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WELLINGTON AT KOKOMO THE

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 2800 S DIXON RD City: KOKOMO Telephone: (765) 455-2828 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: CSL KOKOMO LLC 14160 DALLAS PARKWAY SUITE 310 DALLAS TX 75254 Ownership type: PROFIT Officer(s): KEVIN WILBUR JOSEPH SOLARI DAN KENYON ROBERT HOLLISTER MICHAEL SCHUMACHER Name of previous owner: GREENTREE AT KOKOMO LLC Date of last change of ownership: 07/15/2011 Administrator: WILLIAM REES Administrator start date: 07/13/2009 License number: 12-011366-1 License effective date: 07/01/2012 License expiration date: 06/30/2013 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 07/01/2012 NATCEP expires: 06/30/2013 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: 37 Total number of beds in facility: 37 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 2 State Licensure Actions Event ID: PUI811 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: 11/16/2012 Case Closed: 11/16/2012 Initial Amount: $6000 Event ID: QKS611 Action - Citation / Fine Notice to facility: 06/14/2010 Appeal: N/A Action Cease/Recind: N/A Case Closed: 11/12/2010 Initial Amount: $2500 Event ID: CI4Y11 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 07/22/2010 Initial Amount: $3000

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