banned: YES NATCEP ban expires: 06/25/2010 This facility is a Clinical training site for the following NAT classroom sites: AMERICAN RED CROSS-CLARK COUNTY INDIANA CHAPTER Approved: 03/23/2011 Terminated: N/A PROSSER SCHOOL OF TECHNOLOGY Approved: 10/06/2010 Terminated: N/A RIVERVIEW VILLAGE Approved: 06/19/1997 Terminated: 04/08/2003 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 130 Total number of comprehensive care beds: 130 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 130 Facility census: 111 as of: 10/20/2011 Results of Surveys Date of last annual health survey: 10/07/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 11/01/2011 Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: Notice to facility: 03/19/1999 Appeal: 04/05/1999 Action Cease/Recind: N/A Case Closed: 07/08/1999 Initial Amount: $0 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 07/08/2011 Date Ended: 08/02/2011 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A

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