Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
 
THIS FACILITY HAS CLOSED
 
HIGHLAND NURSING AND REHABILITATION CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 12/20/2019
 
Posted to the Web on: 01/01/2020
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 9630 FIFTH ST
City: HIGHLAND
Telephone: (219) 924-6953
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 18-000367-2
  License effective date: 09/01/2018
  License expiration date: 08/31/2019
 


Administration and Staff

Administrator: 
  Start date: N/A
 
 
Medical director: Kantalil Patel
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: DAVIESS COUNTY HOSPITAL
N/A
N/A N/A N/A
 
Ownership type:  OTHER
 
Officer(s): ERIC ROTHNER
            MARK STEINBERG
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: DAVIESS COUNTY HOSPITAL
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):        38
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     38
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            38
 
CENSUS:
Facility census:  25
As reported by the facility on: 01/14/2019
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/14/2019
 
Residential care beds occupied:  0
As reported by the facility on: 01/14/2019
 
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: 18
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 18
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - MARLENE POWELL
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. RDO, HFA, LPN, CDP
Date form completed - 05/13/2019
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 07/07/2012
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IN TRAINING COLLEGE OF ADULT EDUCATION
         Approved: 07/08/2013
         Terminated: N/A
     VICTORY TRAINING
         Approved: 06/11/2015
         Terminated: N/A
     MED-STAR ACADEMY
         Approved: 02/11/2015
         Terminated: N/A
     OLYMPIA COLLEGE
         Approved: 02/11/1997
         Terminated: 07/08/2010
     IVY TECH STATE COLLEGE NORTHWEST
         Approved: 04/09/1997
         Terminated: 07/08/2010
     ADONIS COLLEGE OF NURSING
         Approved: 05/10/2016
         Terminated: N/A
     HEALTHCARE TRAINING SOLUTIONS
         Approved: 03/25/2019
         Terminated: N/A
 


Complaints

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

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 11/03/2018  Date Ended: 10/31/2018
 
Date terminated from Medicare/Medicaid: 06/28/2019
 


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

PRL911
Complaint
06/05/2019


378L12
Complaint, Follow Up
12/18/2018


378L11
Complaint
11/16/2018


84YG23
Recertification, Follow Up, Life Safety Code
10/31/2018


84YG22
Recertification, Follow Up, Life Safety Code
10/09/2018


84YG12
Recertification, Follow Up, State Licensure
09/14/2018


TI4811
Complaint
09/07/2018


84YG21
Recertification, Life Safety Code
08/30/2018


84YG11
Recertification, State Licensure
08/03/2018


TYU912
Complaint, Follow Up
07/12/2018


TYU911
Complaint
06/01/2018


PGW012
Complaint, Follow Up
03/22/2018


PGW011
Complaint
02/06/2018


F3BV11
Complaint
01/24/2018


MTTF22
Recertification, Follow Up, Life Safety Code
11/01/2017


WK3Y12
Complaint, Follow Up
10/24/2017


MTTF21
Recertification, Life Safety Code
10/03/2017


MTTF12
Follow Up, Recertification, State Licensure
10/02/2017


WK3Y11
Complaint
09/12/2017


MTTF11
Recertification, State Licensure
08/25/2017


FXQX12
Complaint, Follow Up
06/22/2017


V1J211
Complaint
06/13/2017


FXQX11
Complaint
05/22/2017


O7UF12
Complaint, Follow Up
05/10/2017


O7UF11
Complaint
04/25/2017


 
 


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.