KINDRED TRANSITIONAL CARE AND REHAB-FORT WAYNE
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: 6006 BRANDY CHASE COVE City: FORT WAYNE Telephone: (260) 486-3001 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: KINDRED NURSING CENTERS LIMITED PARTNERSHIP 680 S FOURTH AVE LOUISVILLE KY 40202 Ownership type: PROFIT Officer(s): MICHAEL BEAN BENJAMIN BREIER LORE BROWNSON WILLIAM ALTMAN KIMBERLY BEACH LANE BOWEN RUSSELL RAGLAND DONALD ROBINSON PAMELA ATHANAS BARBARA BAYLIS MICHAEL BEAL Name of previous owner: N/A Date of last change of ownership: N/A Administrator: DAVID MLODECKI Administrator start date: 05/15/2012 License number: 12-000153-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 80 Number of comprehensive care resident rooms with battery operated smoke detectors: 80 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - DAVID MLODECKI Title - EXECUTIVE DIRECTOR Date form completed - 09/07/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 12/10/2003 NATCEP expires: 04/01/2005 NATCEP banned: YES NATCEP ban expires: 08/11/2013 This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 06/08/2002 Terminated: 10/15/2007 QUALITY CARE TRAINING Approved: 07/12/2002 Terminated: 10/15/2007 KINDRED TRANSITIONAL CARE AND REHAB-FORT WAYNE Approved: 12/10/2003 Terminated: 10/15/2007 UNIVERSITY OF SAINT FRANCIS Approved: 06/19/1998 Terminated: 10/15/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 160 Total number of comprehensive care beds: 160 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 160 Facility census: 138 as of: 08/13/2012 Results of Surveys Date of last annual health survey: 08/13/2012 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? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 6 # of substantiated complaints: 2 years previous 6 Substandard quality of care designations: 07/01/2011 08/24/2007 Immediate jeopardy designations: N/A 07/01/2011 08/24/2007 State Licensure Actions Event ID: Action - Emergency order ban on admissions Notice to facility: 03/24/1999 Appeal: 04/15/1999 Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: Notice to facility: 03/24/1999 Appeal: 04/15/1999 Action Cease/Recind: 01/04/2000 Case Closed: N/A Initial Amount: $0 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 08/13/2012 Date Ended: 10/08/2012 Amount proposed per day: 200 Civil Money Penalty Date Imposed: 08/11/2011 Date Ended: 08/30/2011 Amount proposed per day: 3650 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 11/22/2010 Date Ended: 12/21/2010 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A KINDRED TRANSITIONAL CARE AND REHAB-FORT WAYNE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page