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HERITAGE HOUSE OF RICHMOND

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 2070 CHESTER BLVD City: RICHMOND Telephone: (765) 962-3543 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: HENRY COUNTY MEMORIAL HOSPITAL 798 NORTH 16TH ST NEW CASTLE IN 47362 Ownership type: OTHER Officer(s): JOHN PIDGEON SHELDON DYNES DUANE BRAMMER MARION SHORE PAUL JANSSEN Name of previous owner: HERITAGE HOUSE OF RICHMOND LLC Date of last change of ownership: 01/01/2012 Administrator: TWYLA SHAW Administrator start date: 05/27/2007 License number: 13-000133-1 License effective date: 01/01/2013 License expiration date: 12/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 45 Number of comprehensive care resident rooms with battery operated smoke detectors: 45 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - TWYLA SHAW Title - ADMINISTRATOR Date form completed - 11/15/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/16/2005 NATCEP expires: 04/01/2009 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: HERITAGE HOUSE OF NEW CASTLE Approved: 07/15/2009 Terminated: N/A WHITEWATER TECHNICAL CAREER CENTER Approved: 10/24/2011 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: N/A Terminated: 03/11/1999 HERITAGE HOUSE OF RICHMOND Approved: 04/19/2001 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 87 Total number of comprehensive care beds: 87 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 87 Facility census: 52 as of: 05/02/2012 Results of Surveys Date of last annual health survey: 04/20/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 05/20/2012 Currently found in substantial compliance? Yes # 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: JJR011 Action - Citation / Fine Notice to facility: 01/19/2007 Appeal: N/A Action Cease/Recind: N/A Case Closed: 01/19/2007 Initial Amount: $2500 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A

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