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WHISPERING PINES HEALTH CARE CENTER

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 3301 N CALUMET AVE City: VALPARAISO Telephone: (219) 462-0508 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: PORTER COUNTY COUNCIL OF CHURCH WOMEN INC 3301 N CALUMET AVE VALPARAISO IN 46383 Ownership type: NON-PROFIT Officer(s): BILL FERNGREN MIKE PORTER MICHAEL JONES Name of previous owner: N/A Date of last change of ownership: N/A Administrator: ROSEMARY WEEKS Administrator start date: 06/04/2007 License number: 12-000176-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 150 Number of comprehensive care resident rooms with battery operated smoke detectors: 71 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 79 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? - (B) Transmit to a central station service - (C) Connect to the health facility's fire alarm system - Person completing form - Title - Date form completed - / / Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/23/2006 NATCEP expires: 04/01/2008 NATCEP banned: YES NATCEP ban expires: 02/13/2011 This facility is a Clinical training site for the following NAT classroom sites: WHISPERING PINES HEALTH CARE CENTER Approved: 03/07/2002 Terminated: 08/16/2007 PORTER COUNTY CAREER CENTER Approved: 03/22/2002 Terminated: 05/01/2006 MED ED INCORPORATED Approved: 04/03/2012 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: 01/08/2013 Terminated: N/A PORTER COUNTY CAREER CENTER Approved: 03/14/2007 Terminated: 08/16/2007 IN TRAINING COLLEGE OF ADULT EDUCATION Approved: 02/24/2012 Terminated: N/A CARETECH HEALTHCARE TRAINING Approved: 12/15/2011 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 7 # of Medicare/Medicaid beds (SNF/NF): 139 Total number of comprehensive care beds: 146 # of non-certified comprehensive care beds: 4 Total number of residential beds: 0 Total number of beds in facility: 150 Facility census: 109 as of: 07/11/2012 Results of Surveys Date of last annual health survey: 06/22/2012 In substantial compliance on most recent annual health survey? YES 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 3 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: 08/16/2007 Immediate jeopardy designations: N/A 08/16/2007 State Licensure Actions Event ID: 3JJT11 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 07/07/2010 Initial Amount: $3000 Event ID: Notice to facility: 02/09/2000 Appeal: 03/15/2000 Action Cease/Recind: 07/31/2000 Case Closed: 07/31/2000 Initial Amount: $0 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 09/18/2012 Date Ended: 10/07/2012 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 08/16/2011 Date Ended: 09/08/2011 Amount proposed per day: 200 Civil Money Penalty Date Imposed: 04/08/2011 Date Ended: 05/07/2011 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 03/09/2010 Date Ended: 03/31/2010 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A

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