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AUTUMN HILLS ALZHEIMER'S SPECIAL CARE CENTER
CONSUMER REPORT
Created on: 01/10/2013
Posted to the Web on: 01/23/2013
 
Facility Profile
 

Basic Information
Address: 3203 MOORES PIKE ROAD
City: BLOOMINGTON
Telephone: (812) 335-4655
 
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Most recent name change: N/A
Date of most recent name change: N/A
Owning corporation: BLOOMINGTON  CARE GROUP LLC
12115 NE 99 STREET, 1800
BLOOMINIGTON IN 47401
Ownership type:  PROFIT
 
Name of previous owner: N/A
Date of last change of ownership: N/A
Administrator: SU LYNN FREDERICKSON
Administrator start date: 12/13/2012
License number: 12-012706-3
License effective date: 04/01/2012
License expiration date: 03/31/2013
 
 
Nurse Aide Training Competency Evaluation Program (NATCEP)
NATCEP approved: 04/01/2012
NATCEP expires:  03/31/2013
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:            66
Total number of beds in facility:            66
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  0
 
State Licensure Actions
Event ID: THKD11
  Action - Citation / Fine
 Notice to facility: 10/16/2012
             Appeal: N/A
Action Cease/Recind: N/A
         Case Closed: N/A
Initial Amount: $2000
 
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