GOLDEN LIVING CENTER-BRENTWOOD
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: 30 E CHANDLER AVE City: EVANSVILLE Telephone: (812) 423-6019 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: KATHERINE SEIBEL Administrator start date: 11/26/2012 License number: 12-000152-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 64 Number of comprehensive care resident rooms with battery operated smoke detectors: 64 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - GREG SCHAFFER Title - MAINTENANCE ASSISTAN Date form completed - 10/31/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/13/2001 NATCEP expires: 04/01/2003 NATCEP banned: YES NATCEP ban expires: 10/21/2013 This facility is a Clinical training site for the following NAT classroom sites: GOLDEN LIVING CENTER-WOODBRIDGE Approved: 01/03/2000 Terminated: 04/30/2002 GOLDEN LIVING CENTER-WOODLANDS Approved: 05/23/2007 Terminated: 11/20/2008 GOLDEN LIVING CENTER-BRENTWOOD Approved: 01/03/2000 Terminated: 10/22/2011 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 114 Total number of comprehensive care beds: 114 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 114 Facility census: 76 as of: 10/12/2012 Results of Surveys Date of last annual health survey: 10/12/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 11/11/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 7 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: MUIU11 Notice to facility: 05/01/2002 Appeal: 05/10/2002 Action Cease/Recind: 05/06/2003 Case Closed: 05/06/2003 Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: 03/08/1999 Appeal: 03/31/1999 Action Cease/Recind: 03/30/2000 Case Closed: N/A Initial Amount: $6000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 07/22/2011 Date Ended: 10/17/2011 Amount proposed per day: 300 Civil Money Penalty Date Imposed: 11/22/2010 Date Ended: 11/22/2010 Amount proposed per day: Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 10/28/2010 Date Ended: 11/21/2010 Date terminated from Medicare.Medicaid: N/A GOLDEN LIVING CENTER-BRENTWOOD
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page