Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 251 HIGHWAY 66
City: NEW HARMONY
Telephone: (812) 682-4104
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 23-000555-1
License effective date: 4/1/2023
License expiration date: 3/31/2024
Administration and Staff
Administrator: JANIE SWEDENBURG
Start date: 11/8/2021
Director of Nursing: AMY FRY
Start date: 10/28/2022
Medical director: Chester Burkett
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: DAVIESS COUNTY HOSPITAL
1314 E WALNUT ST
WASHINGTON IN 47501
Ownership type: OTHER
Officer(s): SHELLY DEEM
DERON STEINER
TYSON WAGLER
RANDY RUSSELL
KENT NORRIS
SURESH LOHANO
ANTHONY SHOWALTER
DANIEL MCCARTHY
TRACY CONROY
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: NEW HARMONIE HEALTHCARE LLC
Date of last change of ownership: 4/1/2017
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): 96
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 96
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 96
CENSUS:
Facility census: 48
As reported by the facility on: 7/23/2020
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/23/2020
Residential care beds occupied: 0
As reported by the facility on: 7/23/2020
Alzheimer Beds: 24
Alzheimer Beds Occupied: 22
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: 50
Number of comprehensive care resident rooms with battery
operated smoke detectors: 50
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - JANIE SWEDENBURG
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMIN
Date form completed - 3/24/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 3/20/2015
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2019
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 2/23/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
PREMIER HEALTHCARE OF NEW HARMONY
Approved: 3/20/2015
Terminated: 5/20/2019
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 3
2 years previous: 11
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
357
357
357
357
Rank of Score
48
47
49
49
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
Yes
No
No
Substandard Quality of Care
Yes
No
No
Administrator Change
Yes
No
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
Discretionary Deny Pay for New Admits
Date Imposed: 7/8/2023 Date Ended: 7/24/2023
Civil Money Penalty
Date Imposed: 5/23/2022 Date Ended: 5/23/2022
Amount proposed per day: 6455
Civil Money Penalty
Date Imposed: 5/2/2022 Date Ended: 5/16/2022
Amount proposed per day: 4841
Amount proposed per day: 5379
Amount proposed per day: 5917
Civil Money Penalty
Date Imposed: 2/24/2022 Date Ended: 2/24/2022
Amount proposed per day:
Directed Plan of Correction
Date Imposed: 2/11/2022 Date Ended: 2/11/2022
Civil Money Penalty
Date Imposed: 2/7/2022 Date Ended: 2/7/2022
Amount proposed per day: 4048
Civil Money Penalty
Date Imposed: 1/31/2022 Date Ended: 1/31/2022
Amount proposed per day: 3542
Civil Money Penalty
Date Imposed: 1/24/2022 Date Ended: 1/24/2022
Amount proposed per day: 3542
Civil Money Penalty
Date Imposed: 1/21/2022 Date Ended: 1/21/2022
Amount proposed per day:
Civil Money Penalty
Date Imposed: 1/17/2022 Date Ended: 1/17/2022
Amount proposed per day: 3036
Civil Money Penalty
Date Imposed: 1/10/2022 Date Ended: 1/10/2022
Amount proposed per day: 3000
Civil Money Penalty
Date Imposed: 1/3/2022 Date Ended: 1/3/2022
Amount proposed per day: 2500
Civil Money Penalty
Date Imposed: 12/27/2021 Date Ended: 12/27/2021
Amount proposed per day: 2000
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.
