EXCEPTIONAL LIVING CENTER OF BRAZIL
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: 501 S MURPHY AVE City: BRAZIL Telephone: (812) 446-2636 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: ELC OF BRAZIL LLC 1050 CHINOE ROAD STE 350 LEXINGTON KY 40502 Ownership type: NON-PROFIT Officer(s): BRUCE HUTSON STEPHEN WOOD JOHN GILLMOR JANET GILLESPIE JOHN FOOS JO ANNE CORBITT DOUGLASS SMITH Name of previous owner: HOOSIER ENTERPRISES III INC Date of last change of ownership: 11/06/2012 Administrator: FRANCES WILEY - CAMONTE Administrator start date: 02/03/2010 License number: 12-000514-2 License effective date: 11/06/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 53 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: 53 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 - Title - MAINT Date form completed - 11/16/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 09/11/2003 NATCEP expires: 04/01/2005 NATCEP banned: YES NATCEP ban expires: 05/08/2010 This facility is a Clinical training site for the following NAT classroom sites: EXCEPTIONAL LIVING CENTER OF BRAZIL Approved: 09/11/2003 Terminated: 05/09/2008 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): 105 Total number of comprehensive care beds: 105 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 105 Facility census: 97 as of: 12/01/2011 Results of Surveys Date of last annual health survey: 11/21/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/09/2011 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 1 Substandard quality of care designations: 05/09/2008 07/13/2007 Immediate jeopardy designations: N/A 05/09/2008 State Licensure Actions Event ID: 92KT11 Action - Citation / Fine Notice to facility: 04/15/2005 Appeal: N/A Action Cease/Recind: 10/25/2005 Case Closed: 10/25/2005 Initial Amount: $9750 Event ID: FWP011 Action - Citation / Fine Notice to facility: 12/18/2003 Appeal: N/A Action Cease/Recind: 12/19/2004 Case Closed: 12/19/2004 Initial Amount: $5200 Event ID: 4PXT11 Action - Probationary license Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Event ID: 1ABV11 Notice to facility: 12/27/2000 Appeal: N/A Action Cease/Recind: N/A Case Closed: 12/01/2001 Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: 03/13/2000 Appeal: 01/16/2001 Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $3000 Event ID: Notice to facility: 05/05/1999 Appeal: 05/11/1999 Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A EXCEPTIONAL LIVING CENTER OF BRAZIL
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page