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: 7/29/2022

Posted to the Web on: 8/10/2022
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: 22-000083-1 License effective date: 1/1/2022 License expiration date: 12/31/2022
Administration and Staff
Administrator: KELLY BOVEE HOLDER Start date: 6/1/2022 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: 112 As reported by the facility on: 1/11/2022 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 1/11/2022 Residential care beds occupied: 0 As reported by the facility on: 1/11/2022 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 - 3/25/2022
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: IVY TECH COMMUNITY COLLEGE Approved: 7/7/2006 Terminated: 8/10/2006 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
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  3
  2 years previous:  1
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 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: Directed Plan of Correction Date Imposed: 9/11/2020 Date Ended: 9/17/2020 Civil Money Penalty Date Imposed: 8/18/2020 Date Ended: 8/18/2020 Amount proposed per day: 1000 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
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
1J0312 Complaint, Follow Up 2/18/2021
1J0311 Complaint, Other 1/14/2021
MGTF11 Complaint, Other 11/10/2020
J43O11 Complaint, Other 10/20/2020
IJCD11 Other 10/14/2020
ZXD612 Follow Up, Other 10/1/2020
ZXD611 Complaint, Other 8/18/2020
W7QX22 Recertification, Follow Up, Life Safety Code 6/19/2020
W7QX21 Recertification, Life Safety Code 2/25/2020
W7QX12 Recertification, Complaint, Follow Up, State Licensure 2/18/2020
W7QX11 Recertification, Complaint, State Licensure 1/7/2020
L39F12 Complaint, Follow Up 10/16/2019
L39F11 Complaint 9/17/2019
AZTY12 Complaint, Follow Up 8/22/2019
 
 
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.