Hickory Creek At Huntington - Huntington Nursing Home

General Information

UPDATE
Federal Provider Number
155543
Provider Name
HICKORY CREEK AT HUNTINGTON
Provider Address
1425 GRANT ST
HUNTINGTON, IN 46750
Provider Phone Number
(260) 356-4867
Provider SSA County
340
Provider County Name
Huntington
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
36
Number of Residents in Certified Beds
28
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
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.66786
Reported LPN Staffing Hours per Resident per Day
0.95357
Reported RN Staffing Hours per Resident per Day
0.55000
Reported Licensed Staffing Hours per Resident per Day
1.50357
Reported Total Nurse Staffing Hours per Resident per Day
3.17143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01607
Expected CNA Staffing Hours per Resident per Day
2.45827
Expected LPN Staffing Hours per Resident per Day
0.70705
Expected RN Staffing Hours per Resident per Day
1.09468
Expected Total Nurse Staffing Hours per Resident per Day
4.26001
Adjusted CNA Staffing Hours per Resident per Day
1.66476
Adjusted LPN Staffing Hours per Resident per Day
1.11938
Adjusted RN Staffing Hours per Resident per Day
0.37541
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00086
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
35.33300
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
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