GOLDEN LIVING CENTER-MERRILLVILLE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page
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Basic Information Address: 8800 VIRGINIA PL City: MERRILLVILLE Telephone: (219) 736-1310 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: HENDRICKS COUNTY HOSPITAL 1000 EAST MAIN STREET DANVILLE IN 46122 Ownership type: OTHER Officer(s): DENNIS DAWES JOHN KOMENDA JOHN SPARZO Name of previous owner: BEVERLY HEALTHCARE LLC Date of last change of ownership: 09/01/2012 Administrator: SHERRI CASTILLO Administrator start date: 11/28/2011 License number: 12-000253-1 License effective date: 09/07/2012 License expiration date: 08/31/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 96 Number of comprehensive care resident rooms with battery operated smoke detectors: 96 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - MICK O'SULL Title - MAINTENANCE DIRECTOR Date form completed - 09/18/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 04/13/2004 NATCEP expires: 04/01/2006 NATCEP banned: YES NATCEP ban expires: 04/03/2014 This facility is a Clinical training site for the following NAT classroom sites: GOLDEN LIVING CENTER-VALPARAISO Approved: 02/11/2009 Terminated: 01/06/2010 MED ED INCORPORATED Approved: 04/28/2003 Terminated: 01/06/2010 HEALTH PRO STAFFING, INC Approved: 09/20/2004 Terminated: 08/03/2005 ST ANTHONY MEDICAL CENTER, INC Approved: N/A Terminated: 08/03/2005 GOLDEN LIVING CENTER-FOUNTAINVIEW PLACE Approved: 09/08/1999 Terminated: 08/03/2005 SPECIALIZED MEDICAL EDUCATION AND TRAINING Approved: 04/03/2001 Terminated: 01/06/2010 BEVERLY LIVING CENTER - MERRILLVILLE Approved: 11/30/1998 Terminated: 01/06/2010 GOLDEN LIVING CENTER-MERRILLVILLE Approved: N/A Terminated: 08/03/2005 PURDUE UNIV CALUMET/RESOURCE CENTER Approved: 02/03/1997 Terminated: 01/06/2010 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 164 Total number of comprehensive care beds: 164 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 164 Facility census: 146 as of: 08/16/2012 Results of Surveys Date of last annual health survey: 08/16/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: N/A Currently found in substantial compliance? No # of substantiated complaints: current year 0 # of substantiated complaints: previous year 6 # of substantiated complaints: 2 years previous 4 Substandard quality of care designations: N/A Immediate jeopardy designations: N/A State Licensure Actions Event ID: YF0311 Action - Citation / Fine Notice to facility: N/A Appeal: N/A Action Cease/Recind: N/A Case Closed: 03/23/2010 Initial Amount: $7000 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 11/07/2012 Date Ended: Still in effect Amount proposed per day: 200 Civil Money Penalty Date Imposed: 12/01/2011 Date Ended: 02/09/2012 Amount proposed per day: 150 Civil Money Penalty Date Imposed: 09/01/2011 Date Ended: 10/19/2011 Amount proposed per day: 100 Date terminated from Medicare.Medicaid: N/A GOLDEN LIVING CENTER-MERRILLVILLE
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page