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Basic Information Address: 3525 E HANNA AVE City: INDIANAPOLIS Telephone: (317) 788-4261 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: RIVERVIEW HOSPITAL 395 WESTFIELD ROAD NOBLESVILLE IN 46060 Ownership type: OTHER Officer(s): PATRICIA FOX LARRY CHRISTMAN PAT FOX WILLIAM KIRSCH Name of previous owner: UNITED CHURCH HOMES INC Date of last change of ownership: 12/01/2011 Administrator: MICHAEL CLANCY Administrator start date: 09/05/2012 License number: 12-000103-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 43 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: 43 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 - * SEE EXIT CONFERENC Date form completed - 08/08/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/23/2000 NATCEP expires: 04/01/2002 NATCEP banned: YES NATCEP ban expires: 11/12/2009 This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 01/06/2006 Terminated: 11/13/2007 CENTRAL NINE CAREER CENTER Approved: N/A Terminated: 11/13/2007 NURSE AIDE TRAINING CENTER INC Approved: N/A Terminated: 11/13/2007 J EVERETT LIGHT CAREER CENTER Approved: 06/06/2011 Terminated: N/A WALKER CAREER CENTER Approved: 06/15/2011 Terminated: N/A RESQ HEALTH & SAFETY TRAINING Approved: 09/17/2010 Terminated: N/A ALTENHEIM HEALTH & LIVING COMMUNITY Approved: N/A Terminated: 11/13/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 72 Total number of comprehensive care beds: 72 # of non-certified comprehensive care beds: 0 Total number of residential beds: 104 Total number of beds in facility: 176 Facility census: 72 as of: 04/11/2012 Results of Surveys Date of last annual health survey: 04/02/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/29/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: 11/13/2007 Immediate jeopardy designations: N/A 11/13/2007 State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A ALTENHEIM HEALTH & LIVING COMMUNITY
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page