BELL TRACE HEALTH AND LIVING CENTER
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: 725 BELL TRACE CIR City: BLOOMINGTON Telephone: (812) 323-2858 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: BELL TRACE HEALTH AND LIVING CENTER INC 725 BELL TRACE CIRCLE BLOOMINGTON IN 47408 Ownership type: PROFIT Officer(s): STEPHEN MOORE DAVID MOORE KATHY HEADLEY DANIEL MOORE Name of previous owner: N/A Date of last change of ownership: N/A Administrator: ANDREW KEEN Administrator start date: 03/01/2006 License number: 12-002574-1 License effective date: 07/01/2012 License expiration date: 06/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 61 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: 61 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 - PETE SIMS Title - MAINT Date form completed - 09/18/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 07/01/2012 NATCEP expires: 06/30/2013 NATCEP banned: YES NATCEP ban expires: 03/21/2009 This facility is a Clinical training site for the following NAT classroom sites: Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 80 # of Medicare/Medicaid beds (SNF/NF): 0 Total number of comprehensive care beds: 80 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 80 Facility census: 73 as of: 08/31/2012 Results of Surveys Date of last annual health survey: 08/31/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 09/30/2012 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: 07/27/2005 Immediate jeopardy designations: N/A 07/27/2005 State Licensure Actions Event ID: 5FVE11 Action - Citation / Fine Notice to facility: 08/11/2003 Appeal: N/A Action Cease/Recind: 07/12/2004 Case Closed: 07/12/2004 Initial Amount: $4500 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 09/13/2011 Date Ended: 09/13/2011 Amount proposed per day: 100 Amount proposed per day: Date terminated from Medicare.Medicaid: N/A BELL TRACE HEALTH AND LIVING CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page