HARBOUR MANOR HEALTH & LIVING COMMUNITY
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: 1667 SHERIDAN RD City: NOBLESVILLE Telephone: (317) 773-9205 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: HARBOUR MANOR HEALTH & LIVING COMMUNITY LLC Date of last change of ownership: 06/01/2011 Administrator: EDNA DOMINGO Administrator start date: 07/06/2009 License number: 12-000551-1 License effective date: 06/01/2012 License expiration date: 05/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 47 Number of comprehensive care resident rooms with battery operated smoke detectors: 47 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JOHN MOORE Title - MAINTENANCE DIRECTOR Date form completed - 08/22/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 06/01/2012 NATCEP expires: 05/31/2013 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: INDIANA ACADEMY Approved: 10/23/2006 Terminated: N/A CNA INSTITUTE OF INDIANA Approved: 07/11/2006 Terminated: N/A RAWLINS HOUSE HEALTH & LIVING COMMUNITY Approved: 03/07/1997 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 95 Total number of comprehensive care beds: 95 # of non-certified comprehensive care beds: 0 Total number of residential beds: 96 Total number of beds in facility: 191 Facility census: 86 as of: 11/09/2011 Results of Surveys Date of last annual health survey: 11/04/2011 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 12/04/2011 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A HARBOUR MANOR HEALTH & LIVING COMMUNITY
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page