CURENT OWNERSHIP:
Owning corporation: HANCOCK REGIONAL HOSPITAL
N/A
N/A N/A N/A
Ownership type: OTHER
Officer(s): PAUL PLEVYAK
RANDALL BUFFORD
PHILIP CALDWELL
LEIGH BARNEY
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: HANCOCK REGIONAL HOSPITAL
Date of last change of ownership: / /
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 50
Number of Medicare/Medicaid beds (SNF/NF): 20
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 70
RESIDENTIAL CARE BEDS:
Total number of residential beds: 30
Total number of beds in facility: 100
CENSUS:
Facility census: 73
As reported by the facility on: 7/9/2021 2
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 7/9/2021 2
Residential care beds occupied: 28
As reported by the facility on: 7/9/2021 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: 70
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: 70
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 - FRED CENCELEWSKI
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 3/12/2021
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: 10/4/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
LEGACY CNA TRAINING, LLC
Approved: 1/12/2021
Terminated: 10/18/2019
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 2
2 years previous: 3
Enforcement Actions
Federal Certification Actions Imposed
Directed Plan of Correction
Date Imposed: 12/21/2021 Date Ended: 12/10/2021
Discretionary Deny Pay for New Admits
Date Imposed: 11/4/2021 Date Ended: 12/9/2021
Civil Money Penalty
Date Imposed: 9/9/2021 Date Ended: 12/9/2021
Amount proposed per day:
Amount proposed per day:
Amount proposed per day:
Amount proposed per day:
Amount proposed per day: 540
Amount proposed per day: 7030
Civil Money Penalty
Date Imposed: 10/18/2019 Date Ended: 10/18/2019
Amount proposed per day: 0
Amount proposed per day:
Date terminated from Medicare/Medicaid: 3/2/2022
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.
