Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
APERION CARE PERU
 
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: 1850 WEST MATADOR ST
City: PERU
Telephone: (765) 689-5000
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 17-003130-1
  License effective date: 09/01/2017
  License expiration date: 08/31/2018
 


Administration and Staff

Administrator: BRENDA ALFREY
  Start date: 01/11/2018
 
Director of Nursing: TENCREE CRAWFORD
  Start date: 03/13/2018
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist: Lori Saunders
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
 
Ownership type:  OTHER
 
Officer(s): DANA CALDWELL
            DOUGLAS CARTER MD
            JEFF BEATY
            JOHN COFFIN
            JAN SANDMAN
            SHERRI TANDY
            JOHN HORNER
            GENE JONES
            RALPH MERCURI
            LINDA WESSIC
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: RIVERVIEW HOSPITAL
Date of last change of ownership: 09/01/2014
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    5
Number of Medicare/Medicaid beds (SNF/NF):        87
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     92
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            92
 
CENSUS:
Facility census:  66
As reported by the facility on: 01/17/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/17/2018
 
Residential care beds occupied:  0
As reported by the facility on: 01/17/2018
 
Alzheimer Beds:  16
Alzheimer Beds Occupied:  8
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: 57
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: 57
 
  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 - BRENDA ALFREY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXECUTIVE DIRECTOR
Date form completed - 02/14/2018
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 09/01/2017
Nurse aide training and competency evaluation program (NATCEP) expires: 08/31/2018
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 11/03/2017
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     KOKOMO AREA CAREER TRAINING
         Approved: 09/18/2002
         Terminated: 05/11/2003
     IVY TECH COMMUNITY COLLEGE
         Approved: 06/22/2015
         Terminated: 11/04/2015
     KOKOMO  MEDICAL TRAINING CENTER
         Approved: 09/16/2013
         Terminated: 11/04/2015
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  7
  2 years previous:  5

 


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
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
     Civil Money Penalty
     Date Imposed: 10/13/2017  Date Ended: 11/09/2017
     Amount proposed per day: 910
     Civil Money Penalty
     Date Imposed: 12/05/2016  Date Ended: 12/30/2016
     Amount proposed per day: 703
     Directed Plan of Correction
     Date Imposed: 01/27/2016  Date Ended: 02/04/2016
     Directed Inservice Training
     Date Imposed: 01/24/2016  Date Ended: 02/04/2016
 
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

HVQU11
Complaint
03/29/2018


9NB722
Recertification, Follow Up, Life Safety Code
03/13/2018


9NB712
Recertification, Follow Up, State Licensure
02/15/2018


9NB721
Recertification, Life Safety Code
01/29/2018


9NB711
Recertification, State Licensure
01/10/2018


DLVS11
Complaint
12/20/2017


JP2112
Complaint, Follow Up
11/15/2017


ZIC212
Complaint, Follow Up
11/15/2017


ZIC211
Complaint
10/16/2017


JP2111
Complaint
09/27/2017


V59W12
Complaint, Follow Up
09/21/2017


9CKO12
Complaint, Follow Up
09/01/2017


Y79C11
Complaint
08/23/2017


V59W11
Complaint
08/18/2017


9CKO11
Complaint
07/21/2017


959Z12
Complaint, Follow Up
07/20/2017


959Z11
Complaint
06/22/2017


91H412
Complaint, Follow Up
04/10/2017


WO1E11
Complaint
03/16/2017


91H411
Complaint
03/10/2017


7W0Y12
Complaint, Follow Up, Recertification, State Licensure
01/31/2017


7W0Y22
Recertification, Follow Up, Life Safety Code
01/25/2017


7W0Y21
Recertification, Life Safety Code
01/03/2017


G8DN11
Complaint
12/30/2016


7W0Y11
Recertification, Complaint, State Licensure
12/05/2016


7TRD11
Complaint
10/03/2016


90YS12
Complaint, Follow Up
09/19/2016


0SWC12
Complaint, Follow Up
09/19/2016


90YS11
Complaint
08/09/2016


XHZ521
Life Safety Code, Other
07/22/2016


0SWC11
Complaint
07/12/2016


D48F11
Complaint
06/14/2016


BE9I12
Complaint, Follow Up
05/31/2016


BE9I11
Complaint
04/29/2016


LNJZ11
Complaint
03/09/2016


2JOV13
Follow Up, Recertification, State Licensure
02/04/2016


2JOV23
Follow Up, Life Safety Code, Recertification
01/22/2016


2JOV22
Follow Up, Life Safety Code, Recertification
12/22/2015


KZN911
Complaint
12/21/2015


2JOV12
Recertification, Follow Up, State Licensure
12/21/2015


FUHY11
Complaint
12/02/2015


2JOV11
Recertification, State Licensure
11/04/2015


9QS911
Complaint
11/04/2015


2JOV21
Life Safety Code, Recertification
10/29/2015


H7WD12
Complaint, Follow Up
09/14/2015


H7WD11
Complaint
07/29/2015


 
 


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.