Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
LAWRENCE MANOR HEALTHCARE CENTER
 
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: 8935 E 46TH ST
City: INDIANAPOLIS
Telephone: (317) 898-1515
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 18-000383-1
  License effective date: 01/01/2018
  License expiration date: 12/31/2018
 


Administration and Staff

Administrator: TIFFANY ROSS
  Start date: 01/16/2018
 
Director of Nursing: MARY JO MOODY
  Start date: 03/19/2018
 
Medical director: Robert Lebow
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: DAVIESS COUNTY HOSPITAL
1314 E WALNUT ST
WASHINGTON IN 47501
 
Ownership type:  OTHER
 
Officer(s): ANTHONY SHOWALTER
            SHELLY DEEM
            DERON STEINER
            DANIEL MCCARTHY, M.D.
            STEVE MYERS
            TYSON WAGLER
            MICHAEL TAYLOR
            NATHAN GABHART
            DOUG ROBERTS
            CARA VEALE
            TINA DURNIL
            TOM MCCRACKEN
            TRACY CONROY
            AMANDA RODEWALD
            RANDY RUSSELL
            NANCY CASE
            KEITH MILLER
            JEFF SAUNDERS
            RICK ELMON
            GARY BRINLEY
            RODNEY MANN
            CARL CULMANN
            RANDALL HAMMOND
            WILLIAM REINERS
            ROBERT HEUCHAN
            LORETTA RIEHL
            RONALD BUSKIRK
            RICHARD LENTZ
            PAUL ST PIERRE
            JERALD MILLER
            JEFFREY ZARING
            WILLIAM LUDLOW
            DENNIS SHEETS
            JAMES CASH
            JAMES ROWINGS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: ADAMS COUNTY MEMORIAL HOSPITAL
Date of last change of ownership: 01/01/2017
 


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):        55
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     55
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            55
 
CENSUS:
Facility census:  38
As reported by the facility on: 01/03/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/03/2018
 
Residential care beds occupied:  0
As reported by the facility on: 01/03/2018
 
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: 26
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 26
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - HORACE BROWN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 09/30/2016
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 01/01/2018
Nurse aide training and competency evaluation program (NATCEP) expires: 12/31/2018
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 04/17/2020
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     LAWRENCE COMMUNITY EDUCATION
         Approved: 10/17/2006
         Terminated: 03/12/2010
     PRIMEWAY INSTITUTE
         Approved: 04/24/2007
         Terminated: 03/12/2010
     NURSE AIDE TRAINING CENTER INC
         Approved: N/A
         Terminated: 03/12/2010
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  5
  2 years previous:  2

 


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
Yes
Yes


 Substandard Quality of Care 
No
Yes
Yes


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
     Discretionary Deny Pay for New Admits
     Date Imposed: 08/04/2018  Date Ended: Still in effect
     Civil Money Penalty
     Date Imposed: 07/18/2017  Date Ended: 07/18/2017
     Amount proposed per day: 0
     Amount proposed per day: 
     Civil Money Penalty
     Date Imposed: 08/23/2016  Date Ended: 09/29/2016
     Amount proposed per day: 8791
     Amount proposed per day: 403
 
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

005E12
Complaint, Follow Up
04/16/2018


005E11
Complaint
03/08/2018


UO5511
Complaint
03/05/2018


K2LE22
Recertification, Follow Up, Life Safety Code
12/21/2017


K2LE12
Recertification, Complaint, Follow Up, State Licensure
12/16/2017


49KH12
Complaint, Follow Up
12/15/2017


JMHW11
Complaint
12/15/2017


PQ8011
Complaint
12/11/2017


N5TW11
Complaint
11/22/2017


K2LE21
Recertification, Life Safety Code
11/21/2017


49KH11
Complaint
10/21/2017


K2LE11
Recertification, Complaint, State Licensure
10/20/2017


90PK12
Complaint, Follow Up
09/28/2017


90PK11
Complaint
08/23/2017


WX5012
Complaint, Follow Up
08/07/2017


WX5011
Complaint
07/18/2017


9NI911
Complaint
07/06/2017


QZON11
Complaint
05/02/2017


LPTC11
Complaint
03/16/2017


SIMT11
Complaint
02/28/2017


6FD712
Complaint, Follow Up
01/17/2017


6FD711
Complaint
11/30/2016


RTD922
Recertification, Follow Up, Life Safety Code
11/16/2016


NE6S12
Complaint, Follow Up
10/21/2016


RTD912
Recertification, Follow Up, State Licensure
10/21/2016


RTD921
Life Safety Code, Recertification
09/30/2016


RTD911
Recertification, State Licensure
08/31/2016


NE6S11
Complaint
08/03/2016


LH7W11
Complaint
04/18/2016


JSMJ11
Complaint
01/19/2016


1LEF12
Complaint, Follow Up
11/16/2015


1LEF11
Complaint
10/15/2015


BCTW11
Complaint
08/20/2015


28J822
Recertification, Follow Up, Life Safety Code
07/15/2015


28J812
Recertification, Follow Up, State Licensure
07/09/2015


28J821
Life Safety Code, Recertification
07/01/2015


 
 


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.