Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
ENGLEWOOD HEALTH & REHABILITATION CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 3/8/2024
 
Posted to the Web on: 3/20/2024
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 2237 ENGLE RD
City: FORT WAYNE
Telephone: (260) 747-2353
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 23-000498-1
  License effective date: 6/1/2023
  License expiration date: 5/31/2024
 


Administration and Staff

Administrator: STEPHANIE HILES
  Start date: 12/8/2023
 
Director of Nursing: KELLY GLASSER
  Start date: 6/24/2023
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist: Elizabeth Hurtado
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
 
Ownership type:  NON-PROFIT
 
Officer(s): WILLIAM KIRSCH
            GREG MURRAY
            LEEANN MURRAY
            CHARLES MULRY
            SAM MISHELOW
            MICHAEL DAUGHERTY
            JAYNA L FRIEND
            DAVE HYATT
            DAN STEVENS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: ENGLEWOOD HEALTHCARE OPERATIONS COMPANY LLC
Date of last change of ownership: 6/1/2012
 


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):        67
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     67
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            67
 
CENSUS:
Facility census:  49
As reported by the facility on: 1/2/2024 3
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/2/2024 3
 
Residential care beds occupied:  0
As reported by the facility on: 1/2/2024 3
 
Alzheimer Beds:  22
Alzheimer Beds Occupied:  20
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: 32
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: 32
 
  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 - SCOTT CONWAY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIRECTOR OF PLANT OP
Date form completed - 3/22/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 7/6/2018
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2020
Nurse aide training and competency evaluation program (NATCEP) banned: No
Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     OMEGA HEALTHCARE SYSTEMS HEALTH EDUCATION CENTER
         Approved: 8/20/2008
         Terminated: N/A
     ENGLEWOOD HEALTH & REHABILITATION CENTER
         Approved: 7/6/2018
         Terminated: 6/5/2020
     M & G QUALITY SERVICE
         Approved: 2/29/2012
         Terminated: 4/1/2014
     IN-SIGHT CNA TRAINING CENTER
         Approved: 7/5/2012
         Terminated: N/A
     UNIVERSITY OF SAINT FRANCIS
         Approved: N/A
         Terminated: 5/17/2002
     RISE UP HEALTH CARE ACADEMY
         Approved: 9/23/2016
         Terminated: N/A
     COTTON CARE LLC
         Approved: 8/3/2023
         Terminated: N/A
 


Complaints

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

 


Facility Report Card



 


 
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR


Report Card Score
350
350
317
359


Rank of Score
51
49
65
48


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 grid
 
View 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
Yes


 
    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

Event ID: DRBV11
  Action - Citation / Fine
  Notice to facility: 7/31/2023
             Appeal: N/A
  Action Cease/Recind: 9/1/2023
         Case Closed: 9/1/2023
  Initial Amount: $250
 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 10/5/2021  Date Ended: 10/5/2021
     Civil Money Penalty
     Date Imposed: 9/14/2021  Date Ended: 9/14/2021
     Amount proposed per day: 
 
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.


 
Event ID
Survey Type
Exit Date

O3HO11
Complaint
1/18/2024


OOZ112
Complaint, Follow Up, Other
10/24/2023


2JHR22
Follow Up, Life Safety Code, Recertification
9/8/2023


OOZ111
Complaint, Other
9/6/2023


2JHR12
Recertification, Follow Up, State Licensure
8/8/2023


2JHR21
Recertification, Life Safety Code
8/3/2023


2JHR11
Recertification, State Licensure
7/20/2023


2TCW11
Complaint
6/8/2023


DRBV11
State Licensure, Other
6/7/2023


MXPK11
Complaint
5/26/2023


IZ2B12
Complaint, Follow Up
5/15/2023


IZ2B11
Complaint
4/18/2023


4P7I22
Recertification, Follow Up, Life Safety Code
12/14/2022


4P7I21
Recertification, Life Safety Code
10/24/2022


4P7I12
Recertification, Complaint, Follow Up, State Licensure
10/24/2022


4P7I11
Recertification, Complaint, State Licensure
9/13/2022


X9NX11
Complaint
6/22/2022


O6O211
Complaint
6/6/2022


OI1811
Complaint
5/12/2022


Z97G11
Complaint, Other
2/16/2022


QBTU11
Complaint
1/27/2022


QE2411
Complaint
12/10/2021


Z89M11
Complaint
11/22/2021


UE6X11
Complaint
10/19/2021


TDG312
Complaint, Follow Up
10/6/2021


B87F22
Recertification, Follow Up, Life Safety Code
9/30/2021


FF6D12
Complaint, Follow Up
9/14/2021


TDG311
Complaint, Other
9/14/2021


5WDJ11
Complaint
8/25/2021


FF6D11
Complaint
8/3/2021


B87F21
Recertification, Life Safety Code
7/23/2021


B87F11
Recertification, State Licensure
6/29/2021


GYFD11
Complaint
3/29/2021


 
 


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.