SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 7630 E 86TH ST
City: INDIANAPOLIS
Telephone: (317) 845-0032
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 23-000149-1
License effective date: 11/1/2023
License expiration date: 10/31/2024
Administration and Staff
Administrator: RYAN KINZIE
Start date: 10/2/2023
Director of Nursing: LAURA BETH GUTHRIE
Start date: 10/11/2022
Medical director:
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: HENDRICKS COUNTY HOSPITAL
1000 EAST MAIN STREET
DANVILLE IN 46122
Ownership type: OTHER
Officer(s): KEVIN SPEER
ERIN ENGELS
TODD DAVIS
YVONNE CULPEPPER
D. MICHELLE FENOUGHTY
STANTON "STAN" RISSER
LISA IMLAY
GARY EVERLING
MICHAEL KIRSCHNER
TYLER STARKEY
JOHN WAITE
MARK GENTRY
TIM WHICKER
SHANE SOMMERS
NANCY FOSTER
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: CASTLETON HEALTH CARE CENTER LLC
Date of last change of ownership: 11/1/2013
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 13
Number of Medicare/Medicaid beds (SNF/NF): 96
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 109
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 109
CENSUS:
Facility census: 35
As reported by the facility on: 1/18/2019
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/18/2019
Residential care beds occupied: 0
As reported by the facility on: 1/18/2019
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: 50
Number of comprehensive care resident rooms with battery
operated smoke detectors: 50
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - CRAIG WARNICK
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 3/22/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 4/26/1996
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/1998
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 5/26/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
HEALTH CARE PROFESSIONALS
Approved: 11/30/1999
Terminated: 1/19/2005
NURSE AIDE TRAINING CENTER LLC
Approved: 10/30/2000
Terminated: 1/19/2005
AMBASSADOR COMMUNITY COLLEGE
Approved: N/A
Terminated: 1/19/2005
MCKENZIE CENTER FOR INNOVATION & TECHNOLOGY
Approved: 6/13/2018
Terminated: 5/31/2021
FATHER'S HEART CNA TRAINING CENTER
Approved: 12/20/2018
Terminated: 5/31/2021
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 2
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
278
278
236
233
Rank of Score
76
78
84
86
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 gridView 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: 6/22/2022 Date Ended: 6/25/2022
Discretionary Deny Pay for New Admits
Date Imposed: 5/27/2022 Date Ended: 6/24/2022
Civil Money Penalty
Date Imposed: 4/18/2022 Date Ended: 6/24/2022
Amount proposed per day: 1105
Amount proposed per day:
Civil Money Penalty
Date Imposed: 4/4/2022 Date Ended: 4/4/2022
Amount proposed per day: 2024
Civil Money Penalty
Date Imposed: 9/20/2021 Date Ended: 9/20/2021
Amount proposed per day: 1500
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.
