Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
SPRING MILL MEADOWS
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
 
Posted to the Web on: 3/20/2024
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 2140 W 86TH ST
City: INDIANAPOLIS
Telephone: (317) 872-7211
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000074-1
  License effective date: 1/1/2024
  License expiration date: 12/31/2024
 


Administration and Staff

Administrator: CYNTHIA MARKER-KUMP
  Start date: 5/15/2017
 
Director of Nursing: ERIN TUCKER-STONE
  Start date: 9/12/2021
 
Medical director:  
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
3838 N RURAL ST
INDIANAPOLIS IN 46205
 
Ownership type:  OTHER
 
Officer(s): GREGORY FEHRIBACH
            CHARLES EBERHARDT II
            CARL DRUMMER
            SHELIA GUENIN
            TED NOLTING
            PAUL BABCOCK
            ROBERT LAZARD
            GEETA MANTRAVADI
            MONICA CRAIN
            BEVERLY MUKES-GAITHER
            THOMAS HANIFY
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: N/A
Date of last change of ownership: N/A
 


Bed Counts and Census

COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF):                     0
Number of Medicare beds (SNF):                    21
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:     130
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            130
 
CENSUS:
Facility census:  75
As reported by the facility on: 5/24/2023 
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 5/24/2023 
 
Residential care beds occupied:  0
As reported by the facility on: 5/24/2023 
 
Alzheimer Beds:  33
Alzheimer Beds Occupied:  29
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: 73
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 73
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - MICAEL GEBREHIWET
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE DIRECTOR
Date form completed - 3/20/2023
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 3/26/2001
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2003
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 5/20/2020
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     LAWRENCE COMMUNITY EDUCATION
         Approved: 11/13/2008
         Terminated: 4/15/2009
     CLARIAN HEALTH PARTNERS, INC
         Approved: 4/23/2004
         Terminated: 4/15/2009
     IVY TECH COMMUNITY COLLEGE
         Approved: 11/3/2004
         Terminated: 4/15/2009
     PINNACLE LEARNING CENTER
         Approved: 5/26/2005
         Terminated: 4/15/2009
     HEALTH CARE INSTITUTE
         Approved: 6/3/1998
         Terminated: 4/15/2009
     STAFFING AND EDUCATION FOR EXCELLENCE
         Approved: 5/28/1999
         Terminated: 4/15/2009
     SPRING MILL MEADOWS
         Approved: 10/20/1999
         Terminated: 6/19/2013
     NURSE AIDE TRAINING CENTER LLC
         Approved: 10/20/2021
         Terminated: N/A
     PROFESSIONAL DEVELOPMENTAL CENTER
         Approved: N/A
         Terminated: 4/15/2009
     ASC TRAINING CENTER
         Approved: 7/28/2020
         Terminated: N/A
     PIKE CAREER AND STEM CENTER
         Approved: 2/26/2021
         Terminated: N/A
     NEW BEGINNINGS ACADEMY
         Approved: 12/3/2021
         Terminated: N/A
     LEFFLER ACADEMY, LLC
         Approved: 5/11/2021
         Terminated: N/A
     ACHIEVE TRAINING INSTITUTE
         Approved: 2/22/2022
         Terminated: N/A
     J EVERETT LIGHT CAREER CENTER
         Approved: 2/29/2024
         Terminated: N/A
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  1

 


Facility Report Card



 


 
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR


Report Card Score
371
341
359
344


Rank of Score
42
52
48
54


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
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
     Directed Plan of Correction
     Date Imposed: 6/16/2021  Date Ended: 6/16/2021
 
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

5C3U11
Complaint
2/2/2024


0WMB12
Complaint, Follow Up
12/18/2023


0WMB11
Complaint
11/16/2023


WZ5L12
Complaint, Follow Up
11/9/2023


WZ5L11
Complaint, Other
10/5/2023


95YC11
Complaint
9/19/2023


XON522
Recertification, Follow Up, Life Safety Code
8/30/2023


XON512
Recertification, Follow Up, State Licensure
8/10/2023


XON521
Recertification, Life Safety Code
7/26/2023


XON511
Recertification, State Licensure
6/30/2023


3H4H11
Complaint
4/24/2023


SJUW12
Complaint, Follow Up
10/19/2022


SJUW11
Complaint
9/15/2022


I1BF22
Recertification, Follow Up, Life Safety Code
8/10/2022


I1BF12
Recertification, Follow Up, State Licensure
7/28/2022


I1BF21
Recertification, Life Safety Code
7/18/2022


PX1A11
Complaint, Other
7/12/2022


I1BF11
Recertification, State Licensure
6/6/2022


7WE511
Complaint, Other
4/28/2022


K3ZF11
Complaint, Other
3/16/2022


C0MC11
Complaint, Other
1/25/2022


FKFQ11
Other
1/3/2022


29JF11
Complaint
12/16/2021


487G11
Complaint
10/28/2021


NEDJ11
Complaint
9/30/2021


4LM811
Complaint
7/13/2021


OSZM11
Complaint
6/24/2021


FTZX22
Recertification, Follow Up, Life Safety Code
5/25/2021


FTZX12
Recertification, Follow Up, State Licensure
5/24/2021


FTZX21
Recertification, Life Safety Code
4/27/2021


FTZX11
Recertification, Complaint, State Licensure
4/19/2021


HPE211
Complaint
3/24/2021


 
 


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.