COVENTRY MEADOWS ASSISTED LIVING
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
Back to Health Care Regulatory Services
Basic Information Address: 7833 W JEFFERSON BLVD City: FORT WAYNE Telephone: (260) 432-4848 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY 3838 N RURAL ST INDIANAPOLIS IN 46205 Ownership type: OTHER Officer(s): JAMES MINER LULA JOURNEY GREGORY FEHRIBACH ROBERT PFEIFER DAVID CRABB JOYCE IRWIN MATT GUTWEIN DAN SELLERS MAJORIE OLAUGHLIN Name of previous owner: RESIDENTIAL CARE IX LLC Date of last change of ownership: 02/01/2009 Administrator: NATHAN JACKSON Administrator start date: 09/13/2010 License number: 12-005846-1 License effective date: 02/01/2012 License expiration date: 01/31/2013 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 02/01/2012 NATCEP expires: 01/31/2013 NATCEP banned: NO NATCEP ban expires: N/A This facility is a Clinical training site for the following NAT classroom sites: 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: 82 Total number of beds in facility: 82 Facility census: N/A as of: N/A # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 2 State Licensure Actions Event ID: S8Y211 Action - Citation / Fine Notice to facility: 07/05/2011 Appeal: N/A Action Cease/Recind: N/A Case Closed: 07/20/2011 Initial Amount: $2000 Event ID: XGCY11 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 01/25/2010 Initial Amount: $2000 COVENTRY MEADOWS ASSISTED LIVING
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page