Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

GOLDEN LIVING CENTER-RICHMOND

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART

Created on: 11/19/2021

Posted to the Web on: 12/1/2021
Basic Information
FACILITY CONTACT INFORMATION: Address: 1042 OAK DR City: RICHMOND Telephone: (765) 966-7788 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 21-000077-1 License effective date: 9/1/2021 License expiration date: 8/31/2022
Administration and Staff
Administrator: Start date: N/A Director of Nursing: TRAVIS HACKETT Start date: 2/15/2021 Medical director: Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: HENDRICKS COUNTY HOSPITAL 1000 EAST MAIN STREET DANVILLE IN 46122 Ownership type: OTHER Officer(s): KEVIN SPEER ERIN ENGELS YVONNE CULPEPPER STANTON "STAN" RISSER KELLI WAGGONER GORDON REED TYLER STARKEY JOHN WAITE PREVIOUS OWNERSHIP CHANGES: Name of previous owner: BEVERLY HEALTHCARE LLC Date of last change of ownership: 9/1/2014
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 0 Number of Medicare beds (SNF): 28 Number of Medicare/Medicaid beds (SNF/NF): 94 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 122 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 122 CENSUS: Facility census: 47 As reported by the facility on: 7/12/2021 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 7/12/2021 Residential care beds occupied: 0 As reported by the facility on: 7/12/2021 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: 63 Number of comprehensive care resident rooms with battery operated smoke detectors: 63 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - DENNIS THOMAS Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIRECTOR OF MAINTENA Date form completed - 4/20/2020
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 12/16/2016 Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2022 Nurse aide training and competency evaluation program (NATCEP) banned: No Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: WHITEWATER CAREER CENTER Approved: 9/28/2000 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: 3/11/1999 Terminated: N/A GOLDEN LIVING CENTER-RICHMOND Approved: 12/16/2016 Terminated: N/A RICHMOND AREA CAREER CENTER Approved: 8/4/2016 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  5
  Previous year:  3
  2 years previous:  2
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 365 365 368 368
Rank of Score 45 44 45 45
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: 8/21/2021 Date Ended: 8/22/2021 Civil Money Penalty Date Imposed: 7/23/2021 Date Ended: 7/23/2021 Amount proposed per day: Directed Plan of Correction Date Imposed: 1/5/2021 Date Ended: 1/5/2021 Civil Money Penalty Date Imposed: 12/10/2020 Date Ended: 12/10/2020 Amount proposed per day: 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
G67H12 Complaint, Follow Up 11/8/2021
G67H11 Complaint 9/30/2021
TJJ012 Recertification, Complaint, Follow Up, State Licensure 9/3/2021
TJJ011 Recertification, Complaint, State Licensure 7/23/2021
TJJ022 Recertification, Follow Up, Life Safety Code 7/7/2021
TJJ021 Recertification, Life Safety Code 5/25/2021
I2C712 Complaint, Follow Up 4/6/2021
I2C711 Complaint 2/12/2021
02T011 Complaint, Other 2/3/2021
79LD12 Follow Up, Other 1/26/2021
YHYO11 Other 12/28/2020
79LD11 Other 12/10/2020
CVLH11 Other 11/2/2020
T9Y112 Complaint, Follow Up, Other 9/22/2020
2GQI22 Recertification, Follow Up, Life Safety Code 9/17/2020
T9Y111 Complaint, Other 8/14/2020
2GQI21 Recertification, Life Safety Code 8/4/2020
2GQI12 Recertification, Follow Up, State Licensure 7/14/2020
XR8L12 Complaint, Follow Up, Other 7/14/2020
0YYW11 Other 6/16/2020
XR8L11 Complaint, Other 4/27/2020
2GQI11 Recertification, State Licensure 2/17/2020
N6T012 Complaint, Follow Up 9/5/2019
N6T011 Complaint 7/8/2019
BE4912 Complaint, Follow Up 4/11/2019
LEWL11 Complaint 4/9/2019
E5ZE22 Recertification, Follow Up, Life Safety Code 4/3/2019
BE4911 Complaint 3/7/2019
E5ZE12 Recertification, Follow Up, State Licensure 2/11/2019
E5ZE21 Recertification, Life Safety Code 2/5/2019
E5ZE11 Recertification, State Licensure 1/8/2019
XK3Z11 Complaint 12/5/2018
 
 
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. [an error occurred while processing this directive]