ST ELIZABETH HEALTHCARE CENTER
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: 701 ARMORY RD City: DELPHI Telephone: (765) 564-6380 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: TRILOGY HEALTHCARE OF CARROLL LLC 303 N HURSTBOURNE PARKWAY, SUITE 200 LOUISVILLE KY 40222 Ownership type: PROFIT Officer(s): RANDALL BUFFORD PAUL PLEVYAK PHILIP CALDWELL STEVEN VAN CAMP LEIGH ANN BARNEY KATHY CORBIN Name of previous owner: FRANCISCAN COMMUNITIES INC Date of last change of ownership: 03/01/2009 Administrator: RICHARD JACKSON Administrator start date: 12/24/2012 License number: 12-000187-1 License effective date: 03/01/2012 License expiration date: 02/28/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 39 Number of comprehensive care resident rooms with battery operated smoke detectors: 12 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - MARNIE DAVISSON Title - EXECUTIVE DIRECTOR Date form completed - / / Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/22/2006 NATCEP expires: 04/01/2010 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: CLINTON HOUSE HEALTH AND REHAB CENTER Approved: 03/04/2003 Terminated: 04/29/2004 WESLEY MANOR INC Approved: 08/19/2003 Terminated: N/A CUMBERLAND POINTE HEALTH CAMPUS Approved: 04/11/2000 Terminated: N/A DELPHI COMMUNITY HIGH SCHOOL Approved: 03/12/2010 Terminated: N/A ST ELIZABETH HEALTHCARE CENTER Approved: 07/29/1997 Terminated: N/A ST ELIZABETH MEDICAL CENTER-SKILLED NURSING UNIT Approved: N/A Terminated: N/A TIPPECANOE SCHOOL CORPORATION Approved: N/A Terminated: N/A TWIN LAKES SCHOOL CORP Approved: 02/29/2012 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 24 # of Medicare/Medicaid beds (SNF/NF): 40 Total number of comprehensive care beds: 64 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 64 Facility census: 58 as of: 07/26/2012 Results of Surveys Date of last annual health survey: 07/26/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 08/25/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: L8PH11 Action - Citation / Fine Notice to facility: 04/29/2005 Appeal: N/A Action Cease/Recind: 08/26/2005 Case Closed: 08/26/2005 Initial Amount: $5625 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A ST ELIZABETH HEALTHCARE CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page