Indiana State Department of Health


Division of Long Term Care

 

CONSUMER REPORT

 
 

THIS FACILITY HAS CLOSED

 

LAWRENCE MANOR HEALTHCARE CENTER

 

NURSING HOME


SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 12/06/2019

 
Posted to the Web on: 12/18/2019
 
 






Basic Information


FACILITY CONTACT INFORMATION:
Address: 8935 E 46TH ST
City: INDIANAPOLIS
Telephone: (317) 898-1515
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 19-000383-1
  License effective date: 01/01/2019
  License expiration date: 06/14/2019
 




Administration and Staff


Administrator: 
  Start date: N/A
 
 
Medical director: Robert Lebow
  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): JARNELL BURKS  CRAIG
            TANYA BROWN
            JARNELL BURKS CRAIG
            AZARIAS LONBERGER
            KAREN HOLLY
            CHARLES WHITE
            RUBY GROSDIDIER
            DEBBIE HARRIS
            PATRICIA CALVIN
            TEKIAH TUNSTALL
            ROBIN AVANT
            ANN RANDALL
 
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):        55
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     55
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            55
 
CENSUS:
Facility census:  27
As reported by the facility on: 01/07/2019
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/07/2019
 
Residential care beds occupied:  0
As reported by the facility on: 01/07/2019
 
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:  
 
Number of comprehensive care resident rooms: 26
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 26
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - HORACE BROWN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 09/30/2016
 




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: 04/17/2020
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     LAWRENCE COMMUNITY EDUCATION
         Approved: 10/17/2006
         Terminated: 03/12/2010
     PRIMEWAY INSTITUTE
         Approved: 04/24/2007
         Terminated: 03/12/2010
     NURSE AIDE TRAINING CENTER LLC
         Approved: N/A
         Terminated: 03/12/2010
 




Complaints



NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  5


 




Enforcement Actions


 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 08/04/2018  Date Ended: 08/05/2018
     Civil Money Penalty
     Date Imposed: 07/18/2017  Date Ended: 07/18/2017
     Amount proposed per day: 0
     Amount proposed per day: 
 
Date terminated from Medicare/Medicaid: 06/17/2019
 




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


6NQP22
Recertification, Follow Up, Life Safety Code
07/10/2019




6NQP12
Recertification, Follow Up, State Licensure
07/02/2019




6NQP21
Recertification, Life Safety Code
05/21/2019




6NQP11
Recertification, State Licensure
04/29/2019




OZVI22
Follow Up, Life Safety Code, Recertification
01/25/2019




KEH911
Complaint
01/25/2019




OZVI12
Recertification, Follow Up, State Licensure
12/20/2018




OZVI21
Recertification, Life Safety Code
12/04/2018




HUWW11
Complaint
12/03/2018




OZVI11
Recertification, Complaint, State Licensure
11/02/2018




5HNX11
Complaint
10/03/2018




3SMG11
Complaint
08/07/2018




KUB923
Follow Up, Life Safety Code, Recertification
08/06/2018




KUB922
Recertification, Follow Up, Life Safety Code
07/12/2018




KUB912
Follow Up, Recertification, State Licensure
06/22/2018




BDUJ11
Complaint
06/13/2018




KUB921
Recertification, Life Safety Code
06/05/2018




KUB911
Recertification, Complaint, State Licensure
05/21/2018




005E12
Complaint, Follow Up
04/16/2018




005E11
Complaint
03/08/2018




UO5511
Complaint
03/05/2018




K2LE22
Recertification, Follow Up, Life Safety Code
12/21/2017




K2LE12
Recertification, Complaint, Follow Up, State Licensure
12/16/2017




JMHW11
Complaint
12/15/2017




49KH12
Complaint, Follow Up
12/15/2017




PQ8011
Complaint
12/11/2017




N5TW11
Complaint
11/22/2017




K2LE21
Recertification, Life Safety Code
11/21/2017




49KH11
Complaint
10/21/2017




K2LE11
Recertification, Complaint, State Licensure
10/20/2017




90PK12
Complaint, Follow Up
09/28/2017




90PK11
Complaint
08/23/2017




WX5012
Complaint, Follow Up
08/07/2017




WX5011
Complaint
07/18/2017




9NI911
Complaint
07/06/2017




QZON11
Complaint
05/02/2017




LPTC11
Complaint
03/16/2017




SIMT11
Complaint
02/28/2017




6FD712
Complaint, Follow Up
01/17/2017





 
 




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.