CORYDON NURSING AND REHABILITATION CENTER
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: 315 COUNTRY CLUB RD City: CORYDON Telephone: (812) 738-2190 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: ADAMS COUNTY MEMORIAL HOSPITAL 1100 MERCER AVENUE DECATUR IN 46733 Ownership type: OTHER Officer(s): ROBERT JUDGE DENNIS BIEBERICH RUSS FLUECKIGER LARRY MACKLIN DANE WHEELER THOMAS NORDWICK JO EIDAM Name of previous owner: MLB CORYDON HEALTH FACILITIES INC Date of last change of ownership: 10/01/2012 Administrator: ROY GRIGSBY Administrator start date: 08/20/2012 License number: 12-000338-2 License effective date: 10/01/2012 License expiration date: 09/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 18 Number of comprehensive care resident rooms with battery operated smoke detectors: 18 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - RANDY CHANDLER Title - MAINTENANCE Date form completed - 07/25/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/10/1998 NATCEP expires: 04/01/2000 NATCEP banned: YES NATCEP ban expires: 09/13/2009 This facility is a Clinical training site for the following NAT classroom sites: GOLDEN LIVING CENTER-LINCOLN HILLS Approved: 03/11/1998 Terminated: 12/09/2005 CORYDON NURSING AND REHABILITATION CENTER Approved: N/A Terminated: 09/14/2007 IVY TECH STATE COLLEGE Approved: 03/16/1996 Terminated: 12/09/2005 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 38 Total number of comprehensive care beds: 38 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 38 Facility census: 29 as of: 04/25/2012 Results of Surveys Date of last annual health survey: 04/04/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 05/04/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: MV4F11 Action - Citation / Fine Notice to facility: 09/12/2012 Appeal: N/A Action Cease/Recind: 09/27/2012 Case Closed: 09/27/2012 Initial Amount: $3000 Event ID: 5JJ111 Action - Citation / Fine Notice to facility: 04/25/2012 Appeal: N/A Action Cease/Recind: 05/11/2012 Case Closed: 05/11/2012 Initial Amount: $2000 Event ID: Q7VO11 Action - Citation / Fine Notice to facility: 02/11/2004 Appeal: N/A Action Cease/Recind: 02/26/2004 Case Closed: 02/26/2004 Initial Amount: $2500 Event ID: Action - Citation / Fine Notice to facility: 03/08/1999 Appeal: 04/12/1999 Action Cease/Recind: 03/30/2000 Case Closed: N/A Initial Amount: $3000 Event ID: Action - Citation / Fine Notice to facility: 03/12/1999 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $1500 Federal Certification Actions Imposed Directed Inservice Training Date Imposed: 08/04/2010 Date Ended: 08/04/2010 Date terminated from Medicare.Medicaid: N/A CORYDON NURSING AND REHABILITATION CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page