SIMMONS LOVING CARE HEALTH FACILITY
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: 700 E 21ST AVE City: GARY Telephone: (219) 882-2563 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: SIMMONS-MILLER INVESTMENTS INC 700 E 21ST GARY IN 46407 Ownership type: PROFIT Name of previous owner: N/A Date of last change of ownership: N/A Administrator: HERBERTA MILLER Administrator start date: 07/17/2001 License number: 12-000368-1 License effective date: 01/01/2012 License expiration date: 12/31/2012 This facility is: UNSPRINKLERED Number of comprehensive care resident rooms: 20 Number of comprehensive care resident rooms with battery operated smoke detectors: 20 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - EDITH BALLARD Title - ADMINISTRATIVE ASST Date form completed - 07/10/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 01/01/2012 NATCEP expires: 12/31/2012 NATCEP banned: YES NATCEP ban expires: 12/02/2014 This facility is a Clinical training site for the following NAT classroom sites: GERIC HOME HEALTH CARE INC Approved: 07/31/1998 Terminated: 06/10/2004 NORTHWEST INDIANA INSTITUTE Approved: 01/14/2000 Terminated: 06/10/2004 GERIC HOME HEALTH CARE INC Approved: 01/31/1997 Terminated: 06/10/2004 GARY AREA CAREER CENTER Approved: N/A Terminated: 10/25/2006 IVY TECH STATE COLLEGE NORTHWEST Approved: 03/21/1997 Terminated: 06/10/2004 Beds # of Medicaid beds (NF): 46 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 0 Total number of comprehensive care beds: 46 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 46 Facility census: 22 as of: 10/25/2011 Results of Surveys Date of last annual health survey: 09/23/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 02/01/2012 Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 3 Substandard quality of care designations: 12/03/2012 09/23/2011 07/03/2007 09/11/2006 Immediate jeopardy designations: 12/03/2012 09/23/2011 07/03/2007 09/11/2006 State Licensure Actions Event ID: SMZ621 Notice to facility: 07/27/2012 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: V3RN11 Action - Citation / Fine Notice to facility: 02/17/2012 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $4000 Event ID: KF0Z11 Action - Citation / Fine Notice to facility: 10/28/2011 Appeal: N/A Action Cease/Recind: 01/24/2012 Case Closed: 01/24/2012 Initial Amount: $2000 Event ID: EM6M12 Notice to facility: 08/16/2007 Appeal: N/A Action Cease/Recind: 06/18/2009 Case Closed: 01/01/2010 Initial Amount: $0 Event ID: EM6M12 Action - Emergency order ban on admissions Notice to facility: 10/25/2006 Appeal: N/A Action Cease/Recind: N/A Case Closed: 01/01/2010 Initial Amount: $0 Event ID: EM6M12 Action - Emergency order placement of monitor Notice to facility: 10/25/2006 Appeal: N/A Action Cease/Recind: N/A Case Closed: 01/25/2010 Initial Amount: $0 Event ID: 45FB11 Action - Citation / Fine Notice to facility: 11/07/2003 Appeal: N/A Action Cease/Recind: 02/06/2004 Case Closed: 02/06/2004 Initial Amount: $2500 Federal Certification Actions Imposed Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 12/23/2011 Date Ended: 02/01/2012 Directed Inservice Training Date Imposed: 12/13/2011 Date Ended: 02/01/2012 Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 02/10/2011 Date Ended: 03/09/2011 Date terminated from Medicare.Medicaid: N/A SIMMONS LOVING CARE HEALTH FACILITY
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page