LAWRENCE MANOR HEALTHCARE 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: 8935 E 46TH ST City: INDIANAPOLIS Telephone: (317) 898-1515 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: FAIR HAVENS ENTERPRISES INC 5335 N TACOMA INDIANAPOLIS IN 46220 Ownership type: PROFIT Officer(s): THOMAS DOBBINS Name of previous owner: N/A Date of last change of ownership: N/A Administrator: THOMAS DOBBINS Administrator start date: 01/01/1998 License number: 12-000383-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 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 - THOMAS E DOBBINS Title - ADMINISTRATOR Date form completed - 08/08/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 11/01/2012 NATCEP expires: 10/31/2013 NATCEP banned: YES NATCEP ban expires: 03/11/2012 This facility is a Clinical training site for the following NAT classroom sites: LAWRENCE COMMUNITY EDUCATION Approved: 10/17/2006 Terminated: 03/12/2010 PRIMEWAY INSTITUTE Approved: 04/24/2007 Terminated: 03/12/2010 NURSE AIDE TRAINING CENTER INC Approved: N/A Terminated: 03/12/2010 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 55 Total number of comprehensive care beds: 55 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 55 Facility census: 46 as of: 04/20/2012 Results of Surveys Date of last annual health survey: 04/19/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 07/05/2012 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: 02/04/2010 Immediate jeopardy designations: N/A 02/04/2010 State Licensure Actions Federal Certification Actions Imposed Directed Inservice Training Date Imposed: 06/28/2012 Date Ended: 07/05/2012 Directed Plan of Correction Date Imposed: 04/21/2011 Date Ended: 04/21/2011 Discretionary Deny Pay for New Admits Date Imposed: 03/18/2010 Date Ended: 04/27/2010 Civil Money Penalty Date Imposed: 03/12/2010 Date Ended: 04/27/2010 Amount proposed per day: 3550 Amount proposed per day: 150 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A LAWRENCE MANOR HEALTHCARE CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page