Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
COPPER TRACE HEALTH & LIVING COMMUNITY
 
NURSING HOME
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: 1250 W 146TH STREET
City: WESTFIELD
Telephone: (317) 844-5050
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-013556-2
  License effective date: 10/01/2024
  License expiration date: 09/30/2025
 


Administration and Staff

Administrator: NANCY POLLOCK
  Start date: 10/01/2018
 
Director of Nursing: MEGAN GUTIERREZ
  Start date: 07/29/2024
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
 
Ownership type:  OTHER
 
Officer(s): WILLIAM KIRSCH
            GREG MURRAY
            LEEANN MURRAY
            CHARLES MULRY
            SAM MISHELOW
            MICHAEL DAUGHERTY
            JAYNA L FRIEND
            DAVE HYATT
            DAN STEVENS
            DOUG MYERS
            AMY CROUCH
            ERIC MARCOTTE
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: JAY COUNTY HOSPITAL
Date of last change of ownership: 10/01/2017
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    26
Number of Medicare/Medicaid beds (SNF/NF):        78
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     104
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            119
 
Total number of beds in facility:            223
 
CENSUS:
Facility census:  136
As reported by the facility on: 07/01/2019
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/01/2019
 
Residential care beds occupied:  35
As reported by the facility on: 07/01/2019
 
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: 104
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: 104
 
  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 - MATTHEW COLEMAN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 04/15/2025
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 04/05/2019
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2021
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 12/18/2021
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     IVY TECH COMMUNITY COLLEGE
         Approved: 05/09/2018
         Terminated: 12/19/2019
     ALL HEART NURSE'S AIDE TRAINING CENTER, LLC
         Approved: 11/23/2016
         Terminated: 12/19/2019
     LEGACY MEDICAL ACADEMY
         Approved: 04/12/2016
         Terminated: 12/19/2019
     STEWART'S HEALTHCARE CONSULTANTS
         Approved: 06/25/2018
         Terminated: 12/19/2019
     J EVERETT LIGHT CAREER CENTER
         Approved: 10/04/2016
         Terminated: 12/19/2019
     COPPER TRACE HEALTH & LIVING COMMUNITY
         Approved: 04/05/2019
         Terminated: 12/19/2019
     IVY TECH COMMUNITY COLLEGE, HAMILTON COUNTY
         Approved: 03/18/2022
         Terminated: N/A
     LEGACY MEDICAL ACADEMY
         Approved: 04/14/2021
         Terminated: N/A
     ALL HEART MEDICAL TRAINING CENTER
         Approved: 10/11/2024
         Terminated: N/A
     CARMEL HEALTH & LIVING COMMUNITY
         Approved: 10/31/2023
         Terminated: N/A
 


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
404
428
410
410


Rank of Score
26
13
25
24


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
Yes


 Substandard Quality of Care 
No
No
Yes


Administrator Change
No
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
 
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

RM4F11
Complaint
04/29/2025


BG8211
Complaint
04/11/2025


TGXI11
Complaint
03/26/2025


0OOC22
Follow Up, Life Safety Code, Recertification
03/12/2025


ZL3711
Complaint
03/04/2025


OG2V11
Complaint
02/10/2025


0OOC21
Recertification, Life Safety Code
02/03/2025


0OOC12
Recertification, Follow Up, State Licensure
02/03/2025


0OOC11
Recertification, Complaint, State Licensure
01/08/2025


46WD12
Complaint, Follow Up, Other
12/30/2024


46WD11
Complaint, Other
12/06/2024


JUOL11
Complaint, Other
07/09/2024


XVIM21
Life Safety Code, Other
04/01/2024


5FOS11
Complaint
03/15/2024


JZOZ22
Recertification, Follow Up, Life Safety Code
01/02/2024


OZ5K11
Complaint
12/20/2023


JZOZ12
Recertification, Complaint, Follow Up, State Licensure, License Complaint
12/19/2023


N3F711
Complaint
12/05/2023


JZOZ21
Recertification, Life Safety Code
11/16/2023


JZOZ11
Recertification, Complaint, State Licensure, License Complaint
11/03/2023


0UUE12
Complaint, Follow Up
08/16/2023


0UUE11
Complaint
07/24/2023


MCPV11
Complaint
06/30/2023


Q67511
Complaint
04/04/2023


NT8411
Complaint
03/06/2023


K4LG11
Complaint
02/09/2023


4R0O22
Recertification, Follow Up, Life Safety Code
11/29/2022


4R0O12
Recertification, Follow Up, State Licensure
11/09/2022


WU5G11
Complaint
10/27/2022


4R0O21
Recertification, Life Safety Code
10/24/2022


4R0O11
Recertification, State Licensure
09/14/2022


BPFF12
Complaint, Follow Up
09/01/2022


BPFF11
Complaint
08/09/2022


 
 


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.