Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
CHATEAU REHABILITATION AND 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: 6006 BRANDY CHASE COVE
City: FORT WAYNE
Telephone: (260) 486-3001
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 23-000153-2
  License effective date: 8/1/2023
  License expiration date: 7/31/2024
 


Administration and Staff

Administrator: MONIQUE AUGUSTINE
  Start date: 10/25/2023
 
Director of Nursing: RENAE LUFFMAN
  Start date: 10/8/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
411 WEST TIPTON ST
SEYMOUR IN 47274
 
Ownership type:  OTHER
 
Officer(s): RICK SMITH
            JACK MCCORY
            MATTHEW REEDY
            COURTNEY KLEBER
            SUSAN BEVERS
            ANDREW MARKEL
            ROBERT GILLASPY JR.
            DEBORAH MANN
            ERIC FISH
            TERRENCE GILLILAND
            BRANDON HARPE
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Date of last change of ownership: 8/1/2013
 


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):        99
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     99
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            99
 
CENSUS:
Facility census:  79
As reported by the facility on: 1/4/2024 1
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/4/2024 1
 
Residential care beds occupied:  0
As reported by the facility on: 1/4/2024 1
 
Alzheimer Beds:  112
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: 76
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 0
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 76
 
  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 - CATHY VASIL
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMIN
Date form completed - 4/3/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 12/10/2003
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2005
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 11/30/2023
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 6/8/2002
         Terminated: 10/15/2007
     QUALITY CARE TRAINING
         Approved: 7/12/2002
         Terminated: 10/15/2007
     CHATEAU REHABILITATION AND HEALTHCARE CENTER
         Approved: 12/10/2003
         Terminated: 3/28/2013
     UNIVERSITY OF SAINT FRANCIS
         Approved: 6/19/1998
         Terminated: 10/15/2007
     VALEO HEALTHCARE TRAINING
         Approved: 9/5/2018
         Terminated: 5/17/2021
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  3

 


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
372
419
380
383


Rank of Score
41
17
40
39


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
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
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: 1/28/2023  Date Ended: 1/19/2023
     Civil Money Penalty
     Date Imposed: 9/15/2022  Date Ended: 9/15/2022
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 1/14/2022  Date Ended: 1/7/2022
     Civil Money Penalty
     Date Imposed: 12/20/2021  Date Ended: 12/20/2021
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 9/9/2021  Date Ended: 8/23/2021
     Civil Money Penalty
     Date Imposed: 8/4/2021  Date Ended: 8/22/2021
     Amount proposed per day: 
     Amount proposed per day: 7030
     Amount proposed per day: 330
 
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

DGFF12
Complaint, Follow Up
2/26/2024


DGFF11
Complaint
2/7/2024


2GN612
Complaint, Follow Up
1/4/2024


2GN611
Complaint
12/13/2023


PFOP12
Complaint, Follow Up
11/21/2023


PFOP11
Complaint
11/3/2023


49SJ22
Recertification, Follow Up, Life Safety Code
11/1/2023


63NE12
Complaint, Follow Up
11/1/2023


CLN712
Complaint, Follow Up
11/1/2023


CLN711
Complaint
10/4/2023


63NE11
Complaint
9/29/2023


49SJ12
Follow Up, Recertification, State Licensure
9/13/2023


49SJ21
Recertification, Life Safety Code
9/12/2023


49SJ11
Recertification, Complaint, State Licensure
8/8/2023


SSD011
Complaint
6/20/2023


8B8V12
Complaint, Follow Up
6/19/2023


Y9G412
Complaint, Follow Up
6/19/2023


3SUB11
Complaint
6/5/2023


8B8V11
Complaint
5/31/2023


Y9G411
Complaint
5/18/2023


WTSU11
Complaint
4/17/2023


6OXX11
Complaint
2/15/2023


2U4G23
Recertification, Follow Up, Life Safety Code
1/19/2023


C1CW11
Complaint
1/9/2023


2U4G22
Recertification, Follow Up, Life Safety Code
1/3/2023


2U4G21
Recertification, Life Safety Code
11/10/2022


2U4G12
Recertification, Follow Up, State Licensure
10/26/2022


2U4G11
Recertification, Complaint, State Licensure
9/29/2022


L2QI11
Complaint
9/15/2022


U8V411
Complaint
8/25/2022


M9Q211
Complaint
8/11/2022


NG0512
Complaint, Follow Up
8/5/2022


NG0511
Complaint
7/22/2022


344X12
Complaint, Follow Up
7/11/2022


IXID12
Complaint, Follow Up
7/11/2022


IXID11
Complaint
6/24/2022


344X11
Complaint
5/23/2022


89R711
Complaint, Other
4/11/2022


0TH811
Complaint, Other
3/14/2022


IKOJ11
Complaint, Other
2/24/2022


HWRJ11
Complaint
2/8/2022


841312
Complaint, Follow Up, Other
1/14/2022


841311
Complaint, Other
12/20/2021


UMZK11
Complaint
10/28/2021


LN0C11
Complaint
10/13/2021


D1VL22
Recertification, Follow Up, Life Safety Code
9/15/2021


X9PL11
Other
9/7/2021


M1I012
Follow Up, Other
9/7/2021


D1VL12
Recertification, Follow Up, State Licensure
9/7/2021


S9YQ11
Complaint
8/26/2021


D1VL21
Recertification, Life Safety Code
8/23/2021


M1I011
Other
8/13/2021


D1VL11
Recertification, Complaint, State Licensure
8/2/2021


2X8E11
Complaint
4/8/2021


00ME11
Complaint
4/1/2021


 
 


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.