SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 300 J H WALKER DR
City: PENDLETON
Telephone: (765) 778-7501
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000248-1
License effective date: 06/01/2025
License expiration date: 05/31/2026
Administration and Staff
Administrator: CHARLES COVEY
Start date: 09/24/2018
Director of Nursing: CATHERINE MCCOSKEY
Start date: 09/24/2018
Medical director: Keith Doram
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist: Cathi McCoskey
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
Ownership type: NON-PROFIT
Officer(s): WILLIAM KIRSCH
GREG MURRAY
LEEANN MURRAY
CHARLES MULRY
SAM MISHELOW
MICHAEL DAUGHERTY
JAYNA L FRIEND
DAVE HYATT
DAN STEVENS
DOUG MYERS
AMY CROUCH
ERIC MARCOTTE
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: RAWLINS HOUSE HEALTH & LIVING COMMUNITY LLC
Date of last change of ownership: 06/01/2011
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 16
Number of Medicare/Medicaid beds (SNF/NF): 94
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 110
RESIDENTIAL CARE BEDS:
Total number of residential beds: 104
Total number of beds in facility: 214
CENSUS:
Facility census: 133
As reported by the facility on: 07/06/2020
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/06/2020
Residential care beds occupied: 41
As reported by the facility on: 07/06/2020
Alzheimer Beds: 17
Alzheimer Beds Occupied: 15
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: 71
Number of comprehensive care resident rooms with battery
operated smoke detectors: 71
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - CHAD COVEY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 04/21/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 09/15/2020
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2022
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 02/22/2020
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
IVY TECH COMMUNITY COLLEGE REGION 6
Approved: 03/17/1997
Terminated: 07/25/2007
ALPHA CARE SERVICES, INC
Approved: 11/14/2012
Terminated: 04/13/2013
ALL HEART NURSE'S AIDE TRAINING CENTER, LLC
Approved: 04/23/2020
Terminated: N/A
FATHER'S HEART CNA TRAINING CENTER
Approved: 11/16/2020
Terminated: N/A
RAWLINS HOUSE HEALTH & LIVING COMMUNITY
Approved: 09/15/2020
Terminated: N/A
PERSEVERANCE HEALTH CARE TRAINING CENTER
Approved: 03/10/2022
Terminated: N/A
MORNING LIGHT INC
Approved: 06/23/2022
Terminated: N/A
DISTRICT 26 CAREER CAMPUS
Approved: 10/07/2022
Terminated: N/A
LULA'S TOUCH
Approved: 11/28/2022
Terminated: N/A
ACL MEDICAL TRAINING, LLC
Approved: 10/04/2022
Terminated: N/A
CARMEL HEALTH & LIVING COMMUNITY
Approved: 10/31/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
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
172
175
109
128
Rank of Score
93
92
96
96
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
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
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.
