Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
VALLEY VIEW HEALTHCARE 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: 333 W MISHAWAKA RD
City: ELKHART
Telephone: (574) 293-1550
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 23-000523-1
  License effective date: 5/1/2023
  License expiration date: 4/30/2024
 


Administration and Staff

Administrator: DAVID ERIC HENKE
  Start date: 7/5/2022
 
Director of Nursing: KIMBERLY RICHEY
  Start date: 12/27/2023
 
Medical director: Shaya Mokfi
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HANCOCK REGIONAL HOSPITAL
801 NORTH STATE STREET
GREENFIELD IN 46140
 
Ownership type:  OTHER
 
Officer(s): TIMOTHY CLARK
            ROY WILSON
            DEAN FELKER
            STEVEN LONG
            SARA JOYNER
            JOSH DAUGHERTY
            MARIA BOND
            LACEY WILLARD
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Date of last change of ownership: 1/1/2014
 


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):        94
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     94
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            94
 
CENSUS:
Facility census:  87
As reported by the facility on: 1/8/2024 4
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/8/2024 4
 
Residential care beds occupied:  0
As reported by the facility on: 1/8/2024 4
 
Alzheimer Beds:  126
Alzheimer Beds Occupied:  89
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: 51
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: 51
 
  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 - JOHN BERNADYN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. INTERIM EXECUTIVE DI
Date form completed - 3/24/2022
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 5/21/1999
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2001
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 3/18/2024
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE-ELKHART COUNTY
         Approved: 6/6/2008
         Terminated: 12/9/2010
     ELKHART NURSING SERVICES, INC
         Approved: 1/26/2007
         Terminated: 12/9/2010
     ELKHART AREA CAREER CENTER-HEALTH
         Approved: 3/6/2007
         Terminated: 12/9/2010
     IVY TECH COMMUNITY COLLEGE NORTH-CENTRAL
         Approved: 3/16/2007
         Terminated: 6/27/2008
     VALLEY VIEW HEALTHCARE CENTER
         Approved: 5/21/1999
         Terminated: 12/9/2010
     ELKHART AREA CAREER CENTER-HEALTH
         Approved: 1/27/1998
         Terminated: 9/11/2003
     LEGACY CNA TRAINING, LLC
         Approved: 10/5/2020
         Terminated: 10/29/2019
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  15

 


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
186
222
174
192


Rank of Score
91
86
93
91


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
Yes
No
No


 Substandard Quality of Care 
No
No
No


Administrator Change
Yes
Yes
No


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
     Directed Plan of Correction
     Date Imposed: 4/11/2023  Date Ended: 4/6/2023
     Civil Money Penalty
     Date Imposed: 3/14/2023  Date Ended: 3/14/2023
     Amount proposed per day: 
     Discretionary Deny Pay for New Admits
     Date Imposed: 3/19/2022  Date Ended: 7/1/2022
     Civil Money Penalty
     Date Imposed: 2/7/2022  Date Ended: 7/1/2022
     Amount proposed per day: 12085
     Amount proposed per day: 550
     Amount proposed per day: 440
     Directed Plan of Correction
     Date Imposed: 12/9/2021  Date Ended: 12/9/2021
     Civil Money Penalty
     Date Imposed: 11/12/2021  Date Ended: 11/12/2021
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 8/17/2021  Date Ended: 8/19/2021
     Civil Money Penalty
     Date Imposed: 7/20/2021  Date Ended: 7/20/2021
     Amount proposed per day: 
     Directed Plan of Correction
     Date Imposed: 6/5/2021  Date Ended: 6/6/2021
     Civil Money Penalty
     Date Imposed: 5/7/2021  Date Ended: 5/7/2021
     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

I82B11
Complaint
1/26/2024


CZG811
Complaint
12/28/2023


Y77312
Complaint, Follow Up
12/22/2023


7N7R11
Complaint
12/5/2023


Y77311
Complaint
11/1/2023


14Q511
Complaint
9/7/2023


1MFL11
Complaint
6/21/2023


GJPP22
Follow Up, Life Safety Code, Recertification
5/19/2023


GJPP12
Recertification, Complaint, Follow Up, State Licensure
4/26/2023


GJPP21
Recertification, Life Safety Code
4/6/2023


GJPP11
Recertification, Complaint, State Licensure
3/14/2023


WHRI12
Complaint, Follow Up
10/3/2022


WHRI11
Complaint
8/18/2022


81XY11
Complaint
7/28/2022


PMSH12
Complaint, Follow Up
7/26/2022


4R4012
Complaint, Follow Up, Other
7/26/2022


2S5912
Complaint, Follow Up
7/26/2022


H6OW12
Complaint, Follow Up, Other
7/26/2022


2S5911
Complaint
7/1/2022


IPM011
Complaint
5/27/2022


H6OW11
Complaint, Other
5/5/2022


PMSH11
Complaint
4/6/2022


F0RQ12
Complaint, Follow Up
3/21/2022


F0RQ11
Complaint, Other
2/28/2022


4R4011
Complaint, Other
2/18/2022


IGE411
Other
1/18/2022


Q9E912
Recertification, Follow Up, State Licensure
12/28/2021


Q9E922
Recertification, Follow Up, Life Safety Code
12/27/2021


Q9E921
Recertification, Life Safety Code
12/1/2021


Q9E911
Recertification, State Licensure
11/12/2021


SH3112
Complaint, Follow Up
10/15/2021


UYQI11
Complaint
10/12/2021


SH3111
Complaint
9/7/2021


DBZP12
Complaint, Follow Up, Other
9/1/2021


DBZP11
Complaint, Other
7/20/2021


4VQ612
Recertification, Follow Up, State Licensure
6/15/2021


4VQ622
Recertification, Follow Up, Life Safety Code
6/10/2021


4VQ621
Recertification, Life Safety Code
5/17/2021


4VQ611
Recertification, Complaint, State Licensure
5/7/2021


I1H112
Complaint, Follow Up
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.