MAPLE PARK VILLAGE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
Back to Health Care Regulatory Services
Basic Information Address: 776 N UNION ST City: WESTFIELD Telephone: (317) 896-2515 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: PROFIT Officer(s): JAMES MINER LULA JOURNEY GREGORY FEHRIBACH ROBERT PFEIFER DAVID CRABB JOYCE IRWIN MATT GUTWEIN DAN SELLERS MAJORIE OLAUGHLIN Name of previous owner: AMERICARE LIVING CENTERS III LLC Date of last change of ownership: 09/29/2006 Administrator: ZACHERY KRUMWIED,DIRECTOR Administrator start date: 03/07/2011 License number: 12-000106-1 License effective date: 10/01/2012 License expiration date: 09/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 58 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 - PAUL GREENE Title - MAINTENANCE SUPERVIS Date form completed - 08/01/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/14/2005 NATCEP expires: 04/01/2007 NATCEP banned: YES NATCEP ban expires: 07/29/2012 This facility is a Clinical training site for the following NAT classroom sites: MAPLE PARK VILLAGE Approved: N/A Terminated: 07/30/2010 EDGEWATER WOODS Approved: 07/08/2002 Terminated: 08/30/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 10 # of Medicare/Medicaid beds (SNF/NF): 96 Total number of comprehensive care beds: 106 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 106 Facility census: 97 as of: 04/19/2012 Results of Surveys Date of last annual health survey: 04/19/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 05/17/2012 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: 07/30/2010 Immediate jeopardy designations: N/A State Licensure Actions Event ID: LCV611 Action - Citation / Fine Notice to facility: 08/12/2003 Appeal: 08/21/2003 Action Cease/Recind: 08/26/2005 Case Closed: 08/26/2005 Initial Amount: $2500 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A MAPLE PARK VILLAGE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page