Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

GOLDEN LIVING CENTER-RICHMOND

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART

Created on: 10/25/2019

Posted to the Web on: 11/06/2019
Basic Information
FACILITY CONTACT INFORMATION: Address: 1042 OAK DR City: RICHMOND Telephone: (765) 966-7788 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 19-000077-1 License effective date: 09/01/2019 License expiration date: 08/31/2020
Administration and Staff
Administrator: KEVIN CRAIG Start date: 02/08/2019 Director of Nursing: VANESSA MASON Start date: 02/01/2019 Medical director: Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: HENDRICKS COUNTY HOSPITAL 1000 EAST MAIN STREET DANVILLE IN 46122 Ownership type: OTHER Officer(s): KEVIN SPEER TERRY DILLON MIKE EDMONDSON ERIN ENGELS YVONNE CULPEPPER GARY EVERLING GORDON REED KELLI WAGGONER PREVIOUS OWNERSHIP CHANGES: Name of previous owner: BEVERLY HEALTHCARE LLC Date of last change of ownership: 09/01/2014
Bed Counts and Census
COMPREHENSIVE CARE BEDS: Number of Medicaid beds (NF): 0 Number of Medicare beds (SNF): 28 Number of Medicare/Medicaid beds (SNF/NF): 94 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 122 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 122 CENSUS: Facility census: 61 As reported by the facility on: 01/16/2019 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 01/16/2019 Residential care beds occupied: 0 As reported by the facility on: 01/16/2019 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: 63 Number of comprehensive care resident rooms with battery operated smoke detectors: 63 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - DENNIS THOMAS Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIRECTOR OF MAINTENA Date form completed - 09/29/2016
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 12/16/2016 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2020 Nurse aide training and competency evaluation program (NATCEP) banned: No Nurse aide training and competency evaluation program (NATCEP) ban expires: N/A CLINICAL TRAINING SITES: This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: WHITEWATER CAREER CENTER Approved: 09/28/2000 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: 03/11/1999 Terminated: N/A GOLDEN LIVING CENTER-RICHMOND Approved: 12/16/2016 Terminated: N/A RICHMOND AREA CAREER CENTER Approved: 08/04/2016 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  2
  Previous year:  0
  2 years previous:  2
Facility Report Card
  09/01/2019 Current QTR 06/01/2019 Previous QTR 03/01/2019 Previous QTR 12/01/2018 Previous QTR
Report Card Score 368 368 401 389
Rank of Score 44 44 27 35
Average Score 295 296 303 304
 
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 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 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
N6T012 Complaint, Follow Up 09/05/2019
N6T011 Complaint 07/08/2019
BE4912 Complaint, Follow Up 04/11/2019
LEWL11 Complaint 04/09/2019
E5ZE22 Recertification, Follow Up, Life Safety Code 04/03/2019
BE4911 Complaint 03/07/2019
E5ZE12 Recertification, Follow Up, State Licensure 02/11/2019
E5ZE21 Recertification, Life Safety Code 02/05/2019
E5ZE11 Recertification, State Licensure 01/08/2019
XK3Z11 Complaint 12/05/2018
ZFY011 Complaint 08/29/2018
SE1G11 Complaint 04/25/2018
ZRPM22 Follow Up, Life Safety Code, Recertification 01/18/2018
ZRPM21 Recertification, Life Safety Code 12/12/2017
ZRPM12 Recertification, Follow Up, State Licensure 12/04/2017
ZRPM11 Recertification, State Licensure 10/27/2017
ZNNS12 Complaint, Follow Up 10/16/2017
Y5WO12 Complaint, Follow Up 10/06/2017
ZNNS11 Complaint 09/14/2017
Y5WO11 Complaint 08/22/2017
9N2511 Complaint 02/20/2017
2YIV12 Complaint, Follow Up 02/10/2017
2YIV11 Complaint 01/17/2017
 
 
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.