LAURELS OF DEKALB
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: 520 W LIBERTY ST City: BUTLER Telephone: (260) 868-2164 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: OAK HEALTH CARE INVESTORS INC 8181 WORTHINGTON RD WESTERVILLE OH 43082 Ownership type: PROFIT Officer(s): DENNIS SHERMAN THOMAS FRANKE BRANDFORD PAYNE RAYNOLD SCHMICK JACK ALCOTT TIMOTHY PATTON Name of previous owner: N/A Date of last change of ownership: N/A Administrator: ERIN TUTTLE Administrator start date: 06/06/2007 License number: 12-000574-1 License effective date: 06/01/2012 License expiration date: 05/31/2013 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: 0 Person completing form - RONALD CARWILE Title - MAINTENANCE DIRECTOR Date form completed - 07/18/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 05/05/1997 NATCEP expires: 04/01/1999 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: MANNIA GREEN HEALTHCARE ADVANTAGE, INC Approved: 08/15/2002 Terminated: 03/12/2003 IVY TECH COMMUNITY COLLEGE Approved: 10/13/2005 Terminated: N/A FOUR COUNTY AREA VOCATIONAL Approved: 01/14/2008 Terminated: N/A LAURELS OF DEKALB Approved: 05/02/1997 Terminated: N/A UNIVERSITY OF SAINT FRANCIS Approved: 06/03/1998 Terminated: N/A MEDTECH COLLEGE-FORT WAYNE Approved: 09/24/2012 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 101 Total number of comprehensive care beds: 101 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 101 Facility census: 85 as of: 07/18/2012 Results of Surveys Date of last annual health survey: 06/21/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 07/21/2012 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: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: JLG211 Action - Citation / Fine Notice to facility: 10/29/2002 Appeal: N/A Action Cease/Recind: 11/13/2002 Case Closed: 11/13/2002 Initial Amount: $2250 Event ID: 9N5H11 Action - Citation / Fine Notice to facility: 12/27/2000 Appeal: N/A Action Cease/Recind: 02/02/2001 Case Closed: 02/02/2001 Initial Amount: $0 Event ID: Action - Citation / Fine Notice to facility: 04/03/2000 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $3000 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 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: 04/14/2000 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $3500 Event ID: Notice to facility: 11/16/1998 Appeal: N/A Action Cease/Recind: 03/03/1999 Case Closed: 03/03/1999 Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A LAURELS OF DEKALB
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page