Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
HOOVERWOOD
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 06/08/2018
 
Posted to the Web on: 06/20/2018
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 7001 HOOVER RD
City: INDIANAPOLIS
Telephone: (317) 251-2261
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 18-000001-1
  License effective date: 05/01/2018
  License expiration date: 04/30/2019
 


Administration and Staff

Administrator: DAVID GLASS
  Start date: 08/09/2017
 
Director of Nursing: CHERIE SANDERS
  Start date: 03/06/2018
 
Medical director: Patrick Healey
  Start date:   /  /  
 
Wound care specialist: David Martin
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HANCOCK REGIONAL HOSPITAL
801 NORTH STATE STREET
GREENFIELD IN 46140
 
Ownership type:  PROFIT
 
Officer(s): TIMOTHY CLARK
            DIANNE OSBORNE
            LINDA ZIMMERMAN
            ROY WILSON
            DEAN FELKER
            STEVEN LONG
            JIM MILLER
            ANN VAIL
            RICK EDWARDS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: INDIANAPOLIS JEWISH HOME INC
Date of last change of ownership: 05/10/2013
 


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):        155
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     155
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            155
 
CENSUS:
Facility census:  113
As reported by the facility on: 03/06/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 03/06/2018
 
Residential care beds occupied:  0
As reported by the facility on: 03/06/2018
 
Alzheimer Beds:  80
Alzheimer Beds Occupied:  51
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: 155
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: 155
 
  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 - DAVID L GLASS
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 02/13/2018
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 02/23/2006
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2014
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 10/20/2015
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 04/18/2017
         Terminated: N/A
     J EVERETT LIGHT CAREER CENTER
         Approved: 02/05/2016
         Terminated: N/A
     AMBASSADOR CAREER CENTER
         Approved: 01/02/2007
         Terminated: 10/21/2013
     WALKER CAREER CENTER
         Approved: 02/05/2007
         Terminated: 10/21/2013
     AMAZING CARE, LLC
         Approved: 01/28/2010
         Terminated: 10/21/2013
     PIKE CAREER AND STEM CENTER
         Approved: 11/02/2015
         Terminated: N/A
     DECATUR CENTRAL HIGH SCHOOL
         Approved: 09/29/1997
         Terminated: 10/29/2007
     HOOVERWOOD
         Approved: N/A
         Terminated: 10/21/2013
     CNA & HOMECARE TRAINING CENTER, INC
         Approved: 03/08/2016
         Terminated: N/A
     INDYSTATHEALTHEDU, LLC
         Approved: 02/08/2017
         Terminated: N/A
     AMERICAN RED CROSS NURSE AIDE TRAINING
         Approved: 12/15/2015
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  1
  Previous year:  2
  2 years previous:  0

 


Facility Report Card



 
   We are experiencing technical issues with the consumer report card system.
   We are working to resolve the issue.

 
The statewide average line is being provided to give you a reference
for looking at the scores of the selected facility.  This row 
contains the mean average calculated scores for all facilities as of
above date resulting in a scoring range of 0 to 587.
Scores are considered to be better the closer to zero they are.
Percentile rank of 100 represents the lowest report card score or best performing facility,
with a rank of 1 being the highest report card score.
 
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
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
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

Event ID: QWM411
  Action - Citation / Fine
  Notice to facility: N/A
             Appeal: N/A
  Action Cease/Recind: 03/15/2016
         Case Closed: 03/15/2016
  Initial Amount: $2500
 
Federal Certification Actions Imposed
 
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

J3XK21
Life Safety Code, Other
05/24/2018


3Y6D12
Complaint, Follow Up
05/10/2018


3Y6D11
Complaint
03/28/2018


QJL612
Complaint, Follow Up
01/29/2018


H6T921
Life Safety Code, Other
12/19/2017


GMRT22
Follow Up, Life Safety Code, Recertification
12/19/2017


QJL611
Complaint
11/28/2017


GMRT12
Recertification, Follow Up, State Licensure
11/17/2017


GMRT21
Recertification, Life Safety Code
11/16/2017


GMRT11
Recertification, State Licensure
10/18/2017


O2GS22
Follow Up, Life Safety Code, Other
08/25/2017


O2GS21
Life Safety Code, Other
08/11/2017


C2JG21
Life Safety Code, Other
06/30/2017


2EPT11
Complaint
06/19/2017


0JWK12
Complaint, Follow Up
03/15/2017


0JWK11
Complaint
02/07/2017


3X8Z22
Follow Up, Life Safety Code, Other
11/22/2016


3X8Z21
Life Safety Code, Other
11/09/2016


782Y22
Recertification, Follow Up, Life Safety Code
10/25/2016


782Y21
Recertification, Life Safety Code
10/12/2016


782Y12
Recertification, Follow Up, State Licensure
09/30/2016


782Y11
Recertification, State Licensure
09/02/2016


NYPF11
Complaint
05/18/2016


QWM422
Follow Up, Life Safety Code, Recertification
10/29/2015


QWM412
Follow Up, Recertification, State Licensure
09/28/2015


P9W611
Complaint
09/28/2015


QWM421
Life Safety Code, Recertification
09/08/2015


QWM411
Recertification, State Licensure
08/26/2015


 
 


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
   
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