Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

ST ANTHONY HOME - CROWN POINT

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: 203 FRANCISCAN DR City: CROWN POINT Telephone: (219) 661-5100 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 18-000120-1 License effective date: 03/01/2018 License expiration date: 02/28/2019
Administration and Staff
Administrator: BARBARA MAGERL Start date: 08/28/2017 Director of Nursing: CATHY WOOD Start date: 03/05/2007 Medical director: Kathryn Mulligan Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: HANCOCK REGIONAL HOSPITAL 801 NORTH STATE STREET GREENFIELD IN 46140 Ownership type: OTHER 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: FRANCISCAN COMMUNITIES INC Date of last change of ownership: 03/01/2014
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 0 Number of Medicare beds (SNF): 34 Number of Medicare/Medicaid beds (SNF/NF): 155 Number of non-certified comprehensive care beds (State Licensed only): 3 Total number of comprehensive care beds: 189 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 192 CENSUS: Facility census: 162 As reported by the facility on: 01/02/2018 Number of comprehensive care beds occupied in this facility. 3 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: 62 Alzheimer Beds Occupied: 55 As reported by the facility on: 01/02/2018 Ventilator Beds: 0 Ventilator Beds Occupied: 0 As reported by the facility on: 04/21/2016
Sprinklers and Smoke Detectors
This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 192 Number of comprehensive care resident rooms with battery operated smoke detectors: 192 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 192 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 - KEVIN LOCKHART Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIRECTOR OF ENGINEER Date form completed - 03/31/2018
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 01/30/2018 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2020 Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 03/01/2017 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: 10/09/2002 Terminated: 03/02/2015 ST ANTHONY HOME - CROWN POINT Approved: 01/30/2018 Terminated: N/A GARY AREA CAREER CENTER Approved: 10/17/2006 Terminated: 03/02/2015 IN TRAINING COLLEGE OF ADULT EDUCATION Approved: 11/24/1998 Terminated: 03/02/2015 ST ANTHONY MEDICAL CENTER, INC Approved: 04/21/1997 Terminated: 03/02/2015 EVEREST COLLEGE Approved: 06/06/2013 Terminated: 03/02/2015 AREA CAREER CENTER-HAMMOND Approved: 04/24/2012 Terminated: 03/02/2015 DIXIE MEDICAL EDUCATION TRAINING Approved: 08/27/2012 Terminated: 03/02/2015 VICTORY TRAINING Approved: 04/18/2017 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  1
  Previous year:  3
  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 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
Event ID: U8R411 Action - Citation / Fine Notice to facility: 09/13/2010 Appeal: N/A Action Cease/Recind: N/A Case Closed: N/A Initial Amount: $1000 Event ID: MZJN11 Action - Citation / Fine Notice to facility: 03/02/2005 Appeal: N/A Action Cease/Recind: 10/25/2005 Case Closed: 10/25/2005 Initial Amount: $5600 Event ID: Action - Citation / Fine Notice to facility: 08/06/1998 Appeal: 08/12/1998 Action Cease/Recind: 02/03/2000 Case Closed: N/A Initial Amount: $3750 Federal Certification Actions Imposed Directed Plan of Correction Date Imposed: 01/01/2018 Date Ended: 12/29/2017 Directed Plan of Correction Date Imposed: 03/05/2017 Date Ended: 02/23/2017 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
AEBY11 Complaint 04/03/2018
QTBO12 Complaint, Follow Up 03/05/2018
QTBO11 Complaint 02/01/2018
Q8GO23 Recertification, Follow Up, Life Safety Code 12/29/2017
Q8GO22 Recertification, Follow Up, Life Safety Code 12/05/2017
65RI12 Complaint, Follow Up 11/01/2017
Q8GO12 Recertification, Complaint, Follow Up, State Licensure 11/01/2017
Q8GO21 Recertification, Life Safety Code 10/30/2017
65RI11 Complaint 09/18/2017
Q8GO11 Recertification, Complaint, State Licensure 09/18/2017
QU7Z11 Complaint 04/13/2017
9E4L23 Follow Up, Life Safety Code, Recertification 03/01/2017
9E4L22 Recertification, Follow Up, Life Safety Code 02/07/2017
9E4L12 Recertification, Follow Up, State Licensure 01/12/2017
9E4L21 Life Safety Code, Recertification 12/30/2016
9E4L11 Recertification, State Licensure 11/16/2016
ROM411 Complaint 03/01/2016
MJ6R11 Complaint 12/10/2015
YX9G22 Follow Up, Life Safety Code, Recertification 11/20/2015
YX9G12 Recertification, Follow Up, State Licensure 10/29/2015
YX9G21 Recertification, Life Safety Code 10/19/2015
YP4E11 Complaint 09/18/2015
YX9G11 Recertification, State Licensure 09/18/2015
 
 
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.