Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 910 W WALNUT ST
City: ALBANY
Telephone: (765) 789-4423
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 23-000309-1
License effective date: 4/1/2023
License expiration date: 3/31/2024
Administration and Staff
Administrator: JASON GIMRE
Start date: 10/21/2022
Director of Nursing: FELINA JO FREIBURGER
Start date: 7/18/2016
Medical director: Vahid-David Sedaghat
Start date: / /
Wound care specialist: Inola Watkins
Start date: / /
Infection preventionist: Rakeshia Hernandez
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: RIVERVIEW HOSPITAL
395 WESTFIELD ROAD
NOBLESVILLE IN 46060
Ownership type: NON-PROFIT
Officer(s): WILLIAM KIRSCH
GREG MURRAY
LEEANN MURRAY
CHARLES MULRY
SAM MISHELOW
MICHAEL DAUGHERTY
JAYNA L FRIEND
DAVE HYATT
DAN STEVENS
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: ALBANY HEALTHCARE OPERATIONS COMPANY LLC
Date of last change of ownership: 4/1/2012
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): 102
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 102
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 102
CENSUS:
Facility census: 76
As reported by the facility on: 1/4/2024 3
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/4/2024 3
Residential care beds occupied: 0
As reported by the facility on: 1/4/2024 3
Alzheimer Beds: 24
Alzheimer Beds Occupied: 17
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: 102
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: 102
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 - RICH ORRELL
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 3/28/2022
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 7/6/2018
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2020
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 9/8/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
MUNCIE AREA CAREER CENTER
Approved: 5/1/2008
Terminated: 9/9/2021
PARKER HEALTH CARE & REHABILITATION CENTER
Approved: 10/25/2007
Terminated: 4/1/2020
HERITAGE TEMPORARY STAFFING
Approved: 1/4/1999
Terminated: 2/11/2004
ALBANY HEALTH CARE & REHABILITATION CENTER
Approved: 7/6/2018
Terminated: 9/9/2021
IVY TECH COMMUNITY COLLEGE REGION 6
Approved: 3/17/1997
Terminated: 2/11/2004
R & R MEDICAL STAFFING, INC
Approved: 9/10/2012
Terminated: 9/9/2021
RISE UP HEALTH CARE ACADEMY
Approved: 12/6/2021
Terminated: 9/9/2021
RISE UP HEALTH CARE ACADEMY
Approved: 9/23/2016
Terminated: 9/9/2021
LEFFLER ACADEMY, LLC
Approved: 12/22/2020
Terminated: 9/9/2021
RISE UP HEALTH CARE ACADEMY
Approved: 3/20/2023
Terminated: 9/9/2021
MUNCIE AREA CAREER CENTER
Approved: 10/20/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 2
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
461
455
467
467
Rank of Score
5
6
4
4
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 gridView 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
Yes
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: 10/23/2021 Date Ended: 10/7/2021
Civil Money Penalty
Date Imposed: 9/9/2021 Date Ended: 10/5/2021
Amount proposed per day:
Amount proposed per day:
Directed Plan of Correction
Date Imposed: 4/10/2021 Date Ended: 4/15/2021
Civil Money Penalty
Date Imposed: 3/16/2021 Date Ended: 3/16/2021
Amount proposed per day:
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.
