PARKVIEW HAVEN
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
Back to Health Care Regulatory Services
Basic Information Address: 101 CONSTITUTION DR City: FRANCESVILLE Telephone: (219) 567-9149 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: JASPER COUNTY HOSPITAL 1104 EAST GRACE STREET RENSSELAER IN 47978 Ownership type: OTHER Name of previous owner: APOSTOLIC CHRISTIAN RETIREMENT HOME INC Date of last change of ownership: 11/16/2012 Administrator: STEVEN STOLLER Administrator start date: 08/14/2000 License number: 12-000539-2 License effective date: 11/16/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 23 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: 23 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 - STEVEN STOLLER Title - ADMINISTRATOR Date form completed - 09/28/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 10/11/2011 NATCEP expires: 04/01/2013 NATCEP banned: YES NATCEP ban expires: 02/02/2014 This facility is a Clinical training site for the following NAT classroom sites: PARKVIEW HAVEN Approved: 10/11/2011 Terminated: 02/02/2012 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 1 # of Medicare/Medicaid beds (SNF/NF): 41 Total number of comprehensive care beds: 42 # of non-certified comprehensive care beds: 0 Total number of residential beds: 48 Total number of beds in facility: 90 Facility census: 39 as of: 02/07/2012 Results of Surveys Date of last annual health survey: 02/03/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 02/29/2012 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: 02/03/2012 Immediate jeopardy designations: N/A State Licensure Actions Event ID: WEP711 Action - Citation / Fine Notice to facility: 09/09/2004 Appeal: N/A Action Cease/Recind: 12/19/2004 Case Closed: 12/19/2004 Initial Amount: $5600 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A PARKVIEW HAVEN
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page