FORUM AT THE CROSSING
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: 8505 WOODFIELD CROSSING BLVD City: INDIANAPOLIS Telephone: (317) 466-2020 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: FIVE STAR CROSSING LLC 8505 WOODFIELD CROSSING BLVD INDIANAPOLIS IN 46240 Ownership type: PROFIT Officer(s): BRUCE MACKEY JR ROSEMARY ESPOSITO TRAVIS SMITH JENNIFER CLARK BARRY PORTNOY MARYANN HUGHES JACQUELYN ANDERSON PAUL HOAGLAND GERALD PORTNOY ANTHONY MARZELLI Name of previous owner: FS TENANT POOL II TRUST Date of last change of ownership: 02/01/2010 Administrator: KRIS GRAPHMAN Administrator start date: 12/15/2006 License number: 12-000191-1 License effective date: 02/01/2012 License expiration date: 01/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 74 Number of comprehensive care resident rooms with battery operated smoke detectors: 49 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 25 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 - CHRIS WAGNER Title - DIRECTOR OF HOUSEKEE Date form completed - 08/14/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/17/1997 NATCEP expires: 04/01/1999 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: PRIMEWAY INSTITUTE Approved: 07/03/2008 Terminated: N/A FORUM AT THE CROSSING Approved: N/A Terminated: N/A NURSE AIDE TRAINING CENTER INC Approved: 03/07/2000 Terminated: N/A HEALTHCARE TRAINING CENTER AT LEBANON Approved: 07/27/2009 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: N/A Terminated: N/A J EVERETT LIGHT CAREER CENTER Approved: 11/05/1992 Terminated: 03/06/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 74 # of Medicare/Medicaid beds (SNF/NF): 0 Total number of comprehensive care beds: 74 # of non-certified comprehensive care beds: 0 Total number of residential beds: 30 Total number of beds in facility: 104 Facility census: 60 as of: 10/04/2011 Results of Surveys Date of last annual health survey: 09/29/2011 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 2 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A FORUM AT THE CROSSING
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page