Indiana State Department of Health
Division of Long Term Care
 
CONSUMER REPORT
 
CORE OF BEDFORD
 
NURSING HOME
SKILLED NURSING FACILITY / NURSING FACILITY DUALLY CERTIFIED
Created on: 4/4/2025
 
Posted to the Web on: 4/16/2025
 
 



Basic Information

FACILITY CONTACT INFORMATION:
Address: 514 E 16TH ST
City: BEDFORD
Telephone: (812) 279-2001
Web Site:  
 
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
 
LICENSE INFORMATION:
  License number: 24-000370-1
  License effective date: 11/1/2024
  License expiration date: 10/31/2025
 


Administration and Staff

Administrator: SUSAN JORDAN
  Start date: 10/15/2022
 
Director of Nursing: JOY KERN
  Start date: 8/27/2021
 
Medical director: Kevin Neese
  Start date:   /  /  
 
Wound care specialist:  
  Start date:   /  /  
 
Infection preventionist: Carolena Harrison
  Start date:   /  /  
 


Ownership

CURENT OWNERSHIP:
 
Owning corporation: MAJOR HOSPITAL
2451 INTELLPLEX DR
SHELBYVILLE IN 46176
 
Ownership type:  OTHER
 
Officer(s): DANA CALDWELL
            JEFF BEATY
            JOHN COFFIN
            JAN SANDMAN
            SHERRI TANDY
            JOHN HORNER
            PAULA GUSTAFSON
            GENE JONES
            RALPH MERCURI
            LINDA WESSIC
            ROB KINDER
            RYAN CLAXTON
            MELANIE STEVENS
            PHILP MATTHEW HAEHL
            ALEXANDER ISAKOVAN
 
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: CORE OF BEDFORD INC
Date of last change of ownership:  
 


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):        37
Number of non-certified comprehensive care beds (State Licensed only):     0
Total number of comprehensive care beds:     37
 
RESIDENTIAL CARE BEDS:
 
Total number of residential beds:            0
 
Total number of beds in facility:            37
 
CENSUS:
Facility census:  31
As reported by the facility on: 1/9/2025 1
 
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 1/9/2025 1
 
Residential care beds occupied:  0
As reported by the facility on: 1/9/2025 1
 
Alzheimer Beds:  37
Alzheimer Beds Occupied:  29
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: 18
Number of comprehensive care resident rooms with battery 
                    operated smoke detectors: 18
Number of comprehensive care resident rooms 
             with hard wired and/or wireless smoke detectors: 0
 
Person completing form - EDWARD K. HUGHES, HFA
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. ADMINISTRATOR
Date form completed - 3/22/2022
 


Nurse Aide Training

NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 7/17/2018
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: 5/4/2021
 
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites: 
     CORE OF BEDFORD
         Approved: 7/17/2018
         Terminated: 5/5/2019
 


Complaints

NUMBER OF SUBSTANTIATED COMPLAINTS: 
 
  Current year:  0
  Previous year:  0
  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
195
195
195
380


Rank of Score
90
90
91
41


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 grid
 
View 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
Yes


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: 4/20/2023  Date Ended: 5/15/2023
     Civil Money Penalty
     Date Imposed: 4/21/2022  Date Ended: 5/8/2022
     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.


 
Event ID
Survey Type
Exit Date

KV1J21
Recertification, Life Safety Code
3/17/2025


MISV11
Complaint
3/6/2025


KV1J11
Recertification, State Licensure
2/20/2025


BCOU12
Complaint, Follow Up
2/10/2025


BCOU11
Complaint
1/17/2025


OCCW11
Complaint
12/9/2024


MOP011
Complaint, Other
9/3/2024


CV5N22
Follow Up, Life Safety Code, Recertification
8/5/2024


FM7G11
Complaint
6/3/2024


CV5N12
Recertification, Follow Up, State Licensure
5/28/2024


CV5N21
Recertification, Life Safety Code
5/16/2024


CV5N11
Recertification, State Licensure
4/26/2024


LF8H11
Complaint
11/16/2023


CUWD11
Complaint
9/21/2023


1I9N11
Complaint
7/28/2023


V7FD11
Complaint
6/26/2023


IO1111
Complaint
6/16/2023


316C22
Follow Up, Life Safety Code, Recertification
6/5/2023


316C12
Recertification, Follow Up, State Licensure
5/22/2023


316C21
Recertification, Life Safety Code
4/20/2023


316C11
Recertification, State Licensure
3/17/2023


C2QS11
Complaint
11/16/2022


7U7Y11
Complaint
10/17/2022


E4M822
Recertification, Follow Up, Life Safety Code
7/8/2022


2OT611
Complaint
5/31/2022


E4M812
Recertification, Follow Up, State Licensure
5/26/2022


E4M821
Recertification, Life Safety Code
5/24/2022


E4M811
Recertification, Complaint, State Licensure
4/22/2022


 
 


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.