Indiana Nursing Homes >> Scottsburg Nursing Homes >> Hickory Creek At Scottsburg

Hickory Creek At Scottsburg - Scottsburg Nursing Home

General Information

UPDATE
Federal Provider Number
155417
Provider Name
HICKORY CREEK AT SCOTTSBURG
Provider Address
1100 N GARDNER AVE
SCOTTSBURG, IN 47170
Provider Phone Number
(812) 752-5065
Provider SSA County
710
Provider County Name
Scott
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
1991-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.89219
Reported LPN Staffing Hours per Resident per Day
0.12969
Reported RN Staffing Hours per Resident per Day
1.17344
Reported Licensed Staffing Hours per Resident per Day
1.30313
Reported Total Nurse Staffing Hours per Resident per Day
3.19532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03125
Expected CNA Staffing Hours per Resident per Day
2.40656
Expected LPN Staffing Hours per Resident per Day
0.62956
Expected RN Staffing Hours per Resident per Day
1.09087
Expected Total Nurse Staffing Hours per Resident per Day
4.12698
Adjusted CNA Staffing Hours per Resident per Day
1.92926
Adjusted LPN Staffing Hours per Resident per Day
0.17098
Adjusted RN Staffing Hours per Resident per Day
0.80376
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12093
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
2014-12-16
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
2014-02-21
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
4.00000
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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