MANORCARE HEALTH SERVICES
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: 8549 S MADISON AVE City: INDIANAPOLIS Telephone: (317) 881-9164 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: MANOR CARE OF INDY (SOUTH) IN LLC 333 NORTH SUMMIT STREET TOLEDO OH 43604 Ownership type: PROFIT Officer(s): KATHRYN HOOPS STEVEN SPENCER BARRY LAZARUS LARRY GODIA LARRY LESTER MATTHEW KING Name of previous owner: MANORCARE HEALTH SERVICES INC Date of last change of ownership: 12/20/2007 Administrator: LISA DAVIS Administrator start date: 11/30/2012 License number: 12-000151-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 77 Number of comprehensive care resident rooms with battery operated smoke detectors: 62 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 15 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 - TODD NOWACKI Title - ADMINISTRATOR Date form completed - 08/23/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 12/01/2012 NATCEP expires: 11/30/2013 NATCEP banned: YES NATCEP ban expires: 02/01/2009 This facility is a Clinical training site for the following NAT classroom sites: HEALTH CARE INSTITUTE Approved: 11/02/1998 Terminated: 02/02/2007 STAFFING AND EDUCATION FOR EXCELLENCE Approved: 07/28/1999 Terminated: 02/02/2007 AREA 31 CAREER CENTER Approved: 10/20/1999 Terminated: 02/02/2007 CENTRAL NINE CAREER CENTER Approved: N/A Terminated: 02/02/2007 NURSE AIDE TRAINING CENTER INC Approved: 05/07/1998 Terminated: 02/02/2007 IVY TECH COMMUNITY COLLEGE Approved: 02/24/1998 Terminated: 02/02/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 56 # of Medicare/Medicaid beds (SNF/NF): 84 Total number of comprehensive care beds: 140 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 140 Facility census: 124 as of: 11/20/2012 Results of Surveys Date of last annual health survey: 11/20/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 4 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: 02/02/2007 Immediate jeopardy designations: N/A 02/02/2007 State Licensure Actions Event ID: MESV11 Action - Citation / Fine Notice to facility: 11/20/2012 Appeal: N/A Action Cease/Recind: 12/27/2012 Case Closed: 12/27/2012 Initial Amount: $3000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 10/24/2012 Date Ended: Still in effect Amount proposed per day: 200 Date terminated from Medicare.Medicaid: N/A MANORCARE HEALTH SERVICES
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page