SANCTUARY AT HOLY CROSS--INDIANA
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: 17475 DUGDALE DR City: SOUTH BEND Telephone: (574) 247-7500 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: TRINITY CONTINUING CARE SERVICES-INDIANA INC P O BOX 9185 FARMINGTON HILLS MI 48333 Ownership type: NON-PROFIT Officer(s): EDGAR CARLSON JACLYN HARRIS AGNES HAGERTY JULIE GUTZMAN MARSHA CASEY Name of previous owner: N/A Date of last change of ownership: N/A Administrator: LINDA LEWIS Administrator start date: 06/07/2011 License number: 12-001201-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 168 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: 168 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 - LINDA LEWIS Title - ADMINISTRATOR Date form completed - 07/26/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 02/23/2006 NATCEP expires: 04/01/2010 NATCEP banned: YES NATCEP ban expires: 04/11/2013 This facility is a Clinical training site for the following NAT classroom sites: SOUTH BEND COMMUNITY SCHOOL CORP Approved: 01/15/2008 Terminated: 08/16/2008 MANNIA GREEN HEALTHCARE ADVANTAGE, INC Approved: 06/03/2002 Terminated: 03/12/2003 SANCTUARY AT ST PAULS Approved: 05/11/2004 Terminated: 08/16/2008 SANCTUARY AT HOLY CROSS--INDIANA Approved: 03/09/2000 Terminated: 08/16/2008 MICHIANA HEALTHCARE TRAINING INC Approved: 07/21/2000 Terminated: 08/16/2008 IVY TECH COMMUNITY COLLEGE NORTH-CENTRAL Approved: 04/09/2000 Terminated: 08/16/2008 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 48 # of Medicare/Medicaid beds (SNF/NF): 120 Total number of comprehensive care beds: 168 # of non-certified comprehensive care beds: 48 Total number of residential beds: 0 Total number of beds in facility: 216 Facility census: 107 as of: 04/09/2012 Results of Surveys Date of last annual health survey: 03/30/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/19/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 4 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 04/12/2011 Date Ended: 04/19/2011 Directed Inservice Training Date Imposed: 03/14/2011 Date Ended: 03/14/2011 Date terminated from Medicare.Medicaid: N/A SANCTUARY AT HOLY CROSS--INDIANA
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page