Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE
 
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: 1900 ANDREW AVE
City: LA PORTE
Telephone: (219) 362-7014
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 17-000061-1
  License effective date: 09/01/2017
  License expiration date: 08/31/2018
 


Administration and Staff

Administrator: DEBBIE TANKSLEY
  Start date: 06/19/2017
 
Director of Nursing: JILL SCOTT
  Start date: 06/13/2002
 
Medical director: Gary Wheeland
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HENDRICKS COUNTY HOSPITAL
1000 EAST MAIN STREET
DANVILLE IN 46122
 
Ownership type:  OTHER
 
Officer(s): KEVIN SPEER
            TERRY DILLON
            MIKE EDMONDSON
            ERIN ENGELS
            YVONNE CULPEPPER
            DENNIS RESSLER
            WESLEY ROGERS
            TINA CHAVIS
            LARRY JOSEPH
            SALVATORE SALAMONE
            HOLLY RASMUSSAN-JONES
            ANN TRUITT
            GREG SWARTZ
            ROBERTA WILLIAMS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: FOUNTAINVIEW LAPORTE OPERATING LLC
Date of last change of ownership: 09/01/2012
 


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):        176
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     176
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            176
 
CENSUS:
Facility census:  105
As reported by the facility on: 01/29/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/29/2018
 
Residential care beds occupied:  0
As reported by the facility on: 01/29/2018
 
Alzheimer Beds:  48
Alzheimer Beds Occupied:  41
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: 176
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 176
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 176
 
  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 - DEBBIE TONKSLEY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EX. DIRECTOR
Date form completed - 02/21/2018
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 12/02/2014
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2020
Nurse aide training and competency evaluation program (NATCEP) banned: No
Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     SPECIALIZED MEDICAL EDUCATION AND TRAINING
         Approved: 01/15/2003
         Terminated: N/A
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 02/17/2003
         Terminated: N/A
     MICHIANA HEALTHCARE TRAINING INC
         Approved: 07/22/2003
         Terminated: N/A
     A K SMITH CAREER CENTER
         Approved: 01/22/2004
         Terminated: N/A
     MED ED INCORPORATED
         Approved: 09/20/2004
         Terminated: N/A
     GOLDEN LIVING TRAINING CENTER-ELKHART
         Approved: 06/11/2014
         Terminated: 01/30/2015
     GOLDEN LIVING TRAINING CENTER-VALPARAISO
         Approved: 01/29/2015
         Terminated: N/A
     OLYMPIA COLLEGE
         Approved: 07/28/1997
         Terminated: N/A
     GOLDEN LIVING CENTER-LAPORTE
         Approved: 05/06/1997
         Terminated: N/A
     GOLDEN LIVING CENTER-FOUNTAINVIEW TERRACE
         Approved: 12/02/2014
         Terminated: N/A
     VICTORY TRAINING
         Approved: 08/21/2017
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  3
  2 years previous:  4

 


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
Yes
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
 
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

3GVP11
Complaint
04/20/2018


5GEJ11
Complaint
02/16/2018


V9JD11
Complaint
01/02/2018


00XV22
Recertification, Follow Up, Life Safety Code
12/15/2017


00XV21
Recertification, Life Safety Code
10/31/2017


00XV12
Recertification, Follow Up, State Licensure
10/26/2017


D5KQ11
Complaint
10/18/2017


00XV11
Recertification, State Licensure
09/25/2017


UW2R11
Complaint
07/06/2017


376Y11
Complaint
05/10/2017


ONL712
Complaint, Follow Up
02/23/2017


HN0O12
Complaint, Follow Up
02/23/2017


NLWF11
Complaint
02/14/2017


ONL711
Complaint
01/30/2017


HN0O11
Complaint
01/05/2017


8G7H22
Follow Up, Life Safety Code, Recertification
10/13/2016


8G7H12
Complaint, Follow Up, Recertification, State Licensure
09/07/2016


8G7H21
Life Safety Code, Recertification
08/22/2016


8G7H11
Recertification, Complaint, State Licensure
07/27/2016


9DWQ12
Complaint, Follow Up
07/08/2016


RBZH12
Complaint, Follow Up
07/06/2016


9DWQ11
Complaint
06/14/2016


RBZH11
Complaint
06/01/2016


2BCO12
Complaint, Follow Up
02/12/2016


QCPL12
Complaint, Follow Up
01/14/2016


2BCO11
Complaint
01/14/2016


OP1311
Complaint
12/08/2015


QCPL11
Complaint
11/24/2015


3F5D22
Follow Up, Life Safety Code, Recertification
10/15/2015


3F5D12
Recertification, Follow Up, State Licensure
07/29/2015


3F5D21
Life Safety Code, Recertification
07/20/2015


3F5D11
Recertification, State Licensure
06/29/2015


 
 


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
   
Legal Disclaimer for Long Term Care Reports.