BRIDGEWATER REHABILITATION CENTRE
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: 715 N MILL ST City: HARTFORD CITY Telephone: (765) 348-2273 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: BOARD OF TRUSTEES OF FLAVIUS J WITHAM MEMORIAL 12953 PUBLISHRS DR STE 200 FISHERS IN 46038 Ownership type: OTHER Officer(s): MARGARET MCFRYE DON BOYER MD JACK JONES NANCY MORTON BEVERLY NEWHART JUDY PSIKULA RAYMOND INGHAM GEORGE POGAS MELISSA GUM MICHELLE HINZE Name of previous owner: BRIDGEWATER CENTRE LLC Date of last change of ownership: 11/01/2011 Administrator: MICHAEL NELSON Administrator start date: 04/02/2012 License number: 12-000290-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 40 Number of comprehensive care resident rooms with battery operated smoke detectors: 15 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 - MICHAEL J NELSON Title - ADMINISTRATOR Date form completed - 10/17/2012 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: PERSIMMON RIDGE REHABILITATION CENTRE Approved: 03/27/2002 Terminated: 03/05/2009 TRINITY BEND LIVING CENTER Approved: 09/21/1999 Terminated: N/A BRIDGEWATER REHABILITATION CENTRE Approved: 02/20/2002 Terminated: N/A COMMUNITY CARE CENTER OF WABAS Approved: 02/01/1999 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 78 Total number of comprehensive care beds: 78 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 78 Facility census: 31 as of: 11/28/2011 Results of Surveys Date of last annual health survey: 11/18/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/12/2011 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: E78K11 Action - Citation / Fine Notice to facility: 12/14/2005 Appeal: N/A Action Cease/Recind: 06/02/2006 Case Closed: 06/02/2006 Initial Amount: $5000 Event ID: Notice to facility: N/A Appeal: N/A Action Cease/Recind: 01/19/2001 Case Closed: 01/19/2001 Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A BRIDGEWATER REHABILITATION CENTRE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page