Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
 
THIS FACILITY HAS CLOSED
 
RANDOLPH NURSING HOME
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 6/13/2025
 
Posted to the Web on: 6/25/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 701 S OAK ST
City: WINCHESTER
Telephone: (765) 584-2201
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000136-1
  License effective date: 7/1/2024
  License expiration date: 6/30/2025
 


Administration and Staff

Administrator: 
  Start date: N/A
 
 
Medical director: Alison Syme
  Start date:   /  /  
 
Wound care specialist: Wendy Gray
  Start date:   /  /  
 
Infection preventionist: Wendy Gray
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: PUTNAM COUNTY HOSPITAL
1542 BLOOMINGTON ST
GREENCASTLE IN 46135
 
Ownership type:  NON-PROFIT
 
Officer(s): DENNIS WEATHERFORD
            JANICE FRY
            MATTHEW HEADLEY
            DAVID BRAY
            KEITH LANDRY
            ALAN NERONE
            KATRINA LEWIS
            WENDELL UNDERWOOD
            MARK WOOD
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: HOOSIER CARE II INC
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):        82
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     82
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            82
 
CENSUS:
Facility census:  53
As reported by the facility on: 8/7/2023
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 8/7/2023
 
Residential care beds occupied:  0
As reported by the facility on: 8/7/2023
 
Alzheimer Beds:  30
Alzheimer Beds Occupied:  26
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: 44
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 44
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - CATHY YOUNG
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. HEALTH FACILITY ADMI
Date form completed - 3/24/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 2/13/2014
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2024
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 6/6/2013
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 11/13/2000
         Terminated: 7/30/2010
     RANDOLPH NURSING HOME
         Approved: 2/13/2014
         Terminated: N/A
     MUNCIE AREA CAREER CENTER
         Approved: 1/11/2017
         Terminated: N/A
 


Complaints

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

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 5/8/2023  Date Ended: 5/8/2023
     Amount proposed per day: 2689
     Civil Money Penalty
     Date Imposed: 4/17/2023  Date Ended: 5/2/2023
     Amount proposed per day: 1075
     Amount proposed per day: 1613
     Amount proposed per day: 2151
 
Date terminated from Medicare/Medicaid: 12/18/2024
 


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

9F1Q12
Complaint, Follow Up
2/29/2024


9F1Q11
Complaint
1/11/2024


2ZMJ11
Complaint
12/5/2023


18XL23
Recertification, Follow Up, Life Safety Code
11/16/2023


18XL22
Recertification, Follow Up, Life Safety Code
10/12/2023


6CCO11
Complaint
10/6/2023


18XL12
Follow Up, Recertification, State Licensure
9/28/2023


18XL21
Recertification, Life Safety Code
8/29/2023


18XL11
Recertification, State Licensure
8/11/2023


R2C312
Complaint, Follow Up
6/30/2023


R2C311
Complaint
6/8/2023


7DUF12
Complaint, Follow Up
3/29/2023


7DUF11
Complaint
2/20/2023


J3IS11
Complaint
1/20/2023


GEZZ22
Recertification, Follow Up, Life Safety Code
10/19/2022


GEZZ21
Recertification, Life Safety Code
8/23/2022


CN3511
Complaint
8/4/2022


GEZZ11
Recertification, State Licensure
7/11/2022


 
 


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.