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Basic Information Address: 188 THORNTON RD City: HANOVER Telephone: (812) 866-8396 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: ANDRA BLADEN Administrator start date: 10/16/2008 License number: 12-004075-1 License effective date: 06/01/2012 License expiration date: 05/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 29 Number of comprehensive care resident rooms with battery operated smoke detectors: 29 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 29 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 - MICHAEL Title - DPO Date form completed - 10/30/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 06/01/2012 NATCEP expires: 05/31/2013 NATCEP banned: YES NATCEP ban expires: 08/30/2009 This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE Approved: 10/12/2009 Terminated: N/A SOUTHEASTERN CAREER CENTER Approved: 09/23/2009 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 31 # of Medicare/Medicaid beds (SNF/NF): 24 Total number of comprehensive care beds: 55 # of non-certified comprehensive care beds: 0 Total number of residential beds: 33 Total number of beds in facility: 88 Facility census: 42 as of: 01/25/2012 Results of Surveys Date of last annual health survey: 01/13/2012 In substantial compliance on most recent annual health survey? YES 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 0 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: 06/27/2007 Immediate jeopardy designations: N/A 06/27/2007 State Licensure Actions Federal Certification Actions Imposed Directed Inservice Training Date Imposed: 02/16/2010 Date Ended: 03/04/2010 Date terminated from Medicare.Medicaid: N/A THORNTON TERRACE HEALTH CAMPUS
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page