Ohio Nursing Homes >> Hicksville Nursing Homes >> Hickory Creek At Hicksville

Hickory Creek At Hicksville - Hicksville Nursing Home

General Information

UPDATE
Federal Provider Number
365680
Provider Name
HICKORY CREEK AT HICKSVILLE
Provider Address
401 FOUNTAIN STREET
HICKSVILLE, OH 43526
Provider Phone Number
4195427795
Provider SSA County
200
Provider County Name
Defiance
Ownership Type
Non profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HICKORY CREEK HEALTHCARE FOUNDATION INC
Date First Approved to Provide Medicare and Medicaid services
1986-05-19
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08774
Reported LPN Staffing Hours per Resident per Day
0.87925
Reported RN Staffing Hours per Resident per Day
0.44528
Reported Licensed Staffing Hours per Resident per Day
1.32453
Reported Total Nurse Staffing Hours per Resident per Day
3.41227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01321
Expected CNA Staffing Hours per Resident per Day
2.45512
Expected LPN Staffing Hours per Resident per Day
0.61351
Expected RN Staffing Hours per Resident per Day
0.98387
Expected Total Nurse Staffing Hours per Resident per Day
4.05250
Adjusted CNA Staffing Hours per Resident per Day
2.08654
Adjusted LPN Staffing Hours per Resident per Day
1.18950
Adjusted RN Staffing Hours per Resident per Day
0.33817
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39408
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
2015-01-29
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
0
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

Nursiong Homes Nearby

Brookview Healthcare Center

214 Harding Street | DEFIANCE OH 43512 | 20.2 miles away

Twin Rivers Care And Rehabilitation Center

395 Harding Street | DEFIANCE OH 43512 | 20.3 miles away

Laurels Of Defiance The

1701 S Jefferson Ave | DEFIANCE OH 43512 | 20.5 miles away

Reviews: Be the first to review this provider.

Share your experience with Hickory Creek At Hicksville. You can help others by writing a review.