Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
 
THIS FACILITY HAS CLOSED
 
MORNINGSIDE NURSING AND MEMORY CARE CENTER
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 09/28/2018
 
Posted to the Web on: 10/10/2018
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 18325 BAILEY AVE
City: SOUTH BEND
Telephone: (574) 272-2602
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 17-004732-1
  License effective date: 09/01/2017
  License expiration date: 08/31/2018
 


Administration and Staff

Administrator: 
  Start date: N/A
 
Director of Nursing: AMBER MOON
  Start date: 09/28/2017
 
Medical director: Sue Moore-Riesbeck
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist:  
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: DECATUR COUNTY MEMORIAL HOSPITAL
720 N LINCOLN ST
GREENSBURG IN 47240
 
Ownership type:  OTHER
 
Officer(s): JOHN CORYA
            REX MCKINNEY
            NICOLE BOERSMA
            STEPHEN STRINGER
            PATRICIA CRUSER
            DARREN EVANS
            MOLLIE FRY
            LAURA JOHNSON
            MARY MCCULLOUGH
            BRYAN ROBBINS
            CATHERINE KECK
            KATHY STEPHENS
            AMY WICKENS
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: STARLIGHT CARE FACILITIES INC
Date of last change of ownership: 09/10/2015
 


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):        40
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     40
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            40
 
CENSUS:
Facility census:  29
As reported by the facility on: 01/29/2018
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 01/29/2018
 
Residential care beds occupied:  0
As reported by the facility on: 01/29/2018
 
Alzheimer Beds:  40
Alzheimer Beds Occupied:  30
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: 17
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 3
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 14
 
  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 - ROGER GARMENDIA
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 07/28/2017
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved:  
Nurse aide training and competency evaluation program (NATCEP) expires:  
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 07/13/2018
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     MICHIANA HEALTHCARE TRAINING INC
         Approved: 08/21/2006
         Terminated: 03/17/2008
     LEGACY CNA TRAINING, LLC
         Approved: 12/10/2013
         Terminated: 06/03/2016
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  2
  2 years previous:  3

 


Enforcement Actions

 
Federal Certification Actions Imposed
     Directed Plan of Correction
     Date Imposed: 07/27/2017  Date Ended: 07/18/2017
     Civil Money Penalty
     Date Imposed: 01/27/2016  Date Ended: 02/25/2016
     Amount proposed per day: 350
 
Date terminated from Medicare/Medicaid: 04/02/2018
 


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

6PT912
Complaint, Follow Up
01/23/2018


6PT911
Complaint
12/28/2017


K0Z423
Recertification, Follow Up, Life Safety Code
07/19/2017


K0Z422
Recertification, Follow Up, Life Safety Code
07/05/2017


2R7C11
Complaint
06/13/2017


K0Z412
Recertification, Complaint, Follow Up, State Licensure
05/10/2017


K0Z421
Recertification, Life Safety Code
05/05/2017


TU4712
Complaint, Follow Up
08/22/2016


TU4711
Complaint
07/29/2016


5U4O12
Complaint, Follow Up
04/15/2016


GMFZ22
Follow Up, Life Safety Code, Recertification
04/06/2016


5U4O11
Complaint
03/31/2016


GMFZ21
Life Safety Code, Recertification
02/18/2016


2QE811
Complaint
01/05/2016


 
 


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.