Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 2345 W 86TH ST
City: INDIANAPOLIS
Telephone: (317) 415-5767
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000389-1
License effective date: 05/01/2025
License expiration date: 04/30/2026
Administration and Staff
Administrator: STEVEN STILL
Start date: 10/12/2022
Director of Nursing: GINA MACK
Start date: 03/12/2024
Medical director: Staci Hollar
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: LITTLE SISTERS OF THE POOR OF INDIANAPOLIS INC
2345 W 86TH ST
INDIANAPOLIS IN 46260
Ownership type: NON-PROFIT
Officer(s): MARGARET BANAR
FRANCIS KING
CELESTINE MEADE
MARIA LYNCH
CHRISTIAN ARAYATA
ROSE KIETTER
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: N/A
Date of last change of ownership: N/A
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): 23
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 23
RESIDENTIAL CARE BEDS:
Total number of residential beds: 18
Total number of beds in facility: 41
CENSUS:
Facility census: 64
As reported by the facility on: 01/03/2019
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/03/2019
Residential care beds occupied: 24
As reported by the facility on: 01/03/2019
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: 23
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: 23
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 - JOSEPH PESEK
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ASSISTANT FACILITIES
Date form completed - 04/07/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/07/1997
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/1999
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 02/07/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
ONE SPECIAL CARE CAREER CENTER
Approved: 04/22/2008
Terminated: 02/08/2022
LAWRENCE COMMUNITY EDUCATION
Approved: 09/19/2008
Terminated: 02/08/2022
NURSE AIDE TRAINING CENTER LLC
Approved: 08/23/2004
Terminated: 02/08/2022
PINNACLE LEARNING CENTER
Approved: 05/26/2005
Terminated: 02/08/2022
TELOS INSTITUTE INTERNATIONAL
Approved: 11/22/2005
Terminated: 02/08/2022
PRIMEWAY INSTITUTE
Approved: 01/26/2006
Terminated: 06/14/2021
ST AUGUSTINE HOME FOR THE AGED
Approved: 03/07/1997
Terminated: 02/08/2022
POWERHOUSE INTERNATIONAL CHRISTIAN UNIVERSITY CNA
Approved: 11/04/2013
Terminated: 02/08/2022
AMERICAN RED CROSS NURSE AIDE TRAINING
Approved: 08/21/2015
Terminated: 07/15/2016
THE URBAN MEDICAL INSTITUTE
Approved: 12/03/2010
Terminated: 02/08/2022
IVY TECH COMMUNITY COLLEGE
Approved: 02/24/2020
Terminated: 02/08/2022
DAY SPRING CAREER INSTITUTE
Approved: 11/10/2020
Terminated: 02/08/2022
PIKE CAREER AND STEM CENTER
Approved: 03/26/2021
Terminated: 02/08/2022
ACHIEVE TRAINING INSTITUTE
Approved: 02/22/2022
Terminated: 02/08/2022
FAITH HEALTHCARE TRAINING CENTER
Approved: 05/11/2023
Terminated: 02/08/2022
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
386
386
419
380
Rank of Score
35
35
18
41
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
Yes
Yes
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.
