Indiana Nursing Homes >> Connersville Nursing Homes >> Hickory Creek At Connersville

Hickory Creek At Connersville - Connersville Nursing Home

General Information

UPDATE
Federal Provider Number
155434
Provider Name
HICKORY CREEK AT CONNERSVILLE
Provider Address
2600 N GRAND AVE
CONNERSVILLE, IN 47331
Provider Phone Number
(765) 825-9771
Provider SSA County
200
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
36
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.70278
Reported LPN Staffing Hours per Resident per Day
0.44444
Reported RN Staffing Hours per Resident per Day
0.80139
Reported Licensed Staffing Hours per Resident per Day
1.24583
Reported Total Nurse Staffing Hours per Resident per Day
2.94861
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07917
Expected CNA Staffing Hours per Resident per Day
2.20663
Expected LPN Staffing Hours per Resident per Day
0.61819
Expected RN Staffing Hours per Resident per Day
1.00993
Expected Total Nurse Staffing Hours per Resident per Day
3.83475
Adjusted CNA Staffing Hours per Resident per Day
1.89344
Adjusted LPN Staffing Hours per Resident per Day
0.59672
Adjusted RN Staffing Hours per Resident per Day
0.59291
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09943
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
125
Cycle 2 Standard Health Survey Date
2014-04-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
125
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
43.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
21223
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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