Indiana State Department of Health

Division of Long Term Care

CONSUMER REPORT

BROOKDALE RICHMOND

NURSING HOME

RESIDENTIAL FACILITY

Created on: 11/08/2019

Posted to the Web on: 11/20/2019
Basic Information
FACILITY CONTACT INFORMATION: Address: 3700 SOUTH A STREET City: RICHMOND Telephone: (765) 939-3310 Web Site: NAME CHANGES: Most recent name change: N/A Date of most recent name change: N/A LICENSE INFORMATION: License number: 19-010888-1 License effective date: 12/01/2019 License expiration date: 11/30/2020
Administration and Staff
Administrator: EMILY GIBSON Start date: 06/10/2018 Director of Nursing: JENNIFER DAVIS Start date: 06/15/2015 Medical director: Start date: / / Wound care specialist: Start date: / / Infection preventionist: Start date: / /
Ownership
CURENT OWNERSHIP: Owning corporation: BROOKDALE SENIOR LIVING COMMUNITIES INC 6737 W WASHINGTON ST, STE 2300 MILWAUKEE WI 53214 Ownership type: PROFIT Officer(s): JOANNE LESKOWICZ LUCINDA BAIER CHAD WHITE MARY SUE PATCHETT BETTY ULMER ANNA MUNOZ STACEY MEYER INC FEBC-ALT HOLDINGS PREVIOUS OWNERSHIP CHANGES: Name of previous owner: N/A Date of last change of ownership: N/A
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): 0 Number of non-certified comprehensive care beds (State Licensed only): 0 Total number of comprehensive care beds: 0 RESIDENTIAL CARE BEDS: Total number of residential beds: 56 Total number of beds in facility: 56 CENSUS: Facility census: 34 As reported by the facility on: 06/27/2019 Number of comprehensive care beds occupied in this facility. 0 As reported by the facility on: 06/27/2019 Residential care beds occupied: 34 As reported by the facility on: 06/27/2019 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: / /
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: 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: IVY TECH COMMUNITY COLLEGE Approved: 11/13/2000 Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  2 years previous:  1
State Licensure Surveys
The ISDH conducts a state licensure survey at each licensed residential facility
approximately once per year.  If state findings are cited on a survey, the
residential facility may be requested by the ISDH to complete a plan of
correction on how and when they will correct each state finding and who will be
responsible to ensure the corrections are made and will not reoccur in the future.
The plan of correction is generally submitted by the residential facility and
reviewed by the ISDH within fifteen (15) days of the survey.

To read an overview of the survey process, click here
   
NOTE:
    The residential consumer report survey information begins with surveys that
    have been completed on or after December 1, 2008.  Any survey performed prior
    to that date will not have any information in the state findings count rows or
    columns or will show zero.
01/18/2019 Most Recent 11/28/2017 2nd Most Recent 01/04/2017 3rd Most Recent
Number of state findings 0 0 0
State Average for the year of the survey (rounded to nearest whole integer). 3 3 3
Survey Report View Survey Report View Survey Report View Survey Report
Enforcement Actions
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
HKGS11 Relicensure 01/18/2019
PHKR11 Complaint 08/30/2018
1LMW11 Relicensure 11/28/2017
HW9911 Complaint 03/03/2017
003711 Relicensure 01/04/2017
 
 
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.