BENNETT HOUSE
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: 3928 HORNE AVE City: NEW ALBANY Telephone: (812) 948-1960 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: ASSISTED LIVING CONCEPTS INC W140 N 8981 LILLY ROAD MENOMONEE FALLS WI 53051 Ownership type: PROFIT Officer(s): WALTER LEVONOWICH JOHN BUONO MARY ZAK-KOWALCZYK CHARLES ROADMAN Name of previous owner: N/A Date of last change of ownership: N/A Administrator: RICHARD PEDERSEN Administrator start date: 03/20/2012 License number: 12-004442-1 License effective date: 11/01/2012 License expiration date: 10/31/2013 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 11/01/2012 NATCEP expires: 10/31/2013 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: NURSE TECH Approved: 07/31/2007 Terminated: N/A TOP CARE CERTIFIED NURSE AIDE PROGRAM Approved: 03/10/2010 Terminated: N/A SHANNON'S QUALITY HEALTH CARE TRAINING LLC Approved: 01/08/2013 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 0 Total number of comprehensive care beds: 0 # of non-certified comprehensive care beds: 0 Total number of residential beds: 47 Total number of beds in facility: 47 Facility census: N/A as of: N/A # of substantiated complaints: current year 0 # of substantiated complaints: previous year 1 # of substantiated complaints: 2 years previous 3 State Licensure Actions Event ID: 6UT011 Action - Citation / Fine Notice to facility: 06/24/2011 Appeal: N/A Action Cease/Recind: 03/27/2012 Case Closed: 03/27/2012 Initial Amount: $2500 BENNETT HOUSE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page