Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
KOKOMO HEALTHCARE CENTER
 
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: 429 W LINCOLN RD
City: KOKOMO
Telephone: (765) 453-5600
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000127-1
  License effective date: 1/1/2024
  License expiration date: 12/31/2024
 


Administration and Staff

Administrator: SYDNIE REED
  Start date: 5/18/2022
 
Director of Nursing: JENICA HARTMAN
  Start date: 7/24/2023
 
Medical director: Teschin Ty
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HANCOCK REGIONAL HOSPITAL
801 NORTH STATE STREET
GREENFIELD IN 46140
 
Ownership type:  OTHER
 
Officer(s): TIMOTHY CLARK
            ROY WILSON
            DEAN FELKER
            STEVEN LONG
            SARA JOYNER
            JOSH DAUGHERTY
            MARIA BOND
            LACEY WILLARD
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Date of last change of ownership: 1/1/2014
 


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):        80
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     80
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            80
 
CENSUS:
Facility census:  74
As reported by the facility on: 7/13/2020 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/13/2020 
 
Residential care beds occupied:  0
As reported by the facility on: 7/13/2020 
 
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: 67
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 21
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 46
 
  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 - ANSELMO SOTO JR
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINT DIR
Date form completed - 4/4/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 3/23/2004
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2006
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 9/20/2024
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 3/15/2001
         Terminated: 9/17/2010
     KOKOMO  MEDICAL TRAINING CENTER
         Approved: 5/1/2014
         Terminated: 6/12/2018
     KOKOMO AREA CAREER TRAINING
         Approved: 9/8/2014
         Terminated: 9/3/2021
     KOKOMO HEALTHCARE CENTER
         Approved: 11/13/2000
         Terminated: 6/12/2018
     ALL HEART NURSE'S AIDE TRAINING CENTER, LLC
         Approved: 11/23/2016
         Terminated: 6/12/2018
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  4

 


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
193
181
136
154


Rank of Score
91
91
95
95


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
Yes
Yes


 Substandard Quality of Care 
No
Yes
Yes


Administrator Change
No
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: 4/15/2023  Date Ended: 4/21/2023
     Civil Money Penalty
     Date Imposed: 9/6/2022  Date Ended: 9/21/2022
     Amount proposed per day: 8385
     Amount proposed per day: 245
     Directed Plan of Correction
     Date Imposed: 8/2/2022  Date Ended: 7/12/2022
     Discretionary Deny Pay for New Admits
     Date Imposed: 5/3/2022  Date Ended: 5/5/2022
     Civil Money Penalty
     Date Imposed: 4/5/2022  Date Ended: 4/5/2022
     Amount proposed per day: 500
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 2/22/2022  Date Ended: 2/14/2022
     Directed Plan of Correction
     Date Imposed: 1/29/2022  Date Ended: 2/14/2022
     Discretionary Deny Pay for New Admits
     Date Imposed: 1/2/2022  Date Ended: 2/13/2022
     Directed Plan of Correction
     Date Imposed: 12/18/2021  Date Ended: 2/14/2022
     Civil Money Penalty
     Date Imposed: 11/22/2021  Date Ended: 2/13/2022
     Amount proposed per day: 
     Amount proposed per day: 
     Amount proposed per day: 
     Amount proposed per day: 
     Amount proposed per day: 760
     Directed Plan of Correction
     Date Imposed: 10/30/2021  Date Ended: 10/11/2021
     Discretionary Deny Pay for New Admits
     Date Imposed: 10/1/2021  Date Ended: 10/10/2021
     Civil Money Penalty
     Date Imposed: 8/17/2021  Date Ended: 10/10/2021
     Amount proposed per day: 
     Amount proposed per day: 6810
     Amount proposed per day: 225
     Amount proposed per day: 6810
     Amount proposed per day: 330
     Amount proposed per day: 
     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

HC6911
Complaint, Other
1/5/2024


H14612
Recertification, Complaint, Follow Up, State Licensure
1/3/2024


H14622
Recertification, Follow Up, Life Safety Code
12/18/2023


H14621
Recertification, Life Safety Code
11/13/2023


H14611
Recertification, Complaint, State Licensure
11/6/2023


9C7R11
Complaint
10/12/2023


VYGH11
Complaint
9/13/2023


R93K12
Complaint, Follow Up
7/18/2023


R93K11
Complaint
6/14/2023


NLYD11
Complaint
5/30/2023


6X0H22
Recertification, Follow Up, Life Safety Code
5/19/2023


6X0H12
Recertification, Complaint, Follow Up, State Licensure
5/5/2023


6X0H21
Recertification, Life Safety Code
4/10/2023


6X0H11
Recertification, Complaint, State Licensure
3/15/2023


RF7412
Complaint, Follow Up
3/1/2023


RF7411
Complaint
12/28/2022


KA4112
Complaint, Follow Up
11/9/2022


B5U612
Complaint, Follow Up
11/9/2022


DJVW11
Complaint
10/25/2022


KA4111
Complaint
9/21/2022


B5U611
Complaint
8/3/2022


QWT423
Recertification, Follow Up, Life Safety Code
7/28/2022


QWT422
Recertification, Follow Up, Life Safety Code
7/11/2022


U36L11
Complaint
6/23/2022


QWT412
Recertification, Follow Up, State Licensure
6/10/2022


QWT421
Recertification, Life Safety Code
5/11/2022


7YCY11
Complaint
4/27/2022


QWT411
Recertification, State Licensure
4/5/2022


4ZKH12
Complaint, Follow Up
3/14/2022


VJ9912
Complaint, Follow Up
3/14/2022


JTEX12
Complaint, Follow Up
3/14/2022


Q72L12
Follow Up, Other
3/14/2022


BWI512
Complaint, Follow Up, Other
3/14/2022


BWI511
Complaint, Other
1/31/2022


Q72L11
Other
1/5/2022


JTEX11
Complaint
12/29/2021


VJ9911
Complaint
12/14/2021


4ZKH11
Complaint, Other
11/22/2021


42UU12
Complaint, Follow Up, Other
11/18/2021


3HIX12
Complaint, Follow Up
11/18/2021


42UU11
Complaint, Other
10/7/2021


3HIX11
Complaint
9/3/2021


IJBG12
Complaint, Follow Up
8/26/2021


BN9811
Complaint
8/3/2021


IJBG11
Complaint
7/21/2021


4IQO11
Complaint
6/30/2021


MJ2L11
Complaint
6/17/2021


4UFX12
Complaint, Follow Up
6/3/2021


4UFX11
Complaint
4/30/2021


WCMD12
Complaint, Follow Up
4/26/2021


WCMD11
Complaint
3/18/2021


 
 


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.