Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
LINCOLNSHIRE HEALTH & REHABILITATION CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 3/8/2024
 
Posted to the Web on: 3/20/2024
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 8380 VIRGINIA ST
City: MERRILLVILLE
Telephone: (219) 769-9009
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 23-000577-1
  License effective date: 5/1/2023
  License expiration date: 4/30/2024
 


Administration and Staff

Administrator: RITA GATSON
  Start date: 5/21/2018
 
Director of Nursing: JOSEPHINE WELLS
  Start date: 2/3/2024
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
 
Ownership type:  OTHER
 
Officer(s): DANA CALDWELL
            DOUGLAS CARTER
            JEFF BEATY
            JOHN COFFIN
            JAN SANDMAN
            SHERRI TANDY
            STEVE MIRETZKY
            JOHN HORNER
            PAULA GUSTAFSON
            GENE JONES
            SCOTT MILLER
            RALPH MERCURI
            LINDA WESSIC
            ILYA SHUMAN
            ROB KINDER
            DONALD KUMP
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: LINCOLNSHIRE HEALTHCARE OPERATIONS COMPANY LLC
Date of last change of ownership:  
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    0
Number of Medicare/Medicaid beds (SNF/NF):        100
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     100
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            100
 
CENSUS:
Facility census:  68
As reported by the facility on: 7/11/2023 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/11/2023 
 
Residential care beds occupied:  0
As reported by the facility on: 7/11/2023 
 
Alzheimer Beds:  0
Alzheimer Beds Occupied:  0
As reported by the facility on:   /  /  
 
Ventilator Beds:  0
Ventilator Beds Occupied:  0
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 54
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: 54
 
  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 - RITA GATSON
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. HFA
Date form completed - 3/21/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 4/21/2004
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2006
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 4/5/2023
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PURDUE UNIV CALUMET/RESOURCE CENTER
         Approved: 3/14/2003
         Terminated: 12/1/2005
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 12/1/1997
         Terminated: 12/1/2005
     MERIDIAN HEALTH CARE (I), INC
         Approved: 6/30/1997
         Terminated: 12/1/2005
     LINCOLNSHIRE HEALTH & REHABILITATION CENTER
         Approved: 4/4/2000
         Terminated: 4/6/2021
     OLYMPIA COLLEGE
         Approved: N/A
         Terminated: 12/1/2005
     IVY TECH STATE COLLEGE NORTHWEST
         Approved: 4/9/1997
         Terminated: 12/1/2005
     DESTINATION UNLIMITED TRAINING CENTER
         Approved: 1/17/2019
         Terminated: 4/6/2021
     1ST IN CLASS CLINICAL EDUCATION
         Approved: 11/21/2017
         Terminated: 1/13/2020
     DESTINATION UNLIMITED TRAINING CENTER
         Approved: 10/1/2021
         Terminated: 4/6/2021
     MED ED INCORPORATED
         Approved: 3/18/2021
         Terminated: 4/6/2021
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  2

 


Facility Report Card



 


 
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR


Report Card Score
265
294
311
245


Rank of Score
80
73
67
83


Average Score
302
296
295
296


 
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic. 
The facility report card score is calculated four times per calendar year 
for the two most recent nursing home health surveys.  The facility report card score 
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys, 
and any follow-up surveys that occur within the two most recent nursing home health surveys. 
The facility report card score ranges from 500 to 0, with 500 being the best score possible. 
 
View the Scope and Severity grid
 
View the scoring methodology
 



Overview of Survey findings




 
 The Most Recent Set
 2ND Most Recent Set
 3RD Most Recent Set

Immediate Jeopardy
No
No
Yes


 Substandard Quality of Care 
No
No
Yes


Administrator Change
No
No
No


Owner Change
No
No
No


Number of Substantiated Complaints With Deficiencies
0
0
0


Deficiency Free Standard Health Survey
No
No
No


 
    The term 'Recent Set' referenced above relates to the referenced annual survey,
    and any other surveys performed between it and the previous annual survey.
 

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 2/6/2024  Date Ended: 2/20/2024
     Amount proposed per day: 1158
     Amount proposed per day: 1737
     Amount proposed per day: 2316
     Directed Plan of Correction
     Date Imposed: 11/7/2023  Date Ended: 10/16/2023
     Directed Plan of Correction
     Date Imposed: 3/29/2023  Date Ended: 3/17/2023
     Civil Money Penalty
     Date Imposed: 4/6/2021  Date Ended: 4/6/2021
     Amount proposed per day: 10000
     Amount proposed per day: 
 
Date terminated from Medicare/Medicaid: N/A
 


Survey History


    The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
    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
Survey Type
Exit Date

8T2P12
Complaint, Follow Up
12/29/2023


8T2P11
Complaint
12/7/2023


55WG23
Recertification, Follow Up, Life Safety Code
11/1/2023


55WG22
Recertification, Follow Up, Life Safety Code
10/13/2023


55WG12
Recertification, Follow Up, State Licensure
9/5/2023


55WG21
Recertification, Life Safety Code
8/16/2023


55WG11
Recertification, State Licensure
7/28/2023


V0G612
Complaint, Follow Up
5/30/2023


V0G611
Complaint
5/9/2023


YFZN12
Complaint, Follow Up
4/10/2023


HEXO11
Complaint
3/30/2023


YFZN11
Complaint
3/1/2023


I4G512
Complaint, Follow Up
12/2/2022


I4G511
Complaint
11/7/2022


6EGI12
Complaint, Follow Up
10/21/2022


6EGI11
Complaint
9/26/2022


151122
Recertification, Follow Up, Life Safety Code
8/22/2022


151112
Recertification, Follow Up, State Licensure
8/17/2022


151121
Recertification, Life Safety Code
8/8/2022


151111
Recertification, Complaint, State Licensure
7/22/2022


952X12
Complaint, Follow Up
1/24/2022


952X11
Complaint, Other
1/4/2022


7CRW12
Complaint, Follow Up
12/27/2021


7CRW11
Complaint
12/9/2021


D8Q711
Complaint
11/18/2021


608J12
Complaint, Follow Up
9/14/2021


608J11
Complaint
8/24/2021


XVF311
Other
7/29/2021


L7N911
Complaint
7/1/2021


5U3822
Recertification, Follow Up, Life Safety Code
6/30/2021


5U3812
Recertification, Complaint, Follow Up, State Licensure
6/21/2021


5U3821
Recertification, Life Safety Code
6/17/2021


5U3811
Recertification, Complaint, State Licensure
6/7/2021


7G3D12
Complaint, Follow Up
4/29/2021


7G3D11
Complaint
4/6/2021


DZP711
Complaint
3/16/2021


 
 


Links and Resources

 
CMS nursing home compare page 
 
    In addition to the information provided on this 
    web site, the Centers for Medicare & Medicaid Services (CMS) has a web site 
    which contains information on every Medicare and Medicaid certified nursing 
    home in the country. The CMS nursing home survey results contain summary information 
    about a facility's noncompliance of regulations regarding the care of residents 
    found in the nursing homes. You can locate nursing homes in your area and find 
    information about compliance with federal regulations.
 
Resources and links to other organizations
 
Choosing a Nursing Home
 
Overview of the Survey Process
 
State Wide Grouping of all Scores
   
Overview of current comprehensive facility scores
   
Spreadsheet of current comprehensive facility names and scores
   
Legal Disclaimer for Long Term Care Reports.