Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 937 FRY RD
City: GREENWOOD
Telephone: (317) 881-3535
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 23-000509-1
License effective date: 10/1/2023
License expiration date: 9/30/2024
Administration and Staff
Administrator: DANIEL KERN
Start date: 10/25/2021
Director of Nursing: MARCIA MACK
Start date: 4/11/2022
Medical director: Kevin Neese
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
Ownership type: OTHER
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: JAY COUNTY HOSPITAL
Date of last change of ownership: 10/1/2017
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): 121
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 121
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 121
CENSUS:
Facility census: 81
As reported by the facility on: 1/2/2019 2
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/2/2019 2
Residential care beds occupied: 0
As reported by the facility on: 1/2/2019 2
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: 64
Number of comprehensive care resident rooms with battery
operated smoke detectors: 64
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - TINA LE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 3/17/2021
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 9/4/2020
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2024
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:
WALKER CAREER CENTER
Approved: 1/25/2007
Terminated: N/A
PRIMEWAY INSTITUTE
Approved: 9/24/2007
Terminated: 6/14/2021
CENTRAL NINE CAREER CENTER
Approved: 6/5/2003
Terminated: N/A
J EVERETT LIGHT CAREER CENTER
Approved: 6/6/2011
Terminated: N/A
AMERICAN RED CROSS NURSE AIDE TRAINING
Approved: 3/20/2015
Terminated: 7/15/2016
ACL MEDICAL TRAINING, LLC
Approved: 4/18/2019
Terminated: N/A
GREENWOOD HEALTH AND LIVING COMMUNITY
Approved: 9/4/2020
Terminated: N/A
UNIVERSITY HEIGHTS HEALTH AND LIVING COMMUNITY
Approved: 1/19/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
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
410
407
401
440
Rank of Score
24
23
29
10
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
Yes
Yes
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
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.
