Indiana Nursing Homes >> Greensburg Nursing Homes >> Hickory Creek At Greensburg

Hickory Creek At Greensburg - Greensburg Nursing Home

General Information

UPDATE
Federal Provider Number
155353
Provider Name
HICKORY CREEK AT GREENSBURG
Provider Address
1620 N LINCOLN ST
GREENSBURG, IN 47240
Provider Phone Number
(812) 663-7503
Provider SSA County
150
Provider County Name
Decatur
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
32
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
1990-03-15
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
1.67188
Reported LPN Staffing Hours per Resident per Day
0.68438
Reported RN Staffing Hours per Resident per Day
0.77344
Reported Licensed Staffing Hours per Resident per Day
1.45781
Reported Total Nurse Staffing Hours per Resident per Day
3.12970
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13125
Expected CNA Staffing Hours per Resident per Day
2.35883
Expected LPN Staffing Hours per Resident per Day
0.65827
Expected RN Staffing Hours per Resident per Day
1.11355
Expected Total Nurse Staffing Hours per Resident per Day
4.13065
Adjusted CNA Staffing Hours per Resident per Day
1.73912
Adjusted LPN Staffing Hours per Resident per Day
0.86292
Adjusted RN Staffing Hours per Resident per Day
0.51899
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05412
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
2014-07-31
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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