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ASPEN PLACE HEALTH CAMPUS

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 2320 N MONTGOMERY ROAD City: GREENSBURG Telephone: (812) 527-2222 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: TRILOGY HEALTHCARE OF GREENSBURG LLC 303 N HURSTBOURNE PARKWAY STE 200 LOUISVILLE KY 40222 Ownership type: PROFIT Officer(s): PAUL PLEVYAK RANDALL BUFFORD PHILIP CALDWELL LEIGH ANN BARNEY STEVEH VAN CAMP Name of previous owner: N/A Date of last change of ownership: N/A Administrator: CHRISTOPHER FIELDS Administrator start date: 05/01/2012 License number: 12-012854-2 License effective date: 11/01/2012 License expiration date: 10/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 47 Number of comprehensive care resident rooms with battery operated smoke detectors: 0 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 47 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 - PHILLIP HEER Title - EXECUTIVE DIRECTOR Date form completed - 07/10/2012 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: Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 44 # of Medicare/Medicaid beds (SNF/NF): 20 Total number of comprehensive care beds: 64 # of non-certified comprehensive care beds: 0 Total number of residential beds: 38 Total number of beds in facility: 102 Facility census: 2 as of: 07/19/2012 Results of Surveys Date of last annual health survey: 07/19/2012 In substantial compliance on most recent annual health survey? YES If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A

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