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HUBBARD HILL ESTATES INC
CONSUMER REPORT
Created on: 01/10/2013
Posted to the Web on: 01/23/2013
 
Facility Profile
 

Basic Information
Address: 28070 CR 24
City: ELKHART
Telephone: (574) 295-6260
 
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Most recent name change: N/A
Date of most recent name change: N/A
Owning corporation: HUBBARD HILL ESTATES INC
28070 CO RD 24
ELKHART IN 46517
Ownership type:  NON-PROFIT
Officer(s): JOHN SPEICHER
            BRUCE KORENSTRA
            RANDALL MYERS
            J.R. ROHRER
 
Name of previous owner: N/A
Date of last change of ownership: N/A
Administrator: MARTIN LEBBIN
Administrator start date: 09/27/2011
License number: 13-001131-1
License effective date: 01/01/2013
License expiration date: 12/31/2013
 
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 66
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: 66
  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 - ROCCO MAMMOLENT
  Title - BUILDING SERVICE DIR
Date form completed - 09/21/2012
 
Nurse Aide Training Competency Evaluation Program (NATCEP)
NATCEP approved: 03/22/2006
NATCEP expires:  04/01/2008
NATCEP banned: NO
NATCEP ban expires: N/A
This facility is a Clinical training site for the following NAT classroom sites: 
     IVY TECH COMMUNITY COLLEGE-ELKHART
         Approved: 06/06/2008
       Terminated: N/A
     MICHIANA HEALTHCARE TRAINING INC
         Approved: 12/16/2003
       Terminated: N/A
     IVY TECH COMMUNITY COLLEGE NORTH-CENTRAL
         Approved: 11/17/2000
       Terminated: 06/27/2008
     HUBBARD HILL ESTATES INC
         Approved: 03/10/1998
       Terminated: N/A
     ELKHART AREA CAREER CENTER ADULT EDUCATION
         Approved: 05/23/2012
       Terminated: N/A
     ELKHART AREA CAREER CENTER-HEALTH
         Approved: 01/27/1998
       Terminated: N/A
     GREENCROFT HEALTHCARE
         Approved: N/A
       Terminated: 07/06/2006
 
Beds
# of Medicaid beds (NF):                     0
# of Medicare beds (SNF):                    56
# of Medicare/Medicaid beds (SNF/NF):        10
Total number of comprehensive care beds:     66
# of non-certified comprehensive care beds:  0
Total number of residential beds:            148
Total number of beds in facility:            214
Facility census:  58 as of: 01/25/2012
 
Results of Surveys
Date of last annual health survey: 01/12/2012
In substantial compliance on most recent annual health survey? YES
If no, date facility achieved substantial compliance
from annual health survey: N/A
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: N/A
 
Immediate jeopardy designations: N/A
 
 
State Licensure Actions
 
Federal Certification Actions Imposed
 
Date terminated from Medicare.Medicaid: N/A
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