Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
CARMEL HEALTH & LIVING COMMUNITY
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 06/08/2018
 
Posted to the Web on: 06/20/2018
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 118 MEDICAL DR
City: CARMEL
Telephone: (317) 844-4211
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 18-000095-1
  License effective date: 01/01/2018
  License expiration date: 12/31/2018
 


Administration and Staff

Administrator: TORON JACKSON-KENNY
  Start date: 04/21/2017
 
Director of Nursing: TIFFANY MATHIS
  Start date: 02/06/2018
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
 
Ownership type:  NON-PROFIT
 
Officer(s): WILLIAM KIRSCH
            GREG MURRAY
            STEVE HOLT
            LEEANN MURRAY
            CHARLES MULRY
            BRENDA BAKER
            SAM MISHELOW
            SETH C.R. WARREN
            MIKE DAUGHERTY
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: CARMEL HEALTHCARE MANGEMENT INC
Date of last change of ownership:  
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    17
Number of Medicare/Medicaid beds (SNF/NF):        171
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     188
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            188
 
CENSUS:
Facility census:  135
As reported by the facility on: 01/02/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/02/2018
 
Residential care beds occupied:  0
As reported by the facility on: 01/02/2018
 
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: 149
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 85
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 64
 
  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 - JACK TAYLOR
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ENVIRONMENTAL DIRECT
Date form completed - 08/31/2016
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 02/22/2006
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2008
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 05/21/2017
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PRIMEWAY INSTITUTE
         Approved: 12/10/2008
         Terminated: 07/17/2012
     HEALTH CARE PROFESSIONALS
         Approved: 11/30/1999
         Terminated: 05/29/2007
     IVY TECH COMMUNITY COLLEGE
         Approved: 01/19/1999
         Terminated: 05/29/2007
     HEALTHCARE TRAINING CENTER AT LEBANON
         Approved: 07/27/2009
         Terminated: 07/17/2012
     NURSE AIDE TRAINING CENTER INC
         Approved: N/A
         Terminated: 05/29/2007
     WALKER CAREER CENTER
         Approved: 06/15/2011
         Terminated: 07/17/2012
     J EVERETT LIGHT CAREER CENTER
         Approved: 09/02/2009
         Terminated: 05/29/2007
     CARMEL HEALTH & LIVING COMMUNITY
         Approved: 05/03/2000
         Terminated: 07/17/2012
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  2
  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
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: 418E11
  Action - Citation / Fine
  Notice to facility: 04/11/2016
             Appeal: N/A
  Action Cease/Recind: 06/01/2016
         Case Closed: 06/01/2016
  Initial Amount: $3000
Event ID: XCWN11
  Action - Citation / Fine
  Notice to facility: 10/15/2014
             Appeal: N/A
  Action Cease/Recind: 12/18/2014
         Case Closed: 12/18/2014
  Initial Amount: $3000
 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 12/28/2016  Date Ended: 12/28/2016
     Amount proposed per day: 0
     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

29P411
Complaint
05/23/2018


T84N11
Complaint
05/03/2018


7TVH11
Complaint
04/03/2018


RHQ711
Complaint
03/16/2018


W8MP12
Complaint, Follow Up
02/12/2018


W8MP11
Complaint
01/24/2018


INDH12
Complaint, Follow Up
01/09/2018


INDH11
Complaint
12/18/2017


EK2H11
Complaint
11/03/2017


NYZD22
Recertification, Follow Up, Life Safety Code
10/31/2017


HWR911
Complaint
10/19/2017


NYZD21
Recertification, Life Safety Code
09/27/2017


NYZD12
Recertification, Follow Up, State Licensure
09/27/2017


HG9911
Complaint
08/30/2017


NYZD11
Recertification, State Licensure
08/30/2017


35B611
Complaint
08/02/2017


8DRR12
Complaint, Follow Up
02/16/2017


GDT112
Complaint, Follow Up
02/16/2017


8DRR11
Complaint
01/23/2017


GDT111
Complaint
12/28/2016


S6FV22
Follow Up, Life Safety Code, Recertification
10/28/2016


S6FV12
Recertification, Complaint, Follow Up, State Licensure
09/06/2016


S6FV21
Life Safety Code, Recertification
08/31/2016


24EG11
Complaint
08/30/2016


S6FV11
Complaint, Recertification, State Licensure
07/26/2016


0K7E11
Complaint
07/07/2016


7ZCC11
Complaint
01/29/2016


418E12
Complaint, Follow Up
11/09/2015


418E11
Complaint
09/24/2015


GIYF22
Recertification, Follow Up, Life Safety Code
08/11/2015


QHT512
Complaint, Follow Up
07/09/2015


GIYF12
Recertification, Follow Up, State Licensure
07/09/2015


GIYF21
Life Safety Code, Recertification
06/30/2015


 
 


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.