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WOODLAND MANOR NURSING CENTER

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 1212 E MAIN City: ATTICA Telephone: (765) 762-6133 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: ALWARD NURSING HOME INC PO BOX 166 ATTICA IN 47918 Ownership type: PROFIT Officer(s): LINDA BROWN LORI MILLER Name of previous owner: N/A Date of last change of ownership: N/A Administrator: FAY PRUITT Administrator start date: 05/14/2007 License number: 12-000323-1 License effective date: 04/01/2012 License expiration date: 03/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 27 Number of comprehensive care resident rooms with battery operated smoke detectors: 27 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - FAY PRUITT Title - ADMINISTRATOR Date form completed - 08/17/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 02/08/2008 NATCEP expires: 04/01/2014 NATCEP banned: YES NATCEP ban expires: 10/12/2007 This facility is a Clinical training site for the following NAT classroom sites: TIPPECANOE SCHOOL CORPORATION Approved: 11/03/2007 Terminated: N/A WOODLAND MANOR NURSING CENTER Approved: 02/08/2008 Terminated: N/A WATERS OF COVINGTON THE Approved: 03/21/1997 Terminated: 03/27/2001 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 53 Total number of comprehensive care beds: 53 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 53 Facility census: 42 as of: 04/30/2012 Results of Surveys Date of last annual health survey: 03/29/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/28/2012 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: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A

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