SUMMERFIELD HEALTH CARE
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: 34 S MAIN ST City: CLOVERDALE Telephone: (765) 795-4260 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: PUTNAM COUNTY HOSPITAL 1542 BLOOMINGTON ST GREENCASTLE IN 46135 Ownership type: OTHER Officer(s): DAVID BRAY JANICE FRY FRED MANN DR. ROBERT HEAVIN DENNIS O'HAIR JUDGE MATTHEW HADLEY Name of previous owner: THE LONG HILL COMPANY RECEIVER Date of last change of ownership: 09/01/2000 Administrator: LONDA COUCH Administrator start date: 06/16/2008 License number: 12-000415-2 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 24 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: 24 If hard wired and/or wireless smoke detectors are provided in resident's room, do they: (A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes (B) Transmit to a central station service - Yes (C) Connect to the health facility's fire alarm system - Yes Person completing form - LINDA COUCH Title - ADMINISTRATOR Date form completed - 09/24/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/03/2005 NATCEP expires: 04/01/2007 NATCEP banned: YES NATCEP ban expires: 05/03/2009 This facility is a Clinical training site for the following NAT classroom sites: SUMMERFIELD HEALTH CARE Approved: 11/03/2003 Terminated: 05/04/2007 ADVANCED HEALTHCARE TRAINING SERVICES Approved: 08/05/2005 Terminated: 05/04/2007 BEN HUR HEALTH & REHAB Approved: N/A Terminated: 11/21/2005 AREA 30 CAREER CENTER Approved: N/A Terminated: 05/09/2002 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 43 Total number of comprehensive care beds: 43 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 43 Facility census: 37 as of: 02/27/2012 Results of Surveys Date of last annual health survey: 02/24/2012 In substantial compliance on most recent annual health survey? YES 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 0 Substandard quality of care designations: 05/04/2007 Immediate jeopardy designations: N/A 05/04/2007 State Licensure Actions Event ID: QW8811 Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: QW8811 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 11/05/2009 Initial Amount: $5000 Event ID: Notice to facility: 05/13/1999 Appeal: 05/25/1999 Action Cease/Recind: 10/22/1999 Case Closed: N/A Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A SUMMERFIELD HEALTH CARE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page