WATERS OF PRINCETON THE
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: 1020 W VINE ST City: PRINCETON Telephone: (812) 385-5238 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: PUTNAM COUNTY HOSPITAL 1542 BLOOMINGTON ST GREENCASTLE IN 46135 Ownership type: OTHER Officer(s): DAVID BRAY JANICE FRY FRED MANN DR. ROBERT HEAVIN DENNIS O'HAIR JUDGE MATTHEW HADLEY Name of previous owner: THE WATERS OF PRINCETON LLC Date of last change of ownership: 09/01/2012 Administrator: ROBERT O'NIONES Administrator start date: 02/08/2012 License number: 12-000175-1 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 55 Number of comprehensive care resident rooms with battery operated smoke detectors: 55 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JEREMY M NORMAN Title - MAINTENANCE SUPERVIS Date form completed - 10/12/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/23/2006 NATCEP expires: 04/01/2014 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: WATERS OF PRINCETON THE Approved: 12/03/2004 Terminated: 08/28/2008 INDIANA NURSE AIDE TRAINING Approved: 05/19/2011 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 95 Total number of comprehensive care beds: 95 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 95 Facility census: 70 as of: 02/15/2012 Results of Surveys Date of last annual health survey: 02/07/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 03/08/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: 0M0W11 Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A WATERS OF PRINCETON THE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page