SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 1345 N MADISON AVE
City: ANDERSON
Telephone: (765) 644-2888
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000005-1
License effective date: 02/01/2025
License expiration date: 01/31/2026
Administration and Staff
Administrator: BRENT SWAN
Start date: 06/02/2025
Director of Nursing: LESLIE LEVELL
Start date: 05/12/2025
Medical director: Mosha Basha
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): DERON STEINER
TYSON WAGLER
NATHAN GABHART
KENT NORRIS
TONY DUNCHEON
ANTHONY SHOWALTER
APRIL SETTLES
DANA MUNTZ
OTTO SUSEC
KRISTIN MILES
JENNA BEDWELL
DAVE GRABER
PETE PARSONS
TRACY COOK
MICHAEL KEITH
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: MANOR CARE OF ANDERSON IN LLC
Date of last change of ownership: 02/01/2016
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 55
Number of Medicare/Medicaid beds (SNF/NF): 145
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 200
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 200
CENSUS:
Facility census: 126
As reported by the facility on: 07/01/2025
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/01/2025
Residential care beds occupied: 0
As reported by the facility on: 07/01/2025
Alzheimer Beds: 22
Alzheimer Beds Occupied: 18
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: 108
Number of comprehensive care resident rooms with battery
operated smoke detectors: 108
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - DAVID PRUETT
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 05/16/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 01/26/2024
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2026
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 04/15/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
DISTRICT 26 CAREER CAMPUS
Approved: 01/08/2003
Terminated: 11/01/2006
TOMORROWS ANGELS
Approved: 01/19/2006
Terminated: 11/01/2006
COMMUNITY HOSPITAL-ECC
Approved: 08/29/2006
Terminated: 12/26/2007
IVY TECH COMMUNITY COLLEGE REGION 6
Approved: 05/26/2010
Terminated: 06/15/2012
ACL MEDICAL TRAINING, LLC
Approved: 05/24/2016
Terminated: 01/23/2019
HIS SOLUTIONS SPECIALTY CARE
Approved: 10/26/2016
Terminated: 01/23/2019
BEAUMONT REHABILITATION AND HEALTHCARE CENTER
Approved: 01/26/2024
Terminated: N/A
RISE UP HEALTH CARE ACADEMY
Approved: 11/21/2024
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 1
Facility Report Card
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR
Report Card Score
45
0
0
28
Rank of Score
98
100
100
100
Average Score
302
296
295
296
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic.
The facility report card score is calculated four times per calendar year
for the two most recent nursing home health surveys. The facility report card score
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys,
and any follow-up surveys that occur within the two most recent nursing home health surveys.
The facility report card score ranges from 500 to 0, with 500 being the best score possible.
View the Scope and Severity gridView the scoring methodology
Overview of Survey findings
The Most Recent Set
2ND Most Recent Set
3RD Most Recent Set
Immediate Jeopardy
No
No
Yes
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: 11/15/2022 Date Ended: 11/28/2022
Amount proposed per day: 3227
Amount proposed per day: 3765
Amount proposed per day: 4303
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.
