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Basic Information Address: 3500 MAPLE AVE City: TERRE HAUTE Telephone: (812) 238-1555 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: KINDRED NURSING CENTERS LIMITED PARTNERSHIP 680 S FOURTH AVE LOUISVILLE KY 40202 Ownership type: PROFIT Officer(s): MICHAEL BEAN BENJAMIN BREIER LORE BROWNSON WILLIAM ALTMAN KIMBERLY BEACH LANE BOWEN RUSSELL RAGLAND DONALD ROBINSON PAMELA ATHANAS BARBARA BAYLIS MICHAEL BEAL Name of previous owner: N/A Date of last change of ownership: N/A Administrator: SEAN MEDSKER Administrator start date: 12/17/2012 License number: 12-000513-1 License effective date: 10/01/2012 License expiration date: 09/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 117 Number of comprehensive care resident rooms with battery operated smoke detectors: 117 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - Title - MAINTENANCE DIRECTOR Date form completed - 11/19/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 12/30/2010 NATCEP expires: 04/01/2014 NATCEP banned: YES NATCEP ban expires: 10/16/2008 This facility is a Clinical training site for the following NAT classroom sites: KINDRED TRANSITIONAL CARE AND REHAB-SOUTHWOOD Approved: 12/15/2008 Terminated: 03/20/2009 AREA 30 CAREER CENTER Approved: 08/21/2003 Terminated: 10/17/2006 NURSE AIDE TRAINING CENTER INC Approved: N/A Terminated: 10/17/2006 SUMMERFIELD HEALTH CARE Approved: 08/28/2001 Terminated: 10/17/2006 ROYAL OAKS HEALTH CARE AND REHABILITATION CENTER Approved: 12/30/2010 Terminated: N/A NURSE AIDE TRAINING SERVICES Approved: N/A Terminated: 10/17/2006 VIGO COUNTY SCHOOL CORP HEALTH Approved: 09/23/2011 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 207 Total number of comprehensive care beds: 207 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 207 Facility census: 164 as of: 10/18/2012 Results of Surveys Date of last annual health survey: 10/18/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 11/17/2012 Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: 10/17/2006 08/25/2005 Immediate jeopardy designations: N/A 01/27/2009 10/17/2006 08/25/2005 State Licensure Actions Event ID: JGK411 Action - Citation / Fine Notice to facility: 03/29/2005 Appeal: N/A Action Cease/Recind: 04/05/2005 Case Closed: 04/05/2005 Initial Amount: $3750 Event ID: 7MDZ11 Action - Citation / Fine Notice to facility: 06/21/2004 Appeal: N/A Action Cease/Recind: 09/07/2004 Case Closed: 09/07/2004 Initial Amount: $2800 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A ROYAL OAKS HEALTH CARE AND REHABILITATION CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page