AUTUMN WOODS 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: 2911 GREEN VALLEY RD City: NEW ALBANY Telephone: (812) 941-9893 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: CARLA SIECKERT Administrator start date: 12/13/2011 License number: 12-002657-1 License effective date: 08/01/2012 License expiration date: 07/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 67 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: 67 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 - WAYNE BANET Title - MAINTENANCE Date form completed - 08/17/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 08/01/2012 NATCEP expires: 07/31/2013 NATCEP banned: YES NATCEP ban expires: 10/26/2009 This facility is a Clinical training site for the following NAT classroom sites: INDIANA HEALTH CAREERS VOCATIONAL TRAINING & TEST Approved: 08/22/2012 Terminated: N/A HEALTHCARE EDUCATIONAL AND TRA Approved: 05/07/2003 Terminated: 10/27/2007 NURSE TECH Approved: 11/14/2003 Terminated: 10/27/2007 NURSES ON CALL NURSING AGENCY Approved: 11/20/2003 Terminated: 10/27/2007 PROSSER SCHOOL OF TECHNOLOGY Approved: 09/04/2012 Terminated: N/A AMERICAN RED CROSS-CLARK COUNTY INDIANA CHAPTER Approved: 03/24/2010 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 52 # of Medicare/Medicaid beds (SNF/NF): 41 Total number of comprehensive care beds: 93 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 93 Facility census: 85 as of: 04/23/2012 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: N/A 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: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A AUTUMN WOODS HEALTH CAMPUS
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page