Indiana State Department of Health

HOSPICE (HSP) CONSUMER REPORT

Created on: 08/21/2014 Posted to the Web on: 09/03/2014 Jump to: Name and addresses of off-site HOSPICES Jump to: Counties Served Jump to: Services available Jump to: State licensure survey results Jump to: Complaint surveys with substantiated findings Jump to: Third party reimbursement Jump to: Survey History
HOSPICE INFORMATION
Name and address of licensed HOSPICE DEARBORN COUNTY HOSPITAL HOME HEALTH & HOSPICE
370 BIELBY RD
LAWRENCEBURG, IN 47025
Telephone (812) 537-8192
Fax (812) 537-2928
Name and address of licensee DEARBORN COUNTY HOSPITAL
600 WILSON CREEK RD
DEARBORN, IN 47025
Telephone
Fax
Name of administrator RICARDO HORN
Type of Ownership GOVERNMENT-COU
HOSPICE license number 14-008196-1
License expiration date 06/30/2015
Type of HOSPICE State licensed and Medicare certified
HOSPICE Website
 
   
   
NAMES AND ADDRESSES OF ADDITIONAL LOCATIONS OPERATED UNDER THE HOSPICE LICENSE
The above section lists the name and address of the licensed HOSPICE.  In addition to the
address above, there may be other locations under this HOSPICE license.  The following 
are other locations operated under the HOSPICE license.
There are no off-site (satellite) locations for this center.
   
   
COUNTIES SERVED BY THIS AGENCY
DEARBORN, FRANKLIN, OHIO, RIPLEY, SWITZERLAND
   
   
SERVICES AVAILABLE
The following services are available at the licensed HOSPICE listed above.  These
services include services provided directly by HOSPICE staff and services that the 
HOSPICE provides through contracts with outside personnel.  The listed services 
may or may not be available at the off-site (satellite) location(s).
Service
Definition
Available (Yes/No)
Physician Services
A Medical Director has the overall responsibility of general medical needs of the patient and the professional management of the hospice patient's care related to the terminal illness.
Yes
Nursing Services
Provides the skilled nursing services according to the plan of care.
Yes
Medical Social Services
Offers evaluation and counseling on social and emotional factors with patient and family members.
Yes
Counseling Services
Works with patient and family members on dietary, spiritual, or bereavement advice.
Yes
Physical Therapy
Works to restore the mobility and strength of patients who are limited or disabled by physical injuries.
Yes
Occupational Therapy
Works with individuals who have physical, developmental, social, or emotional problems that prevent them from performing activities of daily living.
Yes
Speech-Language Pathology
Work to develop and restore the speech of individuals with communication disorders.
Yes
Home Health Aide
Nonprofessional performing hospice services that are delegated by a nurse or therapist.
Yes
Homemaker
Assistance with activities of daily living. (Cooking, cleaning, etc.)
No
Medical Supplies
Provides the drugs and biologicals as needed for the palliation and management for terminal illness, and ensure safety in the home setting.
Yes
Short Term Inpatient Care
Inpatient care for pain control, symptom management and respite purposes.
Yes
Other
Hospice may offer other services.
No
   
   
STATE LICENSURE SURVEYS
The ISDH conducts a state licensure survey at a licensed HOSPICE on initial
licensure and annually thereafter.  If a HOSPICE is accredited, the HOSPICE may
substitute the accreditation survey for the state licensure on-site
survey.  If deficiencies are cited on a survey, the HOSPICE will 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 submitted by the
HOSPICE and reviewed for acceptance by the ISDH.
   
The following is a summary of the three most recent state licensure surveys.
Accreditation surveys are not included in the table below.  To see a list of the 
deficiencies cited on the state licensure survey, click on the survey date.  Note
that if there were no deficiencies cited on the survey, you will not be able to 
click on the survey date.  To read an overview of the survey process, click here
   
06/24/2010 Most Recent 02/06/2009 2nd Most Recent 10/08/2003 3rd Most Recent
Number of Deficiencies 26 0 0
State Average for the year of the survey (rounded to nearest whole integer.) 10 19
   
Ownership/Administrator Changes
Type of Change 06/24/2010 Most Recent 02/06/2009 2nd Most Recent 10/08/2003 3rd Most Recent
Ownership Change No No No
Administrator Change No Yes No
   
   
SUBSTANTIATED COMPLAINTS
Any person may file a complaint with the ISDH about a HOSPICE.  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 HOSPICE 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 
HOSPICE 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 HOSPICE was found in 
compliance with state rules or federal regulations. 
Current Year 01/01/2013 to 12/31/2013 01/01/2012 to 12/31/2012
0 0 0
     
THIRD PARTY REIMBURSEMENT
Accepts Medicare The HOSPICE accepts Medicare reimbursement and meets the standards that the federal government has set for the provided services. Yes
Accepts Medicaid The HOSPICE accepts Medicaid reimbursement and meets the standards that the Indiana Office of Medicaid Policy and Planning has set for provided services. Yes
   
SURVEY HISTORY
 
The following is a list of state licensure, accreditation, complaint, and federal 
surveys completed at the hospice 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
NVPN12 Follow Up, Initial Licensure 08/02/2010
NVPN11 State Licensure, Initial Licensure 06/24/2010