Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
EVERGREEN CROSSING AND THE LOFTS
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 07/25/2025
 
Posted to the Web on: 08/06/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 5404 GEORGETOWN ROAD
City: INDIANAPOLIS
Telephone: (317) 291-5404
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-013280-1
  License effective date: 11/01/2024
  License expiration date: 10/31/2025
 


Administration and Staff

Administrator: AMANDA SPALL
  Start date: 02/19/2025
 
Director of Nursing: TIFFANY GADIS
  Start date: 04/20/2025
 
Medical director:  
  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:  NON-PROFIT
 
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: EVERGREEN PLACE- INDIANAPOLIS LLC
Date of last change of ownership: 11/15/2018
 


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):        109
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     109
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            109
 
CENSUS:
Facility census:  64
As reported by the facility on: 01/15/2020
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/15/2020
 
Residential care beds occupied:  0
As reported by the facility on: 01/15/2020
 
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: 92
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: 92
 
  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 CROMER
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 03/21/2023
 


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: 07/13/2024
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     PIKE CAREER AND STEM CENTER
         Approved: 07/22/2015
         Terminated: 11/09/2017
     AMERICAN RED CROSS NURSE AIDE TRAINING
         Approved: 02/29/2016
         Terminated: 11/09/2017
     HEALTHCARE CAREER TRAINING INSTITUTE
         Approved: 07/07/2016
         Terminated: 11/09/2017
     PRIMEWAY INSTITUTE
         Approved: 05/24/2017
         Terminated: 11/09/2017
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  5

 


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
267
264
252
276


Rank of Score
79
80
82
78


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
No
No
No


 Substandard Quality of Care 
No
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
     Directed Plan of Correction
     Date Imposed: 05/20/2023  Date Ended: 05/15/2023
     Directed Plan of Correction
     Date Imposed: 03/09/2023  Date Ended: 03/28/2023
     Civil Money Penalty
     Date Imposed: 02/03/2023  Date Ended: 02/03/2023
     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

YTL722
Follow Up, Life Safety Code, Recertification
05/15/2025


YTL712
Recertification, Follow Up, State Licensure
04/25/2025


LYN711
Complaint
04/22/2025


YTL721
Recertification, Life Safety Code
03/26/2025


YTL711
Recertification, Complaint, State Licensure
02/28/2025


3EV312
Complaint, Follow Up
01/15/2025


3D4411
Complaint
01/03/2025


72D411
Complaint
12/03/2024


3EV311
Complaint
11/15/2024


KU3H11
Complaint
10/30/2024


9SM611
Complaint
09/10/2024


LC5611
Complaint
08/20/2024


CMKQ11
Complaint
07/17/2024


KW8Y11
Complaint
06/17/2024


STL012
Complaint, Follow Up
04/23/2024


STL011
Complaint
03/06/2024


17GL12
Complaint, Follow Up
03/05/2024


C5TU22
Follow Up, Life Safety Code, Recertification
02/12/2024


17GL11
Complaint
02/07/2024


C5TU12
Recertification, Complaint, Follow Up, State Licensure
01/22/2024


Z6SH11
Complaint
01/18/2024


C5TU21
Recertification, Life Safety Code
01/11/2024


C5TU11
Recertification, Complaint, State Licensure
12/15/2023


GIQJ22
Recertification, Follow Up, Life Safety Code
09/21/2023


GIQJ12
Recertification, Follow Up, State Licensure
09/14/2023


DJPS11
Complaint
08/23/2023


GIQJ21
Recertification, Life Safety Code
08/21/2023


GIQJ11
Recertification, Complaint, State Licensure
07/31/2023


FWWC23
Recertification, Follow Up, Life Safety Code
05/22/2023


FWWC22
Recertification, Follow Up, Life Safety Code
04/24/2023


FWWC13
Recertification, Complaint, Follow Up, State Licensure
04/14/2023


FWWC12
Recertification, Complaint, Follow Up, State Licensure
03/10/2023


R5R811
Complaint
03/07/2023


FWWC21
Recertification, Life Safety Code
02/27/2023


FWWC11
Recertification, Complaint, State Licensure
02/03/2023


XSCB11
Complaint
11/16/2022


J5YA22
Recertification, Follow Up, Life Safety Code
10/20/2022


J5YA12
Recertification, Complaint, Follow Up, State Licensure
09/08/2022


J5YA21
Recertification, Life Safety Code
08/22/2022


GPIA11
Complaint
08/16/2022


 
 


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.