SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 6685 EAST 117TH AVENUE
City: CROWN POINT
Telephone: (219) 662-0642
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 24-001198-1
License effective date: 3/1/2024
License expiration date: 2/28/2025
Administration and Staff
Administrator: NATALIE PORCARO
Start date: 9/5/2023
Director of Nursing: SHANIKA PARKER
Start date: 2/14/2024
Medical director: Elizabeth Przeniczny
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
411 WEST TIPTON ST
SEYMOUR IN 47274
Ownership type: OTHER
Officer(s): RICK SMITH
JACK MCCORY
MATTHEW REEDY
COURTNEY KLEBER
SUSAN BEVERS
ANDREW MARKEL
ROBERT GILLASPY JR.
DEBORAH MANN
ERIC FISH
TERRENCE GILLILAND
BRANDON HARPE
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: CHICAGOLAND CHRISTIAN VILLAGE
Date of last change of ownership: 3/1/2013
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 29
Number of Medicare/Medicaid beds (SNF/NF): 116
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 145
RESIDENTIAL CARE BEDS:
Total number of residential beds: 57
Total number of beds in facility: 202
CENSUS:
Facility census: 139
As reported by the facility on: 7/3/2023 3
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/3/2023 3
Residential care beds occupied: 38
As reported by the facility on: 7/3/2023 3
Alzheimer Beds: 22
Alzheimer Beds Occupied: 22
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: 145
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: 145
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 - NICOLE PROM
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 3/9/2021
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:
Nurse aide training and competency evaluation program (NATCEP) expires:
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 3/29/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
MED ED INCORPORATED
Approved: 11/2/2015
Terminated: 12/12/2016
LOWELL HIGH SCHOOL
Approved: 7/10/2019
Terminated: 3/30/2021
NURSETYME
Approved: 4/13/0006
Terminated: 5/6/2008
NORTHWEST INDIANA INSTITUTE
Approved: 7/23/2007
Terminated: 5/6/2008
SPECIALIZED MEDICAL EDUCATION AND TRAINING
Approved: 4/30/2001
Terminated: 11/12/2003
CENTRAL HIGH SCHOOL-SCHOOL CITY OF EAST CHICAGO
Approved: 5/12/2015
Terminated: 12/12/2016
OLYMPIA COLLEGE
Approved: 4/24/1998
Terminated: 11/12/2003
HEALTHCARE TRAINING SOLUTIONS
Approved: 5/7/2015
Terminated: 12/12/2016
TENDER LOVE CNA ACADEMY, LLC
Approved: 2/4/2016
Terminated: 12/12/2016
DESTINATION UNLIMITED TRAINING CENTER
Approved: 3/6/2019
Terminated: 3/30/2021
HANOVER CENTRAL SCHOOL CORPORATION
Approved: 12/28/2020
Terminated: 3/30/2021
IN TRAINING COLLEGE OF ADULT EDUCATION
Approved: 6/22/2023
Terminated: N/A
MERRILLVILLE HIGH SCHOOL
Approved: 7/10/2023
Terminated: N/A
VICTORY TRAINING
Approved: 6/27/2023
Terminated: N/A
TRAVAIL WITH US LLC
Approved: 6/30/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 1
2 years previous: 1
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
302
326
326
338
Rank of Score
69
60
60
56
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 gridView the scoring methodology
Overview of Survey findings
The Most Recent Set
2ND Most Recent Set
3RD Most Recent Set
Immediate Jeopardy
No
No
No
Substandard Quality of Care
No
No
No
Administrator Change
Yes
Yes
Yes
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
Directed Plan of Correction
Date Imposed: 4/16/2022 Date Ended: 4/14/2022
Civil Money Penalty
Date Imposed: 3/21/2022 Date Ended: 3/21/2022
Amount proposed per day:
Directed Plan of Correction
Date Imposed: 12/9/2021 Date Ended: 12/9/2021
Civil Money Penalty
Date Imposed: 11/16/2021 Date Ended: 11/16/2021
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.
