SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 1100 S CURRY PK
City: BLOOMINGTON
Telephone: (812) 339-1657
Web Site:
NAME CHANGES:
Most recent name change: GARDEN VILLA - BLOOMINGTON
Date of most recent name change: 6/20/2023 11:58:07 AM
LICENSE INFORMATION:
License number: 23-000007-1
License effective date: 8/1/2023
License expiration date: 7/31/2024
Administration and Staff
Administrator: WARREN MCCREERY
Start date: 3/20/2019
Director of Nursing: BRITTANY MOORE
Start date: 7/24/2023
Medical director: Kevin Neese
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist: Loren Spears
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: COLUMBUS REGIONAL HOSPITAL
2400 E 17TH STREET
COLUMBUS IN 47201
Ownership type: OTHER
Officer(s): FREDERICK SKEDD, MD
ZACH ELLISON
DAVID DOUP
DONALD TRAPP
RACHEL KERSCHNER
DONALD MICHAEL
ZACK ELLISON
JAMES BICKEL
GRANT BYERS
THOMAS SONDERMAN
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: MAR-CARE
Date of last change of ownership: 8/1/2012
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 24
Number of Medicare/Medicaid beds (SNF/NF): 200
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 224
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 224
CENSUS:
Facility census: 108
As reported by the facility on: 1/15/2024
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/15/2024
Residential care beds occupied: 0
As reported by the facility on: 1/15/2024
Alzheimer Beds: 73
Alzheimer Beds Occupied: 64
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: 118
Number of comprehensive care resident rooms with battery
operated smoke detectors: 81
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 37
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 - SHAWN MOELLER
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIR OF PLANT OPS
Date form completed - 3/17/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 8/20/2008
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2024
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 5/10/2011
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
BLOOMINGTON HOSPITAL AND HEALTHCARE SYSTEMS
Approved: 12/18/1998
Terminated: 7/17/2008
MAJESTIC CARE OF BLOOMINGTON
Approved: 8/20/2008
Terminated: 7/17/2008
ALZHEIMER'S RESOURCE SERVICE, IU HEALTH COMMUNITY
Approved: 9/20/2018
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
Facility Report Card
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR
Report Card Score
371
368
320
320
Rank of Score
42
42
63
64
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
No
Substandard Quality of Care
No
No
No
Administrator Change
No
No
No
Owner Change
No
No
No
Number of Substantiated Complaints With Deficiencies
0
0
0
Deficiency Free Standard Health Survey
Yes
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
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.
