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Basic Information Address: 514 E 16TH ST City: BEDFORD Telephone: (812) 279-2001 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: CORE OF BEDFORD INC 514 E 16TH ST BEDFORD IN 47421 Ownership type: OTHER Officer(s): FRANCES HORTON CARLA RICKARD TERESA CLARK WHITNEY WHEELER GLEN HORTON DWAYNE WHEELER Name of previous owner: N/A Date of last change of ownership: N/A Administrator: CHARLES BRAZZELL Administrator start date: 11/16/2009 License number: 12-000370-1 License effective date: 03/01/2012 License expiration date: 02/28/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 18 Number of comprehensive care resident rooms with battery operated smoke detectors: 0 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - CHARLES BRAZZELL Title - ADMINISTRATOR Date form completed - 07/27/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 05/07/1998 NATCEP expires: 04/01/2000 NATCEP banned: YES NATCEP ban expires: 09/22/2013 This facility is a Clinical training site for the following NAT classroom sites: CORE OF BEDFORD INC Approved: 05/07/1998 Terminated: 12/21/2010 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 37 Total number of comprehensive care beds: 37 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 37 Facility census: 32 as of: 12/02/2011 Results of Surveys Date of last annual health survey: 11/02/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 2 Substandard quality of care designations: 09/23/2011 12/21/2010 06/16/2006 08/12/2005 Immediate jeopardy designations: N/A 09/23/2011 12/21/2010 06/16/2006 State Licensure Actions Federal Certification Actions Imposed Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 12/23/2011 Date Ended: 02/13/2012 Civil Money Penalty Date Imposed: 09/19/2011 Date Ended: 02/13/2012 Amount proposed per day: 5950 Amount proposed per day: 100 Civil Money Penalty Date Imposed: 12/21/2010 Date Ended: 12/21/2010 Amount proposed per day: Date terminated from Medicare.Medicaid: N/A CORE OF BEDFORD INC
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page