Hickory Creek At Rochester - Rochester Nursing Home
General Information
UPDATEFederal Provider Number
155430
Provider Name
HICKORY CREEK AT ROCHESTER
Provider Address
340 E 18TH ST
ROCHESTER, IN 46975
ROCHESTER, IN 46975
Provider Phone Number
(574) 223-5100
Provider SSA County
240
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
36
Number of Residents in Certified Beds
34
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
1992-03-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79559
Reported LPN Staffing Hours per Resident per Day
0.62794
Reported RN Staffing Hours per Resident per Day
0.52647
Reported Licensed Staffing Hours per Resident per Day
1.15441
Reported Total Nurse Staffing Hours per Resident per Day
2.95000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00882
Expected CNA Staffing Hours per Resident per Day
2.39260
Expected LPN Staffing Hours per Resident per Day
0.60394
Expected RN Staffing Hours per Resident per Day
0.92763
Expected Total Nurse Staffing Hours per Resident per Day
3.92416
Adjusted CNA Staffing Hours per Resident per Day
1.84144
Adjusted LPN Staffing Hours per Resident per Day
0.86298
Adjusted RN Staffing Hours per Resident per Day
0.42407
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03024
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
40.00000
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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Nursiong Homes Nearby
Life Care Center Of Rochester
827 W 13th St |
ROCHESTER IN 46975 | 0.8 mile away