Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

ALBANY HEALTH CARE & REHABILITATION CENTER

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 6/3/2022

Posted to the Web on: 6/15/2022
Basic Information
FACILITY CONTACT INFORMATION: Address: 910 W WALNUT ST City: ALBANY Telephone: (765) 789-4423 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 22-000309-1 License effective date: 4/1/2022 License expiration date: 3/31/2023
Administration and Staff
Administrator: RICHARD ORRELL Start date: 1/31/2022 Director of Nursing: FELINA JO FREIBURGER Start date: 7/18/2016 Medical director: Usman Ahmad Start date: / / Wound care specialist: Start date: / / Infection preventionist: 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 STEVEN HOLT LEEANN MURRAY CHARLES MULRY SAM MISHELOW SETH C.R. WARREN MICHAEL DAUGHERTY JAYNA FRIEND PREVIOUS OWNERSHIP CHANGES: Name of previous owner: ALBANY HEALTHCARE OPERATIONS COMPANY LLC Date of last change of ownership: 4/1/2012
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): 102 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 102 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 102 CENSUS: Facility census: 72 As reported by the facility on: 1/11/2022 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 1/11/2022 Residential care beds occupied: 0 As reported by the facility on: 1/11/2022 Alzheimer Beds: 24 Alzheimer Beds Occupied: 17 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: 102 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: 102 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 - RICH ORRELL Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR Date form completed - 3/28/2022
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 7/6/2018 Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2020 Nurse aide training and competency evaluation program (NATCEP) banned: Yes Nurse aide training and competency evaluation program (NATCEP) ban expires: 9/8/2023 CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: MUNCIE AREA CAREER CENTER Approved: 5/1/2008 Terminated: 9/9/2021 PARKER HEALTH CARE & REHABILITATION CENTER Approved: 10/25/2007 Terminated: 4/1/2020 HERITAGE TEMPORARY STAFFING Approved: 1/4/1999 Terminated: 2/11/2004 ALBANY HEALTH CARE & REHABILITATION CENTER Approved: 7/6/2018 Terminated: 4/1/2020 IVY TECH COMMUNITY COLLEGE REGION 6 Approved: 3/17/1997 Terminated: 2/11/2004 R & R MEDICAL STAFFING, INC Approved: 9/10/2012 Terminated: 9/9/2021 TLC LEADERSHIP AND DEVELOPMENT CENTER Approved: 12/6/2021 Terminated: N/A TLC LEADERSHIP AND DEVELOPMENT CENTER Approved: 9/23/2016 Terminated: 9/9/2021 LEFFLER ACADEMY, LLC Approved: 12/22/2020 Terminated: 9/9/2021
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  1
  2 years previous:  1
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 461 455 467 467
Rank of Score 5 6 4 4
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 Yes No No
Substandard Quality of Care Yes No No
Administrator Change No Yes 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: 10/23/2021 Date Ended: 10/7/2021 Civil Money Penalty Date Imposed: 9/9/2021 Date Ended: 10/5/2021 Amount proposed per day: Amount proposed per day: Directed Plan of Correction Date Imposed: 4/10/2021 Date Ended: 4/15/2021 Civil Money Penalty Date Imposed: 3/16/2021 Date Ended: 3/16/2021 Amount proposed per day: Directed Plan of Correction Date Imposed: 2/13/2021 Date Ended: 2/20/2021 Civil Money Penalty Date Imposed: 1/21/2021 Date Ended: 1/21/2021 Amount proposed per day: Directed Plan of Correction Date Imposed: 10/24/2020 Date Ended: 10/30/2020 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
O3GN22 Recertification, Follow Up, Life Safety Code 1/31/2022
O3GN12 Recertification, Follow Up, State Licensure 1/28/2022
O3GN21 Recertification, Life Safety Code 1/4/2022
O3GN11 Recertification, State Licensure 12/14/2021
SWZ811 Complaint 11/4/2021
5PFL12 Follow Up, Other 10/18/2021
Y7XH12 Complaint, Follow Up 10/18/2021
5PFL11 Other 10/5/2021
Y7XH11 Complaint 9/9/2021
26LO12 Complaint, Follow Up 7/21/2021
26LO11 Complaint 6/17/2021
ZS5B11 Complaint 6/3/2021
6EH612 Follow Up, Other 4/23/2021
6EH611 Complaint, Other 3/16/2021
IYBM12 Follow Up, Other 2/26/2021
5QHC11 Complaint, Other 2/9/2021
IYBM11 Complaint, Other 1/21/2021
HTUM12 Follow Up, Other 12/2/2020
RKXB12 Follow Up, Other 12/2/2020
QHBJ12 Complaint, Follow Up 12/2/2020
FHU911 Other 10/5/2020
HTUM11 Other 9/30/2020
I0KJ11 Other 9/21/2020
RKXB11 Other 9/10/2020
QHBJ11 Complaint 8/25/2020
J7JG11 Complaint, Other 7/10/2020
IYZL11 Complaint, Other 5/27/2020
I42W21 Life Safety Code, Recertification 11/6/2019
I42W12 Follow Up, Recertification, State Licensure 11/4/2019
I42W11 Recertification, State Licensure 9/24/2019
DXSF11 Complaint 7/24/2019
 
 
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.