Indiana Nursing Homes >> Greencastle Nursing Homes >> Hickory Creek At Sunset

Hickory Creek At Sunset - Greencastle Nursing Home

General Information

UPDATE
Federal Provider Number
155565
Provider Name
HICKORY CREEK AT SUNSET
Provider Address
1109 S INDIANA ST
GREENCASTLE, IN 46135
Provider Phone Number
7656533143
Provider SSA County
660
Provider County Name
Putnam
Ownership Type
Government - County
Number of Certified Beds
68
Number of Residents in Certified Beds
47
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
1995-04-01
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
3
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
1.58085
Reported LPN Staffing Hours per Resident per Day
0.90106
Reported RN Staffing Hours per Resident per Day
1.02553
Reported Licensed Staffing Hours per Resident per Day
1.92660
Reported Total Nurse Staffing Hours per Resident per Day
3.50744
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07128
Expected CNA Staffing Hours per Resident per Day
2.38401
Expected LPN Staffing Hours per Resident per Day
0.62116
Expected RN Staffing Hours per Resident per Day
1.05932
Expected Total Nurse Staffing Hours per Resident per Day
4.06448
Adjusted CNA Staffing Hours per Resident per Day
1.62706
Adjusted LPN Staffing Hours per Resident per Day
1.20400
Adjusted RN Staffing Hours per Resident per Day
0.72337
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47846
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
4843
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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