Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

ROSEBUD VILLAGE

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: 2050 CHESTER BLVD City: RICHMOND Telephone: (765) 935-4440 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 19-000135-1 License effective date: 01/01/2019 License expiration date: 12/31/2019
Administration and Staff
Administrator: STEPHANIE ALLEN Start date: 04/08/2019 Director of Nursing: ANGELA PEMBERTON Start date: 03/02/2018 Medical director: Jeung Ahn 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 JAMES MINER DAVID CANAL CHARLES EBERHARDT II JOYCE ROGERS LISA HARRIS MATTHEW GUTWEIN DANIEL SELLERS CARL DRUMMER SHELIA GUENIN ELLEN WHITE QUIGLEY VIRGINIA CAINE PREVIOUS OWNERSHIP CHANGES: Name of previous owner: HOOSIER ENTERPRISES I INC 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): 10 Number of Medicare/Medicaid beds (SNF/NF): 100 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 110 RESIDENTIAL CARE BEDS: Total number of residential beds: 0 Total number of beds in facility: 110 CENSUS: Facility census: 95 As reported by the facility on: 08/08/2019 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 08/08/2019 Residential care beds occupied: 0 As reported by the facility on: 08/08/2019 Alzheimer Beds: 28 Alzheimer Beds Occupied: 26 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: 64 Number of comprehensive care resident rooms with battery operated smoke detectors: 64 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - EILEEN THOMAS Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. EXECUTIVE DIRECTOR I Date form completed - 03/28/2019
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS: Nurse aide training and competency evaluation program (NATCEP) approved: 06/20/2018 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: HERITAGE HOUSE OF RICHMOND Approved: 04/10/2007 Terminated: N/A ASC TRAINING CENTER Approved: 10/29/2013 Terminated: N/A BROOKVILLE HEALTHCARE CENTER Approved: 01/31/2011 Terminated: 02/22/2012 ROSEBUD VILLAGE Approved: 06/20/2018 Terminated: N/A NEW CASTLE CAREER CENTER Approved: 07/31/2019 Terminated: N/A HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER Approved: 06/28/2018 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  3
  2 years previous:  8
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 323 344 344 356
Rank of Score 61 53 54 50
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 No 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
O7B522 Recertification, Follow Up, Life Safety Code 06/19/2019
O7B512 Recertification, Follow Up, State Licensure 05/24/2019
O7B521 Recertification, Life Safety Code 05/09/2019
O7B511 Recertification, Complaint, State Licensure 04/17/2019
OK8711 Complaint 02/27/2019
45OW11 Complaint 01/04/2019
KH1912 Complaint, Follow Up 12/10/2018
KH1911 Complaint 11/09/2018
LM7O12 Complaint, Follow Up 08/20/2018
LM7O11 Complaint 07/03/2018
5MD022 Recertification, Follow Up, Life Safety Code 06/11/2018
5MD021 Recertification, Life Safety Code 04/23/2018
5MD012 Recertification, Complaint, Follow Up, State Licensure 04/10/2018
5MD011 Recertification, Complaint, State Licensure 03/06/2018
1ILR12 Complaint, Follow Up 10/03/2017
1ILR11 Complaint 08/29/2017
J8QH13 Complaint, Follow Up 08/14/2017
2PZ112 Complaint, Follow Up 07/31/2017
J8QH12 Complaint, Follow Up 07/31/2017
J8QH11 Complaint 07/10/2017
2PZ111 Complaint 06/16/2017
XVKW22 Recertification, Follow Up, Life Safety Code 04/27/2017
XVKW12 Recertification, Complaint, Follow Up, State Licensure 04/20/2017
XVKW21 Recertification, Life Safety Code 04/10/2017
XVKW11 Recertification, Complaint, State Licensure 02/24/2017
 
 
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.