Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
 
THIS FACILITY HAS CLOSED
 
PARKVIEW HEALTHCARE
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 09/28/2018
 
Posted to the Web on: 10/10/2018
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 1212 E MAIN
City: ATTICA
Telephone: (765) 762-6133
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 17-000323-1
  License effective date: 05/01/2017
  License expiration date: 04/30/2018
 


Administration and Staff

Administrator: SUSAN DAUBE
  Start date: 02/24/2018
 
Director of Nursing: LORI HORTON
  Start date: 12/29/2017
 
Medical director: Mark Williams
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: DAVIESS COUNTY HOSPITAL
1314 E WALNUT ST
WASHINGTON IN 47501
 
Ownership type:  
 
Officer(s): ANTHONY SHOWALTER
            SHELLY DEEM
            DERON STEINER
            DANIEL MCCARTHY, M.D.
            STEVE MYERS
            TYSON WAGLER
            MICHAEL TAYLOR
            NATHAN GABHART
            DOUG ROBERTS
            CARA VEALE
            TOM MCCRACKEN
            TRACY CONROY
            RANDY RUSSELL
            NANCY CASE
            KEITH MILLER
            KENT NORRIS
            JEANNIE BURKS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: ALWARD NURSING HOME INC
Date of last change of ownership: 05/01/2016
 


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):        53
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     53
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            53
 
CENSUS:
Facility census:  44
As reported by the facility on: 02/12/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 02/12/2018
 
Residential care beds occupied:  0
As reported by the facility on: 02/12/2018
 
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: 0
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 27
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - ALLEN W. GOODMAN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 07/12/2016
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 02/08/2008
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2018
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 09/15/2019
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     TIPPECANOE SCHOOL CORPORATION
         Approved: 11/03/2007
         Terminated: 09/16/2017
     PARKVIEW HEALTHCARE
         Approved: 02/08/2008
         Terminated: 09/16/2017
     MED ED INCORPORATED
         Approved: 10/01/2014
         Terminated: 09/16/2017
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  1
  Previous year:  2
  2 years previous:  0

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Civil Money Penalty
     Date Imposed: 08/10/2017  Date Ended: 10/23/2017
     Amount proposed per day: 0
     Amount proposed per day: 6394
     Amount proposed per day: 105
     Amount proposed per day: 
 
Date terminated from Medicare/Medicaid: 04/01/2018
 


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

I4CK11
Complaint
03/01/2018


WO7U11
Complaint
01/19/2018


NVCW12
Complaint, Follow Up
11/06/2017


692R12
Complaint, Follow Up
11/06/2017


K76I12
Recertification, Follow Up, State Licensure
11/06/2017


K76I22
Recertification, Follow Up, Life Safety Code
10/26/2017


NVCW11
Complaint
10/06/2017


K76I21
Recertification, Life Safety Code
09/18/2017


692R11
Complaint
09/16/2017


K76I11
Recertification, Complaint, State Licensure
08/10/2017


LD3212
Complaint, Follow Up
05/08/2017


LD3211
Complaint
03/16/2017


G3W011
Complaint
10/04/2016


619G22
Recertification, Follow Up, Life Safety Code
07/28/2016


619G21
Life Safety Code, Recertification
07/12/2016


619G12
Recertification, Follow Up, State Licensure
07/11/2016


CZ4S11
Complaint
06/29/2016


619G11
Recertification, State Licensure
06/07/2016


FXQL11
Complaint
04/21/2016


 
 


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.