Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
HILLCREST VILLAGE
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 203 SPARKS AVE
City: JEFFERSONVILLE
Telephone: (812) 283-7918
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 25-000110-1
  License effective date: 01/01/2025
  License expiration date: 12/31/2025
 


Administration and Staff

Administrator: MARK BOWMAN
  Start date: 05/01/2018
 
Director of Nursing: JILL HUMPHREY
  Start date: 11/09/2023
 
Medical director: Mouhammed Addas
  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: HOOSIER ENTERPRISES VII INC
Date of last change of ownership: 01/01/2012
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    15
Number of Medicare/Medicaid beds (SNF/NF):        134
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     149
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            149
 
CENSUS:
Facility census:  111
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: 84
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 84
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 1
 
  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 - ROBERT HARDIN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE  SUPERVI
Date form completed - 04/14/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 06/20/2018
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2020
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 08/01/2021
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PROSSER SCHOOL OF TECHNOLOGY
         Approved: 09/17/2021
         Terminated: N/A
     HEALTHCARE EDUCATIONAL AND TRA
         Approved: 02/02/2000
         Terminated: 02/04/2005
     NURSE AIDE TRAINING CENTER LLC
         Approved: 06/10/1997
         Terminated: 02/04/2005
     ASC TRAINING CENTER
         Approved: 12/17/2021
         Terminated: N/A
     AMERICAN RED CROSS-CLARK COUNTY INDIANA CHAPTER
         Approved: 03/23/2011
         Terminated: 08/08/2019
     NURSE TECH
         Approved: 07/27/2011
         Terminated: 08/08/2019
     HILLCREST VILLAGE
         Approved: 06/20/2018
         Terminated: 08/08/2019
     KENTUCKIANA CPR TRAINING CENTER
         Approved: 06/25/2013
         Terminated: 08/08/2019
     RIVERVIEW VILLAGE
         Approved: 06/20/2018
         Terminated: 08/08/2019
     LEFFLER ACADEMY
         Approved: 05/11/2021
         Terminated: 08/02/2019
     KAISER HEALTHCARE CERTIFICATION LLC
         Approved: 09/17/2024
         Terminated: N/A
     A SERVANTS HEART TRAINING INSTITUTION FOUNDATION
         Approved: 12/16/2024
         Terminated: N/A
 


Complaints

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

 


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
395
350
374
401


Rank of Score
30
49
42
29


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
No
No
No


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: 12/20/2022  Date Ended: 12/15/2022
     Civil Money Penalty
     Date Imposed: 11/21/2022  Date Ended: 11/21/2022
     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

YXOE11
Complaint
06/23/2025


7XW412
Complaint, Follow Up
05/29/2025


FZLZ11
Complaint
05/29/2025


7XW411
Complaint
05/02/2025


JEP822
Follow Up, Life Safety Code, Recertification
04/03/2025


UFSB11
Complaint
03/10/2025


JEP812
Recertification, Follow Up, State Licensure
03/04/2025


JEP821
Recertification, Life Safety Code
02/20/2025


JEP811
Recertification, State Licensure
01/31/2025


1VLB12
Complaint, Follow Up
01/06/2025


USG511
Complaint
12/20/2024


1VLB11
Complaint
11/08/2024


BTB512
Complaint, Follow Up
08/15/2024


BTB511
Complaint
07/23/2024


GCTI11
Complaint
06/05/2024


CO0823
Recertification, Follow Up, Life Safety Code, Other
04/12/2024


PPVQ11
Complaint
03/28/2024


CO0822
Recertification, Follow Up, Life Safety Code
03/21/2024


TLNQ11
Complaint
02/09/2024


CO0812
Recertification, Complaint, Follow Up, State Licensure
01/30/2024


CO0821
Recertification, Life Safety Code
01/17/2024


CO0811
Recertification, Complaint, State Licensure
12/14/2023


R9HB12
Complaint, Follow Up
11/27/2023


UNXH12
Complaint, Follow Up
11/27/2023


UNXH11
Complaint
10/26/2023


R9HB11
Complaint
10/24/2023


R0P211
Complaint
10/11/2023


D28211
Complaint
09/25/2023


ZD7S11
Complaint
08/10/2023


XHG111
Complaint
06/29/2023


5PHC12
Complaint, Follow Up
05/15/2023


5PHC11
Complaint
04/19/2023


U2NK12
Complaint, Follow Up
03/31/2023


BNTW12
Complaint, Follow Up
03/31/2023


U2NK11
Complaint
03/10/2023


BNTW11
Complaint
02/03/2023


VZPS22
Recertification, Follow Up, Life Safety Code
01/20/2023


VZPS12
Recertification, Follow Up, State Licensure
01/19/2023


VZPS21
Recertification, Life Safety Code
12/13/2022


VZPS11
Recertification, State Licensure
11/18/2022


S82X11
Complaint
08/29/2022


 
 


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.