SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 2 E TILDEN
City: BROWNSBURG
Telephone: (317) 852-8585
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 24-011367-1
License effective date: 2/1/2024
License expiration date: 1/31/2025
Administration and Staff
Administrator: TIMOTHY CARTER
Start date: 8/18/2021
Director of Nursing: JOCELYN RAMSEY
Start date: 7/25/2019
Medical director:
Start date: / /
Wound care specialist: Jessie Mattox
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
CHARLES EBERHARDT II
CARL DRUMMER
SHELIA GUENIN
TED NOLTING
PAUL BABCOCK
ROBERT LAZARD
GEETA MANTRAVADI
MONICA CRAIN
BEVERLY MUKES-GAITHER
THOMAS HANIFY
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: BROWNSBURG MEADOWS LLC
Date of last change of ownership: 2/1/2009
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 31
Number of Medicare/Medicaid beds (SNF/NF): 116
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 147
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 147
CENSUS:
Facility census: 186
As reported by the facility on: 1/11/2022
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/11/2022
Residential care beds occupied: 79
As reported by the facility on: 1/11/2022
Alzheimer Beds: 28
Alzheimer Beds Occupied: 28
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: 79
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: 79
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 - TIMOTHY CARTER
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ED
Date form completed - 4/11/2023
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: 10/14/2023
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
AREA 31 CAREER CENTER
Approved: 3/25/2008
Terminated: 10/15/2021
NURSE AIDE TRAINING CENTER LLC
Approved: 9/21/2009
Terminated: 10/15/2021
CNA INSTITUTE OF INDIANA
Approved: 10/30/2012
Terminated: 5/5/2021
MEDTECH COLLEGE-INDIANAPOLIS CAMPUS
Approved: 10/18/2013
Terminated: 4/1/2018
ZIONSVILLE MEADOWS
Approved: 6/20/2018
Terminated: 10/15/2021
ASC TRAINING CENTER
Approved: 4/25/2016
Terminated: 10/15/2021
LEFFLER ACADEMY, LLC
Approved: 5/10/2021
Terminated: 10/15/2021
AREA 31 CAREER CENTER
Approved: 10/30/2023
Terminated: N/A
ASC TRAINING CENTER
Approved: 10/27/2023
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 1
2 years previous: 0
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
402
402
425
398
Rank of Score
27
26
16
30
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
Yes
No
No
Substandard Quality of Care
Yes
No
No
Administrator Change
Yes
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
Discretionary Deny Pay for New Admits
Date Imposed: 11/6/2021 Date Ended: 12/2/2021
Civil Money Penalty
Date Imposed: 9/18/2021 Date Ended: 12/2/2021
Amount proposed per day:
Amount proposed per day: 540
Amount proposed per day: 7030
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.