Hickory Pointe Care & Rehab Center - Oskaloosa Nursing Home
General Information
UPDATEFederal Provider Number
175333
Provider Name
HICKORY POINTE CARE & REHAB CENTER
Provider Address
700 CHEROKEE PO BOX 307
OSKALOOSA, KS 66066
OSKALOOSA, KS 66066
Provider Phone Number
(785) 863-2108
Provider SSA County
430
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HICKORY POINTE CARE AND REHABILITATION INC
Date First Approved to Provide Medicare and Medicaid services
1994-11-10
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.32100
Reported LPN Staffing Hours per Resident per Day
0.74600
Reported RN Staffing Hours per Resident per Day
0.40400
Reported Licensed Staffing Hours per Resident per Day
1.15000
Reported Total Nurse Staffing Hours per Resident per Day
3.47100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01400
Expected CNA Staffing Hours per Resident per Day
2.50286
Expected LPN Staffing Hours per Resident per Day
0.64144
Expected RN Staffing Hours per Resident per Day
0.93699
Expected Total Nurse Staffing Hours per Resident per Day
4.08129
Adjusted CNA Staffing Hours per Resident per Day
2.27541
Adjusted LPN Staffing Hours per Resident per Day
0.96529
Adjusted RN Staffing Hours per Resident per Day
0.32217
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42815
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-08-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
82
Cycle 3 Total Health Score
246
Total Weighted Health Survey Score
83.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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