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2725 ENTERPRISE DRIVE

ANDERSON, IN null

COMPLIANCE WITH LAWS

Tag No.: A0020

Based on document review & interview the facility failed to maintain a license to operate a Psychiatric Inpatient Facility (see tag A0022).

The cumulative effect of this systemic problem resulted in the hospital's inability to ensure compliance with State Laws were followed.

LICENSURE OF HOSPITAL

Tag No.: A0022

Based on document review & interview the facility failed to maintain a license to operate a Psychiatric Inpatient Facility as required by Indiana Code (IC) 12-25-1-3 for 1 facility.

Findings include;

1. Review of IC 16-21-10-4 indicates the following;
Sec. 4. (a) As used in this chapter, "hospital" means either of the following:
(2) A private psychiatric hospital licensed under IC 12-25.

2. Review of IC 12-25-1-3 indicates the following;
Sec. 3. A person must hold a license issued by the secretary or the secretary's designee
to establish, conduct, operate, or maintain a private institution under any name for the
treatment and care of individuals with psychiatric disorders, developmental disabilities,
convulsive disturbances, or other abnormal mental conditions.

3. On 5/31/2018 at 1530 hours staff #40 (Assistant Deputy Director for the Office of Division of Mental Health Agency) confirmed the facility's license to operate as a Psychiatric Inpatient Facility was not being renewed and the license would expire on 5/31/2018 at midnight.

4. On 6/01/2018 at 1335 hours staff #40 confirmed the facility's license expired to operate as a Psychiatric Inpatient Facility.