Back to Health Care Regulatory Services

AUTUMN HILLS HEALTH AND REHAB CENTER
CONSUMER REPORT
Created on: 01/10/2013
Posted to the Web on: 01/23/2013
 
Facility Profile
 

Basic Information
Address: 10352 N 600 E  COUNTY LINE RD
City: DEMOTTE
Telephone: (219) 345-5211
 
View location on map
 
Most recent name change: N/A
Date of most recent name change: N/A
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
Ownership type:  NON-PROFIT
Officer(s): PATRICIA FOX
            LARRY CHRISTMAN
            PAT FOX
            WILLIAM KIRSCH
 
Name of previous owner: CRESTMARK HEALTHCARE OPERTATIONS CO LLC
Date of last change of ownership: 07/01/2012
Administrator: BENJAMIN GEHRMANN
Administrator start date: 02/03/2012
License number: 12-000471-1
License effective date: 07/01/2012
License expiration date: 06/30/2013
 
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 45
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: 45
  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 - BENJAMIN GEHRMANN
  Title - HFA
Date form completed - 10/17/2012
 
Nurse Aide Training Competency Evaluation Program (NATCEP)
NATCEP approved: 07/01/2012
NATCEP expires:  06/30/2013
NATCEP banned: YES
NATCEP ban expires: 03/23/2013
This facility is a Clinical training site for the following NAT classroom sites: 
     TWC TRAINING
         Approved: 04/21/2008
       Terminated: 09/10/2008
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 08/12/2004
       Terminated: 01/13/2009
 
Beds
# of Medicaid beds (NF):                     0
# of Medicare beds (SNF):                    0
# of Medicare/Medicaid beds (SNF/NF):        93
Total number of comprehensive care beds:     93
# of non-certified comprehensive care beds:  0
Total number of residential beds:            16
Total number of beds in facility:            109
Facility census:  62 as of: 01/05/2012
 
Results of Surveys
Date of last annual health survey: 12/20/2011
In substantial compliance on most recent annual health survey? NO
If no, date facility achieved substantial compliance
from annual health survey: 03/16/2012
Currently found in substantial compliance? Yes
 
# of substantiated complaints: current year  0
# of substantiated complaints: previous year  0
# of substantiated complaints: 2 years previous  5
Substandard quality of care designations: N/A
 
Immediate jeopardy designations: N/A
 
 
State Licensure Actions
Event ID: 
  Action - Citation / Fine
 Notice to facility: N/A
             Appeal: N/A
Action Cease/Recind: N/A
         Case Closed: N/A
Initial Amount: $3500
Event ID: 
  Action - Citation / Fine
 Notice to facility: N/A
             Appeal: N/A
Action Cease/Recind: N/A
         Case Closed: N/A
Initial Amount: $3000
 
Federal Certification Actions Imposed
     Directed Inservice Training
     Date Imposed: 03/08/2012  Date Ended: 03/16/2012
     Civil Money Penalty
     Date Imposed: 12/21/2010  Date Ended: 01/13/2011
     Amount proposed per day: 500
 
Date terminated from Medicare.Medicaid: N/A
Return to Search Page