SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 101 W 87TH AVE
City: MERRILLVILLE
Telephone: (219) 756-0744
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 24-010739-2
License effective date: 07/01/2024
License expiration date: 06/30/2025
Administration and Staff
Administrator: LAKEITHIA WEBB
Start date: 02/20/2023
Director of Nursing: MICHELLE ASHFORD
Start date: 05/15/2023
Medical director:
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist: Gabrielle Shea
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
Ownership type: PROFIT
Officer(s): DANA CALDWELL
JEFF BEATY
JOHN COFFIN
JAN SANDMAN
SHERRI TANDY
PAULA GUSTAFSON
GENE JONES
RALPH MERCURI
LINDA WESSIC
ROB KINDER
RYAN CLAXTON
MELANIE STEVENS
PHILP MATTHEW HAEHL
ALEXANDER ISAKOVAN
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: TRILOGY HEALTH SERVICES LLC
Date of last change of ownership:
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 43
Number of Medicare/Medicaid beds (SNF/NF): 21
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 64
RESIDENTIAL CARE BEDS:
Total number of residential beds: 105
Total number of beds in facility: 169
CENSUS:
Facility census: 62
As reported by the facility on: 07/09/2025
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/09/2025
Residential care beds occupied: 11
As reported by the facility on: 07/09/2025
Alzheimer Beds: 35
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: 108
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: 103
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 - STEVE COSNER
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 04/16/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:
Nurse aide training and competency evaluation program (NATCEP) expires:
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 08/06/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
BLUE SKIES HOSPICE INCORPORATED
Approved: 06/20/2006
Terminated: 05/05/2021
MED-STAR ACADEMY
Approved: 03/17/2015
Terminated: 09/14/2021
TENDER LOVE CNA ACADEMY, LLC
Approved: 11/02/2015
Terminated: 04/11/2016
IVY TECH COMMUNITY COLLEGE
Approved: 04/14/2015
Terminated: 09/14/2021
AMBASSADOR NURSES AIDE TRAINING
Approved: 02/29/2016
Terminated: 09/14/2021
UNIVERSITY OF SAINT FRANCIS
Approved: 06/23/2016
Terminated: 09/14/2021
IN TRAINING COLLEGE OF ADULT EDUCATION
Approved: 04/11/2023
Terminated: 08/07/2022
DESTINATION UNLIMITED TRAINING CENTER
Approved: 10/01/2021
Terminated: 09/14/2021
LEGACY MEDICAL ACADEMY
Approved: 10/07/2021
Terminated: 09/14/2021
VICTORY TRAINING
Approved: 11/30/2020
Terminated: 09/14/2021
DESTINATION UNLIMITED TRAINING CENTER
Approved: 10/01/2021
Terminated: 09/14/2021
MERRILLVILLE HIGH SCHOOL
Approved: 12/15/2021
Terminated: 09/14/2021
BEGINNING OF A START TRAINING CENTER
Approved: 04/14/2023
Terminated: 09/14/2021
LEGACY MEDICAL ACADEMY
Approved: 10/07/2021
Terminated: 09/14/2021
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
Facility Report Card
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR
Report Card Score
273
279
240
255
Rank of Score
78
78
84
82
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
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: 08/07/2022 Date Ended: 08/09/2022
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.
