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Basic Information Address: 5226 E 82ND ST City: INDIANAPOLIS Telephone: (317) 842-6668 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: KEARY DYE Administrator start date: 07/09/2012 License number: 12-000172-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 143 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: 143 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 - KEARY DYE Title - EXECUTIVE DIRECTOR Date form completed - 09/17/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/28/2000 NATCEP expires: 04/01/2002 NATCEP banned: YES NATCEP ban expires: 04/12/2013 This facility is a Clinical training site for the following NAT classroom sites: PRIMEWAY INSTITUTE Approved: 12/10/2008 Terminated: 10/09/2009 IVY TECH COMMUNITY COLLEGE Approved: 04/14/2009 Terminated: 10/09/2009 AMBASSADOR CAREER CENTER Approved: 01/03/2007 Terminated: 10/09/2009 AMBASSADOR INSTITUTE OF INDIANA Approved: 11/30/1999 Terminated: 08/13/2004 KINDRED TRANSITIONAL CARE AND REHAB-CASTLETON Approved: 03/28/2000 Terminated: 08/13/2004 NURSE AIDE TRAINING CENTER INC Approved: 03/11/1999 Terminated: 08/13/2004 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: 108 as of: 10/24/2012 Results of Surveys Date of last annual health survey: 10/24/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/10/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 4 # of substantiated complaints: 2 years previous 8 Substandard quality of care designations: 03/09/2011 10/09/2009 Immediate jeopardy designations: N/A 03/09/2011 10/09/2009 State Licensure Actions Event ID: 563Y11 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 08/28/2009 Initial Amount: $3000 Event ID: HK8811 Action - Citation / Fine Notice to facility: 12/14/2005 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $3750 Event ID: GKMN11 Notice to facility: 02/24/2005 Appeal: N/A Action Cease/Recind: 10/25/2005 Case Closed: 10/25/2005 Initial Amount: $0 Event ID: 7S2111 Notice to facility: 08/22/2001 Appeal: 11/28/2001 Action Cease/Recind: 01/08/2004 Case Closed: 01/08/2004 Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: 03/08/1999 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $5000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 08/16/2012 Date Ended: 09/21/2012 Amount proposed per day: 100 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 04/06/2011 Date Ended: 05/08/2011 Amount proposed per day: 4550 Amount proposed per day: 250 Date terminated from Medicare.Medicaid: N/A KINDRED TRANSITIONAL CARE AND REHAB-CASTLETON
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page