Created on: 6/28/2024
Posted to the Web on: 7/10/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 8140 TOWNSHIP LINE RD
City: INDIANAPOLIS
Telephone: (317) 875-9700
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 24-000105-1
License effective date: 1/1/2024
License expiration date: 12/31/2024
Administration and Staff
Administrator: JEFFREY LYLE COX
Start date: 6/16/2016
Director of Nursing: ALICIA TAYLOR
Start date: 10/25/2021
Medical director: Bobbie Jellison
Start date: / /
Wound care specialist: Caitlin Fosteson
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: RETIREMENT LIVING INC
8140 TOWNSHIP LINE RD
INDIANAPOLIS IN 46260
Ownership type: NON-PROFIT
Officer(s): KEITH DETRUDE
KATHY CLARK
MICHAEL CORR
KAREN GENTLEMAN
DAVID MALLON
JEFFREY MELTZER
CONSTANCE BROWN
JEFF BORGERT
NICHOLE WILSON
JOE BREEN
KEVIN SCHAEFER
SCOTT HIRSCHMAN
SCOTT PRENTICE
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): 96
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: 96
RESIDENTIAL CARE BEDS:
Total number of residential beds: 77
Total number of beds in facility: 173
CENSUS:
Facility census: 121
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: 66
As reported by the facility on: 1/4/2024 3
Alzheimer Beds: 19
Alzheimer Beds Occupied: 12
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: 57
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: 57
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 - THOMAS MCCLAIN
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. BUILDING ENGINEER
Date form completed - 9/14/2023
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: 12/2/2024
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
HEALTH CARE PROFESSIONALS
Approved: 11/30/1999
Terminated: 10/17/2019
PIKE CAREER AND STEM CENTER
Approved: 7/22/2015
Terminated: 10/17/2019
J EVERETT LIGHT CAREER CENTER
Approved: 8/30/2021
Terminated: 12/3/2022
IVY TECH COMMUNITY COLLEGE
Approved: N/A
Terminated: 10/17/2019
INDYSTATHEALTHEDU, LLC
Approved: 1/17/2017
Terminated: 10/17/2019
ALL HEARTS TRAINING SERVICES, LLC
Approved: 6/22/2022
Terminated: 12/3/2022
PIKE CAREER AND STEM CENTER
Approved: 2/9/2022
Terminated: 12/3/2022
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 3
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
376
358
402
402
Rank of Score
40
47
28
29
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
No
Substandard Quality of Care
No
No
No
Administrator Change
No
No
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
Event ID: GP2Q11
Action - Citation / Fine
Notice to facility: N/A
Appeal: N/A
Action Cease/Recind: 6/21/2022
Case Closed: 6/21/2022
Initial Amount: $5000
Federal Certification Actions Imposed
Discretionary Deny Pay for New Admits
Date Imposed: 12/3/2022 Date Ended: 1/15/2023
Civil Money Penalty
Date Imposed: 11/3/2022 Date Ended: 11/29/2022
Amount proposed per day:
Amount proposed per day: 10000
Amount proposed per day:
Civil Money Penalty
Date Imposed: 2/14/2022 Date Ended: 2/14/2022
Amount proposed per day: 3036
Civil Money Penalty
Date Imposed: 2/7/2022 Date Ended: 2/7/2022
Amount proposed per day: 2530
Civil Money Penalty
Date Imposed: 12/20/2021 Date Ended: 12/20/2021
Amount proposed per day: 2000
Civil Money Penalty
Date Imposed: 12/13/2021 Date Ended: 12/13/2021
Amount proposed per day: 1500
Civil Money Penalty
Date Imposed: 11/29/2021 Date Ended: 11/29/2021
Amount proposed per day: 1000
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.
