Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
VALPARAISO CARE & REHABILITATION
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 3/8/2024
 
Posted to the Web on: 3/20/2024
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 606 WALL STREET
City: VALPARAISO
Telephone: (219) 464-4976
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000083-1
  License effective date: 1/1/2024
  License expiration date: 12/31/2024
 


Administration and Staff

Administrator: NATHAN D WOLF
  Start date: 1/9/2023
 
Director of Nursing: KATHRYN LAPE
  Start date: 9/8/2020
 
Medical director: Douglas Mazurek
  Start date:   /  /  
 
Wound care specialist: Katie Lape
  Start date:   /  /  
 
Infection preventionist: Wendy Whitkanack
  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
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: VALPARAISO CARE AND REHABILITATION CENTER LLC
Date of last change of ownership:  
 


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):        164
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     164
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            164
 
CENSUS:
Facility census:  118
As reported by the facility on: 1/16/2024 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/16/2024 
 
Residential care beds occupied:  0
As reported by the facility on: 1/16/2024 
 
Alzheimer Beds:  28
Alzheimer Beds Occupied:  24
As reported by the facility on:   /  /  
 
Ventilator Beds:  28
Ventilator Beds Occupied:  26
As reported by the facility on:   /  /  
 


Sprinklers and Smoke Detectors

This facility is: FULLY SPRINKLERED
 
Number of comprehensive care resident rooms: 89
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 89
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - RICK CHAMBERS
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 3/17/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 3/16/1998
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2000
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 6/12/2018
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     NURSETYME
         Approved: 10/23/2006
         Terminated: 8/10/2006
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 7/10/1998
         Terminated: 5/14/2003
     ST ANTHONY MEDICAL CENTER, INC
         Approved: N/A
         Terminated: 5/14/2003
     PORTER COUNTY CAREER CENTER
         Approved: 10/19/2018
         Terminated: N/A
     ASC TRAINING CENTER
         Approved: 6/28/2018
         Terminated: N/A
     VALPARAISO CARE & REHABILITATION
         Approved: N/A
         Terminated: 5/14/2003
     HEALTHCARE TRAINING CENTER
         Approved: 11/24/2014
         Terminated: 12/3/2015
     DESTINATION UNLIMITED TRAINING CENTER
         Approved: 10/1/2021
         Terminated: N/A
     LEFFLER ACADEMY, LLC
         Approved: 5/11/2021
         Terminated: N/A
     IVY TECH COMMUNITY COLLEGE
         Approved: 3/4/2024
         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
385
379
369
252


Rank of Score
35
39
44
82


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: 9/3/2022  Date Ended: 9/6/2022
     Civil Money Penalty
     Date Imposed: 8/11/2022  Date Ended: 8/11/2022
     Amount proposed per day: 
     Civil Money Penalty
     Date Imposed: 11/12/2021  Date Ended: 11/12/2021
     Amount proposed per day: 10000
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 6/12/2021  Date Ended: 6/17/2021
     Civil Money Penalty
     Date Imposed: 5/21/2021  Date Ended: 5/21/2021
     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

QA1J11
Complaint, Other
2/6/2024


FRVC12
Complaint, Follow Up
11/20/2023


FRVC11
Complaint
10/25/2023


FD9G22
Recertification, Follow Up, Life Safety Code
9/29/2023


CVN111
Complaint
9/21/2023


FD9G12
Recertification, Follow Up, State Licensure
8/24/2023


FD9G21
Recertification, Life Safety Code
8/7/2023


FD9G11
Recertification, Complaint, State Licensure
7/14/2023


2JXL11
Complaint
4/27/2023


JP6L12
Complaint, Follow Up
4/25/2023


JP6L11
Complaint
4/3/2023


SECL11
Complaint
3/7/2023


3XOU22
Recertification, Follow Up, Life Safety Code
9/14/2022


3XOU12
Recertification, Follow Up, State Licensure
9/13/2022


3XOU21
Recertification, Life Safety Code
8/30/2022


3XOU11
Recertification, Complaint, State Licensure
8/11/2022


B80011
Complaint, Other
5/2/2022


3N9W11
Other
1/12/2022


4UJN12
Complaint, Follow Up
12/29/2021


4UJN11
Complaint
11/12/2021


U52O22
Recertification, Follow Up, Life Safety Code
8/19/2021


U52O21
Recertification, Life Safety Code
6/29/2021


U52O12
Recertification, Follow Up, State Licensure
6/18/2021


U52O11
Recertification, State Licensure
5/21/2021


 
 


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.