Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 7301 E 16TH ST
City: INDIANAPOLIS
Telephone: (317) 353-1290
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000227-1
License effective date: 01/01/2025
License expiration date: 12/31/2025
Administration and Staff
Administrator: ETHAN PEAK
Start date: 02/28/2022
Director of Nursing: KIMBERLY DAVIDSON
Start date: 05/02/2022
Medical director:
Start date: / /
Wound care specialist: Ashley Miles
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
JOSHUA DAUGHERTY
MARIA BOND
LACEY WILLARD
J. DAVID MOSSLER
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: KINDRED NURSING CENTERS LIMITED PARTNERSHIP
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): 160
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 160
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 160
CENSUS:
Facility census: 153
As reported by the facility on: 01/23/2023
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/23/2023
Residential care beds occupied: 0
As reported by the facility on: 01/23/2023
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: 89
Number of comprehensive care resident rooms with battery
operated smoke detectors: 61
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 28
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 - DOMENIC IEROVANTE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENACE DIRECTOR
Date form completed - 04/04/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/10/1998
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2000
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 01/13/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
CNA INSTITUTE OF INDIANA
Approved: 07/11/2006
Terminated: 12/28/2006
WALKER CAREER CENTER
Approved: 03/05/2012
Terminated: 08/22/2012
WILDWOOD HEALTHCARE CENTER
Approved: N/A
Terminated: 01/14/2021
NURSE AIDE TRAINING CENTER LLC
Approved: 08/08/1996
Terminated: 12/28/2006
HARDON EDUCATION
Approved: 09/03/2021
Terminated: 01/14/2021
PRIMEWAY INSTITUTE
Approved: 11/12/2010
Terminated: 08/22/2012
IVY TECH COMMUNITY COLLEGE
Approved: 09/19/1996
Terminated: 12/28/2006
PRO-VISION TRAINING SERVICES
Approved: 12/02/2014
Terminated: 04/01/2016
CNA & HOMECARE TRAINING CENTER, INC
Approved: 07/29/2016
Terminated: 01/14/2021
KINDRED HEALTHCARE
Approved: 05/02/2017
Terminated: 10/01/2019
J EVERETT LIGHT CAREER CENTER
Approved: 06/29/2016
Terminated: 01/14/2021
READY TO CARE
Approved: 01/08/2018
Terminated: 01/14/2021
CRISPUS ATTUCKS HIGH SCHOOL
Approved: 05/12/2021
Terminated: 01/14/2021
IPS/CTM NURSE AIDE TRAINING PROGRAM
Approved: 05/12/2021
Terminated: 01/14/2021
CHOICE MEDICAL INSTITUTE
Approved: 02/10/2021
Terminated: 01/14/2021
BEST HEALTH TRAINING SCHOOL
Approved: 01/24/2023
Terminated: N/A
MEDICAL INSTITUTE & TRADE SCHOOL
Approved: 04/14/2025
Terminated: N/A
EXCELLENCE TRAINING CENTER
Approved: 09/09/2024
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 4
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
341
338
338
434
Rank of Score
54
54
56
12
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
No
No
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
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.
