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ARBOR GROVE VILLAGE
CONSUMER REPORT
Created on: 01/10/2013
Posted to the Web on: 01/23/2013
 
Facility Profile
 

Basic Information
Address: 1021 E CENTRAL AVE
City: GREENSBURG
Telephone: (812) 663-8553
 
View location on map
 
Most recent name change: N/A
Date of most recent name change: N/A
Owning corporation: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
3838 N RURAL ST
INDIANAPOLIS IN 46205
Ownership type:  OTHER
Officer(s): JAMES MINER
            LULA JOURNEY
            GREGORY FEHRIBACH
            ROBERT PFEIFER
            DAVID CRABB
            JOYCE IRWIN
            MATT GUTWEIN
            DAN SELLERS
            MAJORIE OLAUGHLIN
 
Name of previous owner: ODD FELLOWS HOME ASSOCIATION OF THE STATE OF IN
Date of last change of ownership: 07/01/2008
Administrator: HEATHER ROSS
Administrator start date: 12/12/2011
License number: 12-000305-1
License effective date: 07/01/2012
License expiration date: 06/30/2013
 
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 45
Number of comprehensive care resident rooms with battery
                    operated smoke detectors: 45
Number of comprehensive care resident rooms
             with hard wired and/or wireless smoke detectors: 0
Person completing form - HEATHER ROSS
  Title - EXECUTIVE DIRECTOR
Date form completed - 09/18/2012
 
Nurse Aide Training Competency Evaluation Program (NATCEP)
NATCEP approved: 02/20/2002
NATCEP expires:  04/01/2004
NATCEP banned: YES
NATCEP ban expires: 09/21/2007
This facility is a Clinical training site for the following NAT classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: N/A
       Terminated: 09/22/2005
     COLUMBUS AREA CAREER CONNECTION
         Approved: N/A
       Terminated: 09/22/2005
     ARBOR GROVE VILLAGE
         Approved: 02/20/2002
       Terminated: 09/22/2005
 
Beds
# of Medicaid beds (NF):                     0
# of Medicare beds (SNF):                    0
# of Medicare/Medicaid beds (SNF/NF):        83
Total number of comprehensive care beds:     83
# of non-certified comprehensive care beds:  0
Total number of residential beds:            0
Total number of beds in facility:            83
Facility census:  70 as of: 12/12/2011
 
Results of Surveys
Date of last annual health survey: 12/08/2011
In substantial compliance on most recent annual health survey? NO
If no, date facility achieved substantial compliance
from annual health survey: 01/11/2012
Currently found in substantial compliance? Yes
 
# of substantiated complaints: current year  0
# of substantiated complaints: previous year  3
# of substantiated complaints: 2 years previous  1
Substandard quality of care designations: N/A
 
Immediate jeopardy designations: N/A
 
 
State Licensure Actions
Event ID: W05E11
  Action - Citation / Fine
 Notice to facility: N/A
             Appeal: N/A
Action Cease/Recind: N/A
         Case Closed: 11/05/2009
Initial Amount: $3000
Event ID: 5MFP11
  Action - Citation / Fine
 Notice to facility: 02/14/2008
             Appeal: N/A
Action Cease/Recind: N/A
         Case Closed: 02/28/2008
Initial Amount: $2500
Event ID: 
  Action - Citation / Fine
 Notice to facility: 06/30/1998
             Appeal: 07/20/1998
Action Cease/Recind: 05/03/1999
         Case Closed: N/A
Initial Amount: $7000
 
Federal Certification Actions Imposed
 
Date terminated from Medicare.Medicaid: N/A
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