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Basic Information Address: 801 S SR 57 City: WASHINGTON Telephone: (812) 254-4516 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: PRAIRIE VILLAGE CARE LLC Date of last change of ownership: 09/01/2012 Administrator: GREGORY MATHEIS Administrator start date: 12/11/2009 License number: 12-000302-2 License effective date: 09/01/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 40 Number of comprehensive care resident rooms with battery operated smoke detectors: 24 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 16 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 - RICK MATTINGLY Title - MAINTENANCE ASST Date form completed - 10/01/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 10/19/2010 NATCEP expires: 04/01/2012 NATCEP banned: YES NATCEP ban expires: 01/30/2010 This facility is a Clinical training site for the following NAT classroom sites: DAVIESS COMMUNITY HOSPITAL Approved: 01/21/2005 Terminated: 01/31/2008 TWIN RIVERS AREA MEDICAL CAREERS Approved: 04/12/2000 Terminated: 10/05/2005 PRAIRIE VILLAGE NURSING AND REHABILITATION CENTER Approved: 10/19/2010 Terminated: N/A VINCENNES UNIVERSITY Approved: 09/10/2010 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 70 Total number of comprehensive care beds: 70 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 70 Facility census: 63 as of: 02/06/2012 Results of Surveys Date of last annual health survey: 01/19/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 02/18/2012 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: 01/31/2008 Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A PRAIRIE VILLAGE NURSING AND REHABILITATION CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page