Hickory Creek At Kendallville
Hickory Creek At Kendallville Information
| Facility Name | Hickory Creek At Kendallville |
| Location | 1433 S Main Street, Kendallville, IN 46755 |
| County (SSA Code) | Noble (560) |
| Phone Number | 260-347-3612 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 36 |
| Average Number of Residents | 17.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | HENRY COUNTY MEMORIAL HOSPITAL |
| Ownership Type | Government - County |
| Date First Approved | 1991-11-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.17543 |
| Reported LPN Staffing Hours per Resident per Day | 1.20992 |
| Reported RN Staffing - Hours per Resident per Day | 0.55518 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.7651 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.94053 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02057 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.05387 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.78849 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.37328 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21564 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.90689 |
| Total Weighted Health Survey Score for three cycles | 4 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-05 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-29 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-17 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |