Indiana State Department of Health

HOSPITAL (HOS) CONSUMER REPORT

Created on: 2/22/2024 Posted to the Web on: 3/6/2024 Jump to: Name and addresses of off-site hospitals and services Jump to: Services available Jump to: Hospital Staffing Jump to: State licensure survey results Jump to: Complaint surveys with substantiated findings Jump to: Third party reimbursement Jump to: Hospital accreditation status Jump to: Survey history
HOSPITAL INFORMATION
Name and address of licensed Hospital CENTRAL INDIANA AMG SPECIALTY HOSPITAL LLC
2401 W UNIVERSITY AVE 5TH FLOOR EAST TOWER
MUNCIE, IN 47303
Telephone (765) 751-5253
Fax (765) 289-7251
Name and address of licensee CENTRAL INDIANA AMG SPECIALTY HOSPITAL LLC
2401 WEST UNIVERSITY AVE, 8TH FLOOR
MUNCIE, IN 47303
Telephone
Fax
Name of administrator WILLIAM HEDGE
Type of Ownership PROPRIETARY
Hospital license number 22-004811-1
License expiration date 6/30/2024
Type of hospital State licensed and Medicare certified
Number of set up and available total beds under hospital license 41
Hospital Website
 
View location on map
 
   
   
NAMES AND ADDRESSES OF ADDITIONAL HOSPITALS, AGENCIES, AND SERVICES OPERATED UNDER THE HOSPITAL LICENSE
The above section lists one hospital as the licensed hospital.  In addition to the
licensed hospital, there may be other hospitals, agencies, or services associated
with the licensed hospital under the hospital's license number or under a separate
license number.  Some of these hospitals or services may be located at sites
separate from the main hospital campus.  The following are
hospitals, agencies, and services associated with the main hospital.
CENTRAL IN AMG SPECIALTY HOSPITAL HANCOCK CAMPUS 801 N STATE ST, 3RD FLOOR WEST GREENFIELD, IN 46140
   
   
SERVICES AVAILABLE
The following services are available at the licensed hospital listed above.  These
services include services provided directly by hospital staff and services that the 
hospital provides through contracts with outside personnel.  The listed services 
may or may not be available at the off-site (satellite) hospitals, agencies, or
services operated under the hospital license.
Service
Available (Yes/No)
Alcohol and/or Drug Services No
Anesthesia Services No
Audiology No
Burn Care Unit No
Cardiac Catheterization Laboratory No
Cardiac - Thoracic Surgery No
Chemotherapy Service No
Chiropractic Service No
CT Scanner Yes
Dental Service No
Dietetic Service Yes
Emergency Department (Dedicated) No
Extracorporeal Shock Wave Lithotripter No
Gerontological Specialty Services No
Home Health Services No
Hospice No
ICU - Cardiac (Non-Surgical) No
ICU - Medical/Surgical Yes
ICU - Neonatal No
ICU - Pediatric No
ICU - Surgical No
Laboratory Clinical Yes
Magnetic Resonance Imaging (MRI) Yes
Neonatal Nursery No
Neurosurgical Services No
Nuclear Medicine Services Yes
Obstetric Service No
Occupational Therapy Services Yes
Operating Rooms No
Opthalmic Surgery No
Optometric Services No
Organ Transplant Services No
Orthopedic Surgery No
Outpatient Services No
Pediatric Services No
Pharmacy Yes
Physical Therapy Services Yes
Positron Emission Tomography Scan No
Post-Operative Recovery Rooms No
Psychiatric Services - Emergency No
Psychiatric - Child Adolescent No
Psychiatric - Forensic No
Psychiatric - Geriatric No
Psychiatric - Inpatient No
Psychiatric - Outpatient No
Radiology Services Diagnostic Yes
Radiology Services Therapeutic Yes
Reconstructive Surgery No
Respiratory Care Services Yes
Rehab-Inpatient (CARF ACC) No
Rehab-Outpatient No
Renal Dialysis (acute Inpatient) Yes
Social Services Yes
Speech Pathology Services Yes
Surgical Services - Inpatient Yes
Surgical Services - Outpatient No
Trauma Center (Certified) No
Transplant Center, Medicare Certified No
Urgent Care Center Services No
   
   
HOSPITAL STAFFING
The following is the number of staff employed by the hospital to provide patient
care.  These numbers are reported to the ISDH by the hospital at the time of a
survey.  The number represents the total number of staff at the licensed hospital
and all satellite hospitals, agencies, and services included under the hospital
license.  The number is listed in full-time equivalents and does not include
persons contracted by the hospital to perform services.
Staffing as of 2/28/2018
Number of employees (full time equivalents) 65
Physicians (Salaried Only) 1
Physicians - Residents 0
Physicians Assistants (PA) 0
Nurses - CRNA 0
Nurses - Practitioners 0
Nurses - Registered 19
Nurses - LPN 11
Dieticians 1
Medical Social Workers 1
Medical Laboratory Technicians 0
Medical Technologists (Lab) 0
Nuclear Medicine Technicians 0
Occupational Therapists 0
Pharmacists (Registered) 0
Physical Therapists 1
Pyschologists 0
Radiology Technologists (Diagnostic) 0
Respiratory Therapists 7
Speech Therapists 0
All Others 24
   
   
STATE LICENSURE SURVEYS
The ISDH conducts a state licensure survey at each licensed hospital
approximately once per year.  The survey includes the licensed hospital and a
sample of off-site hospitals, agencies, or services operated under the license.  If
a hospital is accredited, the hospital may substitute the accreditation survey for
the state licensure on-site survey.  In years when an accreditation survey is
performed, there will not be a state licensure survey conducted by the ISDH.  If
deficiencies are sited on a survey, the hospital may be requested by the ISDH to
complete a plan of correction on how and when they will correct each deficiency
and who will be responsible to ensure the corrections are made and will not
reoccur in the future.  The plan of correction is generally submitted by the
hospital and reviewed by the ISDH within fifteen (15) days of the survey.

The following is a summary of the three most recent state licensure surveys.
Accreditation surveys are not included in the table below.  
To read an overview of the survey process, click here
   
2/28/2018 Most Recent 6/14/2017 2nd Most Recent 2/4/2015 3rd Most Recent
Number of Deficiencies 0 9 0
State Average for the year of the survey (rounded to nearest whole integer.) 3
Survey Report N/A N/A N/A
   
   
SUBSTANTIATED COMPLAINTS
Any person may file a complaint with the ISDH about a hospital.  The ISDH 
investigates all complaints.  If in the course of the investigation a violation of 
state or federal rules or regulations is found by surveyors, the complaint is said 
to be 'substantiated with findings'.  If the surveyor verifies the facts of the 
complaint but finds that no violation occurred of state rules or federal 
regulations, the complaint is said to be 'substantiated without findings'.  If 
deficiencies are cited on a complaint survey, the hospital may be requested by the
ISDH to complete a plan of correction on how and when they will correct each 
deficiency and who will be responsible to ensure the corrections are made and will 
not reoccur in the future.  The plan of correction is generally submitted by the 
hospital and reviewed by the ISDH within fifteen (15) days of the survey.
   
The following is a summary of the number of substantiated complaint investigations
for the past three years.  This only indicates whether the complaint was
substantiated and does not indicate whether the hospital was found in compliance
with state rules or federal regulations.  The survey history section below will
show whether or not deficiencies were found on a specific complaint survey.
Current Year 01/01/2023 to 12/31/2023 01/01/2022 to 12/31/2022
0 0 0
     
THIRD PARTY REIMBURSEMENT
Accepts Medicare The hospital accepts Medicare reimbursement and meets the standards that the federal government has set for the provided services. Yes
Accepts Medicaid The hospital accepts Medicaid reimbursement and meets the standards that the Indiana Office of Medicaid Policy and Planning has set for provided services. Yes
   
HOSPITAL ACCREDITATION STATUS
Indiana hospitals must be licensed by the ISDH.  While the ISDH does not 
require hospitals to be accredited, many hospitals voluntarily apply for 
accreditation from the Joint Commission on Accreditation of Healthcare 
Organizations (JCAHO), the American Osteopathic Association (AOA), or 
other accreditation organizations.  Accreditation surveys are performed 
by the accreditation association once every three years.
 
In order for a hospital to participate in and receive payment from the Medicare
or Medicaid programs, it must be certified as complying with the CMS Conditions
of Participation.  The State survey process is the primary method for achieving
certification.  However, if a national accrediting organization, such as JCAHO,
has and enforces standards that meet the Federal Conditions of Participation,
CMS may grant the accreditation organization 'deeming' authority, and 'deem' 
each accredited hospital as meeting the Medicare and Medicaid certification requirements.
The hospital would have 'deemed status' and would not be subject to additional Medicare
surveys by the State agency.  The following chart indicates if this hospital is 
accredited and if the hospital accreditation is 'deemed' by CMS and ISDH.
Accreditation Organization Effective date of accreditation Expiration date of accreditation Deemed (Y/N)
DNV & AOA 5/27/2009 Yes
   
SURVEY HISTORY
 
The following is a list of state licensure, accreditation, complaint, and federal 
surveys completed at the hospital in the past five years. 
 
The survey report is not posted until the report has been provided to the facility 
and their plan of correction submitted and approved, if required.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
    
In the grid below click on an event ID that is underlined to see the survey report for that event.
Event ID Type Date of Survey
Z4SJ11 Complaint 9/19/2023
J6XM11 Complaint 7/5/2023
YYDZ11 Complaint 6/14/2023
YF2N11 Complaint, License Complaint 3/21/2023
438E11 Complaint, License Complaint 10/14/2021
QB1711 Complaint, License Complaint 3/19/2021
VKUE11 Complaint, License Complaint 3/10/2021
CC1F11 Complaint 5/2/2019
   
   
LINKS AND RESOURCES
Choosing a hospital.
   
CMS Hospital Quality Initiative Website
   
Click here for and overview of the hospital survey process.
   
Resources.
   
Click here to view the legal disclaimer for hospital reports.