Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
 
THIS FACILITY HAS CLOSED
 
ROCKVILLE NURSING AND REHABILITATION 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: 768 N US HWY 41
City: ROCKVILLE
Telephone: (765) 569-6526
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 18-000492-1
  License effective date: 09/01/2018
  License expiration date: 08/31/2019
 


Administration and Staff

Administrator: 
  Start date: N/A
 
 
Medical director:  
  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): ALBERT KENNETH INGRAM
            ROBERT SCHROEDER
            CARL PETTY
            BETTY BISCHOFF
            WILLIAM RITZMANN
            ROBERT MOORHEAD
            MICHAEL SCHWEBLER
 
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 - HOLLY GRENDRD
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 03/26/2018
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 03/22/1999
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2001
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 07/19/2017
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     WALNUT CREEK AT CLINTON
         Approved: 04/12/1999
         Terminated: 03/24/2004
     ROCKVILLE NURSING AND REHABILITATION CENTER
         Approved: N/A
         Terminated: 04/19/2006
     PARKE-VERMILLION EDUCATION AND TRAINING INTERLOCAL
         Approved: N/A
         Terminated: 03/24/2004
     WABASH RIVER CAREER & TECHNICAL EDUCATION
         Approved: 05/04/2018
         Terminated: N/A
 


Complaints

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

 


Enforcement Actions

 
Federal Certification Actions Imposed
 
Date terminated from Medicare/Medicaid: 06/12/2019
 


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

5XEX22
Recertification, Follow Up, Life Safety Code
05/21/2019


H1EM11
Complaint
04/17/2019


5XEX12
Complaint, Follow Up, Recertification, State Licensure
04/17/2019


5XEX21
Recertification, Life Safety Code
03/26/2019


5XEX11
Recertification, Complaint, State Licensure
03/13/2019


PDKP11
Complaint
02/06/2019


OL3W11
Complaint
08/26/2018


9HRC22
Follow Up, Life Safety Code, Recertification
08/07/2018


9HRC12
Recertification, Follow Up, State Licensure
07/12/2018


9HRC21
Recertification, Life Safety Code
05/14/2018


9HRC11
Recertification, State Licensure
04/30/2018


1D4012
Recertification, Follow Up, State Licensure
08/14/2017


1D4022
Follow Up, Life Safety Code, Recertification
08/09/2017


1D4021
Recertification, Life Safety Code
06/27/2017


1D4011
Recertification, State Licensure
06/05/2017


DI9D11
Complaint
03/20/2017


 
 


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.