GOLDEN LIVING CENTER-FOUNTAINVIEW
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: 609 W TANGLEWOOD LN City: MISHAWAKA Telephone: (574) 277-2500 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: BEVERLY HEALTHCARE LLC Date of last change of ownership: 09/01/2012 Administrator: CARI WHITACRE Administrator start date: 12/01/2012 License number: 12-000094-1 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: 0 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - SCOTT PIOTROWICS Title - EXECUTIVE DIRECTOR Date form completed - 07/12/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/20/2002 NATCEP expires: 04/01/2004 NATCEP banned: YES NATCEP ban expires: 07/07/2012 This facility is a Clinical training site for the following NAT classroom sites: SOUTH BEND COMMUNITY SCHOOL CORP Approved: 12/24/2008 Terminated: 04/30/2008 MANNIA GREEN HEALTHCARE ADVANTAGE, INC Approved: 03/22/2002 Terminated: 01/03/2003 MICHIANA HEALTHCARE TRAINING INC Approved: 05/10/2005 Terminated: 11/05/2007 THE APPRENTICE ACADEMY Approved: 03/01/2010 Terminated: 07/08/2010 MEMORIAL HOME CARE Approved: 02/11/1997 Terminated: 01/03/2003 HAMILTON SCHOOL - HEALTH OCCUPATIONS Approved: 01/30/1996 Terminated: 01/03/2003 GOLDEN LIVING CENTER-FOUNTAINVIEW Approved: 01/11/2000 Terminated: 11/05/2007 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: 115 as of: 03/13/2012 Results of Surveys Date of last annual health survey: 03/02/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/01/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 4 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: 11/05/2007 Immediate jeopardy designations: N/A 11/05/2007 State Licensure Actions Event ID: Action - Citation / Fine Notice to facility: 11/16/1998 Appeal: 11/25/1998 Action Cease/Recind: N/A Case Closed: 07/08/1999 Initial Amount: $3500 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 03/12/2010 Date Ended: 04/20/2010 Amount proposed per day: 650 Amount proposed per day: 600 Date terminated from Medicare.Medicaid: N/A GOLDEN LIVING CENTER-FOUNTAINVIEW
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page