Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
COMMUNITY NURSING AND REHABILITATION CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 5600 E 16TH ST
City: INDIANAPOLIS
Telephone: (317) 356-0911
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000012-1
  License effective date: 12/01/2024
  License expiration date: 11/30/2025
 


Administration and Staff

Administrator: PAIGE METZLER
  Start date: 06/11/2025
 
Director of Nursing: BRITTANY LEWIS
  Start date: 10/14/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
3838 N RURAL ST
INDIANAPOLIS IN 46205
 
Ownership type:  OTHER
 
Officer(s): GREGORY FEHRIBACH
            CHARLES EBERHARDT II
            CARL DRUMMER
            SHELIA GUENIN
            TED NOLTING
            PAUL BABCOCK
            ROBERT LAZARD
            GEETA MANTRAVADI
            MONICA CRAIN
            BEVERLY MUKES-GAITHER
            THOMAS HANIFY
            LISA HARRIS
            DAVID CRABB
            ROBERTY LAZARD
            BRENDA HORN
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: N/A
Date of last change of ownership: N/A
 


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):        115
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     115
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            115
 
CENSUS:
Facility census:  48
As reported by the facility on: 01/11/2022
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/11/2022
 
Residential care beds occupied:  0
As reported by the facility on: 01/11/2022
 
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: 57
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 14
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 41
 
  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 - BRITTANY MCKINNEY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXECUTIVE DIRECTOR
Date form completed - 03/31/2021
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 12/11/2022
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     NURSE AIDE TRAINING CENTER LLC
         Approved: 05/20/2009
         Terminated: 12/20/2020
     ASC TRAINING CENTER
         Approved: 05/31/2013
         Terminated: 12/12/2020
     IPS/CTM NURSE AIDE TRAINING PROGRAM
         Approved: 03/18/2015
         Terminated: 12/20/2020
     HARDON EDUCATION
         Approved: 09/17/2019
         Terminated: 12/20/2020
     CRISPUS ATTUCKS HIGH SCHOOL
         Approved: 12/01/2017
         Terminated: 12/20/2020
     ASC TRAINING CENTER
         Approved: 06/14/2021
         Terminated: 12/12/2020
     HOPE TRAINING CENTER
         Approved: 09/26/2020
         Terminated: 12/20/2020
     LEFFLER ACADEMY
         Approved: 05/10/2021
         Terminated: 12/12/2020
     ASC TRAINING CENTER
         Approved: 02/09/2023
         Terminated: N/A
     ASC TRAINING CENTER
         Approved: 07/08/2022
         Terminated: 12/12/2020
     HARDON EDUCATION
         Approved: 09/17/2019
         Terminated: N/A
 


Complaints

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

 


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
243
257
200
242


Rank of Score
85
81
90
84


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 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

 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 07/01/2025  Date Ended: 07/02/2025
     Directed Plan of Correction
     Date Imposed: 07/28/2022  Date Ended: 07/29/2022
 
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

82H513
Recertification, Follow Up, State Licensure
07/08/2025


82H512
Recertification, Complaint, Follow Up, State Licensure
06/10/2025


82H521
Recertification, Life Safety Code
05/20/2025


82H511
Recertification, Complaint, State Licensure
04/25/2025


TSIM11
Complaint
01/17/2025


TQX423
Follow Up, Life Safety Code, Recertification
07/11/2024


TQX422
Recertification, Follow Up, Life Safety Code
06/10/2024


TQX412
Recertification, Follow Up, State Licensure
05/22/2024


TQX421
Recertification, Life Safety Code
05/14/2024


TQX411
Recertification, Complaint, State Licensure
04/22/2024


OER211
Complaint
04/22/2024


LQXR11
Complaint
09/07/2023


R82B22
Recertification, Follow Up, Life Safety Code
07/06/2023


R82B12
Recertification, Complaint, Follow Up, State Licensure
06/21/2023


R82B21
Recertification, Life Safety Code
05/16/2023


R82B11
Recertification, Complaint, State Licensure
05/11/2023


QYKB12
Complaint, Follow Up
08/17/2022


H02Y12
Complaint, Follow Up
07/26/2022


 
 


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.