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Basic Information Address: 2400 COLLEGE AVE City: GOSHEN Telephone: (574) 533-0351 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: LRC MANAGEMENT INC 7354 COTTAGE OAK DR PORTAGE MI 49204 Ownership type: PROFIT Officer(s): ANGELA YOUNG JAMES WESP WILLIAM CENTERS KERRY WESP Name of previous owner: N/A Date of last change of ownership: N/A Administrator: BRIAN COOK Administrator start date: 07/19/2010 License number: 12-000091-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 112 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: 112 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 - Title - Date form completed - 07/02/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/16/2005 NATCEP expires: 04/01/2011 NATCEP banned: YES NATCEP ban expires: 07/31/2011 This facility is a Clinical training site for the following NAT classroom sites: EMERGENCY MEDICAL SOLUTIONS, LLC Approved: 01/27/2009 Terminated: 08/01/2009 HEALTH CAREERS TRAINING & DEVELOPMENT Approved: 10/19/2006 Terminated: 08/01/2009 COURTYARD HEALTHCARE CENTER Approved: N/A Terminated: 06/08/2011 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 50 # of Medicare/Medicaid beds (SNF/NF): 138 Total number of comprehensive care beds: 188 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 188 Facility census: 149 as of: 05/02/2012 Results of Surveys Date of last annual health survey: 04/12/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 06/11/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 3 # of substantiated complaints: 2 years previous 3 Substandard quality of care designations: 06/09/2011 Immediate jeopardy designations: N/A 06/09/2011 State Licensure Actions Event ID: Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: 02/03/2000 Case Closed: N/A Initial Amount: $3000 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A COURTYARD HEALTHCARE CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page