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Basic Information Address: 25 S BOEHNE CAMP RD City: EVANSVILLE Telephone: (812) 423-7468 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: DEARBORN COUNTY HOSPITAL 600 WILSON CREEK RD DEARBORN IN 47025 Ownership type: OTHER Officer(s): PETER RESNICK PHILIP MEYER Name of previous owner: INDIANA HEALTH AND REHABILITATION CENTERS Date of last change of ownership: 12/18/2012 Administrator: ERIC WILL Administrator start date: 03/16/2009 License number: 12-000221-2 License effective date: 12/18/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 74 Number of comprehensive care resident rooms with battery operated smoke detectors: 74 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - VANCE ROY Title - MAINTENANCE DIRECTOR Date form completed - 10/09/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 04/17/2006 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: CYPRESS GROVE REHABILITATION CENTER Approved: N/A Terminated: N/A WESTPARK REHABILITATION CENTER Approved: 07/15/2004 Terminated: N/A EXTENDACARE TRAINING CENTER Approved: N/A Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 23 # of Medicare/Medicaid beds (SNF/NF): 92 Total number of comprehensive care beds: 115 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 115 Facility census: 85 as of: 09/04/2012 Results of Surveys Date of last annual health survey: 09/04/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 5 # of substantiated complaints: 2 years previous 3 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: RHM811 Action - Citation / Fine Notice to facility: 07/08/2002 Appeal: N/A Action Cease/Recind: 07/15/2002 Case Closed: 07/15/2002 Initial Amount: $2500 Event ID: Action - Citation / Fine Notice to facility: 04/28/1999 Appeal: 06/07/1999 Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $3000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 08/14/2012 Date Ended: 10/03/2012 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 08/15/2011 Date Ended: 09/11/2011 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A WESTPARK REHABILITATION CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page