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: 9730 PRAIRIE LAKES BLVD EAST
City: NOBLESVILLE
Telephone: (317) 770-3644
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 24-012305-1
License effective date: 12/01/2024
License expiration date: 11/30/2025
Administration and Staff
Administrator: HOLLY SNYDER
Start date: 11/12/2023
Director of Nursing: KRISTEN DYKE
Start date: 07/15/2021
Medical director: David Tetrick
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
JOSHUA DAUGHERTY
MARIA BOND
LACEY WILLARD
J. DAVID MOSSLER
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: TRILOGY HEALTHCARE OF HAMILTON II LLC
Date of last change of ownership: 12/01/2014
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 31
Number of Medicare/Medicaid beds (SNF/NF): 30
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 61
RESIDENTIAL CARE BEDS:
Total number of residential beds: 73
Total number of beds in facility: 134
CENSUS:
Facility census: 116
As reported by the facility on: 07/17/2025
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/17/2025
Residential care beds occupied: 60
As reported by the facility on: 07/17/2025
Alzheimer Beds: 32
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: 61
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: 61
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 - STACY MEVZEK
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXECUTIVE DIRECTOR
Date form completed - 03/17/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 09/26/2024
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2026
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 07/17/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
HEALTHCARE TRAINING CENTER AT LEBANON
Approved: 02/17/2012
Terminated: 09/12/2013
HARDON EDUCATION
Approved: 08/16/2018
Terminated: 07/18/2022
J EVERETT LIGHT CAREER CENTER
Approved: 10/04/2016
Terminated: 07/18/2022
RESQ HEALTH & SAFETY TRAINING
Approved: 05/16/2018
Terminated: 07/18/2022
ACL MEDICAL TRAINING, LLC
Approved: 10/31/2019
Terminated: 07/18/2022
ALL HEART NURSE'S AIDE TRAINING CENTER, LLC
Approved: 09/20/2018
Terminated: 07/18/2022
CERTIFIED HEALTHCARE TRAINING
Approved: 09/25/2018
Terminated: 07/18/2022
LEGACY MEDICAL ACADEMY
Approved: 06/14/2022
Terminated: 07/18/2022
CUMBERLAND POINTE HEALTH CAMPUS
Approved: 09/21/2021
Terminated: 07/18/2022
LEFFLER ACADEMY
Approved: 07/26/2022
Terminated: 07/18/2022
PRAIRIE LAKES HEALTH CAMPUS
Approved: 09/26/2024
Terminated: N/A
CUMBERLAND POINTE HEALTH CAMPUS
Approved: 05/23/2025
Terminated: N/A
BETHANY POINTE HEALTH CAMPUS
Approved: 04/19/2023
Terminated: 07/18/2022
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
470
446
446
431
Rank of Score
4
8
7
13
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
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: 11/17/2022 Date Ended: 11/11/2022
Civil Money Penalty
Date Imposed: 10/25/2022 Date Ended: 10/25/2022
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.
