ST CHARLES HEALTH CAMPUS
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: 3150 ST CHARLES ST City: JASPER Telephone: (812) 634-6570 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: TRILOGY HEALTH SERVICES LLC 303 N HURSTBOURNE PARKWAY, STE 200 LOUISVILLE KY 40222 Ownership type: PROFIT Officer(s): RANDALL BUFFORD PAUL PLEVYAK PHILIP CALDWELL LEIGH BARNEY STEVEN VAN CAMP Name of previous owner: N/A Date of last change of ownership: N/A Administrator: CINDI LENTS Administrator start date: 01/07/2008 License number: 12-002628-1 License effective date: 06/01/2012 License expiration date: 05/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 36 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: 36 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 - DOUG WAGONER Title - PLANT SERVICES DIREC Date form completed - 08/23/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/07/2005 NATCEP expires: 04/01/2011 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: ST CHARLES HEALTH CAMPUS Approved: 01/24/2003 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 30 # of Medicare/Medicaid beds (SNF/NF): 38 Total number of comprehensive care beds: 68 # of non-certified comprehensive care beds: 0 Total number of residential beds: 39 Total number of beds in facility: 107 Facility census: 52 as of: 08/10/2012 Results of Surveys Date of last annual health survey: 08/10/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 09/07/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 3 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: B2LT11 Action - Citation / Fine Notice to facility: 09/03/2002 Appeal: 09/23/2002 Action Cease/Recind: 05/06/2003 Case Closed: 05/06/2003 Initial Amount: $3700 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A ST CHARLES HEALTH CAMPUS
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page