Back to Health Care Regulatory Services

MILTON HOME
CONSUMER REPORT
Created on: 01/10/2013
Posted to the Web on: 01/23/2013
 
Facility Profile
 

Basic Information
Address: 206 E MARION ST
City: SOUTH BEND
Telephone: (574) 233-0165
 
View location on map
 
Most recent name change: N/A
Date of most recent name change: N/A
Owning corporation: JANECZKO PROPERTIES LLC
51519 STAPLEFORD CT
GRANGER IN 46530
Ownership type:  PROFIT
Officer(s): CATHY JANECZKO
            LARRY JANECZKO
 
Name of previous owner: N/A
Date of last change of ownership: N/A
Administrator: BARBARA GAWEL
Administrator start date: 04/16/2012
License number: 12-001141-1
License effective date: 09/01/2012
License expiration date: 08/31/2013
 
This facility is: PARTIALLY SPRINKLERED
Number of comprehensive care resident rooms: 16
Number of comprehensive care resident rooms with battery
                    operated smoke detectors: 8
Number of comprehensive care resident rooms
             with hard wired and/or wireless smoke detectors: 8
  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 - BARBARA GAWEL
  Title - ADMINISTRATOR
Date form completed - 07/23/2012
 
Nurse Aide Training Competency Evaluation Program (NATCEP)
NATCEP approved:  
NATCEP expires:   
NATCEP banned: YES
NATCEP ban expires: 10/23/2010
This facility is a Clinical training site for the following NAT classroom sites: 
     MICHIANA HEALTHCARE TRAINING INC
         Approved: 03/01/2011
       Terminated: N/A
     IVY TECH COMMUNITY COLLEGE NORTH-CENTRAL
         Approved: 12/06/2012
       Terminated: N/A
 
Beds
# of Medicaid beds (NF):                     0
# of Medicare beds (SNF):                    16
# of Medicare/Medicaid beds (SNF/NF):        18
Total number of comprehensive care beds:     34
# of non-certified comprehensive care beds:  0
Total number of residential beds:            28
Total number of beds in facility:            62
Facility census:  26 as of: 06/06/2012
 
Results of Surveys
Date of last annual health survey: 06/01/2012
In substantial compliance on most recent annual health survey? NO
If no, date facility achieved substantial compliance
from annual health survey: 07/27/2012
Currently found in substantial compliance? Yes
 
# of substantiated complaints: current year  0
# of substantiated complaints: previous year  1
# of substantiated complaints: 2 years previous  0
Substandard quality of care designations: 
     07/24/2008
 
Immediate jeopardy designations: N/A
     07/24/2008
 
 
State Licensure Actions
 
Federal Certification Actions Imposed
 
Date terminated from Medicare.Medicaid: N/A
Return to Search Page