MORNINGSIDE NURSING AND MEMORY CARE 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: 18325 BAILEY AVE City: SOUTH BEND Telephone: (574) 272-2602 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: STARLIGHT CARE CENTER LLC 18325 BAILEY AVE SOUTH BEND IN 46635 Ownership type: PROFIT Officer(s): RICHARD KENNEDY Name of previous owner: N/A Date of last change of ownership: N/A Administrator: MIKE BROWN Administrator start date: 08/27/2012 License number: 12-004732-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 17 Number of comprehensive care resident rooms with battery operated smoke detectors: 3 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 14 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 - Title - Date form completed - 07/17/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 12/01/2012 NATCEP expires: 11/30/2013 NATCEP banned: YES NATCEP ban expires: 11/16/2012 This facility is a Clinical training site for the following NAT classroom sites: MICHIANA HEALTHCARE TRAINING INC Approved: 08/21/2006 Terminated: 03/17/2008 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 9 # of Medicare/Medicaid beds (SNF/NF): 31 Total number of comprehensive care beds: 40 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 40 Facility census: 35 as of: 11/30/2012 Results of Surveys Date of last annual health survey: 11/30/2012 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? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 2 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: N0UP11 Action - Citation / Fine Notice to facility: 07/27/2012 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $4000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 07/09/2010 Date Ended: 08/31/2010 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A MORNINGSIDE NURSING AND MEMORY CARE CENTER
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page