Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

HERITAGE HOUSE OF RICHMOND

NURSING HOME

SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED

Created on: 11/08/2019

Posted to the Web on: 11/20/2019
Basic Information
FACILITY CONTACT INFORMATION: Address: 2070 CHESTER BLVD City: RICHMOND Telephone: (765) 962-3543 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 19-000133-1 License effective date: 01/01/2019 License expiration date: 12/31/2019
Administration and Staff
Administrator: MERRY GOODWIN Start date: 09/03/2018 Director of Nursing: LACEY EUBANKS Start date: 07/24/2017 Medical director: Harold Edmiston Start date: / / Wound care specialist: Lisa Jelly-May Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: HENRY COUNTY MEMORIAL HOSPITAL 798 NORTH 16TH ST NEW CASTLE IN 47362 Ownership type: OTHER Officer(s): JOHN PIDGEON SHELDON DYNES DUANE BRAMMER MARION SHORE PAUL JANSSEN BENJAMIN FRENCH PREVIOUS OWNERSHIP CHANGES: Name of previous owner: HERITAGE HOUSE OF RICHMOND LLC Date of last change of ownership: 01/01/2012
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): 87 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 87 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 87 CENSUS: Facility census: 65 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: 0 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: 46 Number of comprehensive care resident rooms with battery operated smoke detectors: 46 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JOHN TAYLOR Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. DIRECTOR OF MAINTENA Date form completed - 01/22/2019
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 03/16/2005 Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2009 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: HERITAGE HOUSE OF NEW CASTLE Approved: 10/30/2013 Terminated: N/A WHITEWATER CAREER CENTER Approved: 10/24/2011 Terminated: N/A IVY TECH COMMUNITY COLLEGE Approved: N/A Terminated: 03/11/1999 HERITAGE HOUSE OF RICHMOND Approved: 04/19/2001 Terminated: N/A NEW CASTLE CAREER CENTER Approved: 07/31/2019 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  2
  Previous year:  3
  2 years previous:  0
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 326 311 365 368
Rank of Score 59 65 47 46
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 Yes
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 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
3WGU11 Complaint 08/23/2019
FB0F12 Complaint, Follow Up 06/10/2019
FB0F11 Complaint 05/16/2019
I3XY22 Follow Up, Life Safety Code, Recertification 04/30/2019
ZC5T12 Complaint, Follow Up 03/21/2019
I3XY12 Recertification, Follow Up, State Licensure 03/21/2019
I3XY21 Recertification, Life Safety Code 03/04/2019
I3XY11 Recertification, State Licensure 02/15/2019
ZC5T11 Complaint 02/15/2019
5J4612 Complaint, Follow Up 01/09/2019
5J4611 Complaint 12/07/2018
05BE12 Complaint, Follow Up 08/31/2018
05BE11 Complaint 08/08/2018
WQHU12 Complaint, Follow Up 03/09/2018
5SUN12 Complaint, Follow Up, Recertification, State Licensure 03/08/2018
5SUN22 Recertification, Follow Up, Life Safety Code 03/01/2018
5SUN21 Recertification, Life Safety Code 02/08/2018
WQHU11 Complaint 01/10/2018
5SUN11 Recertification, Complaint, State Licensure 01/09/2018
N5JH11 Complaint 06/30/2017
G11Z22 Follow Up, Life Safety Code, Recertification 02/24/2017
G11Z21 Recertification, Life Safety Code 12/12/2016
G11Z12 Follow Up, Recertification, State Licensure 12/08/2016
G11Z11 Recertification, Complaint, State Licensure 11/09/2016
 
 
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.