Hickory Creek At Columbus
Hickory Creek At Columbus Information
| Facility Name | Hickory Creek At Columbus |
| Location | 5480 E 25th Street, Columbus, IN 47203 |
| County (SSA Code) | Bartholomew (20) |
| Phone Number | 812-372-6136 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 36 |
| Average Number of Residents | 34.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HENRY COUNTY MEMORIAL HOSPITAL |
| Ownership Type | Government - County |
| Date First Approved | 1992-02-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.06924 |
| Reported LPN Staffing Hours per Resident per Day | 0.7111 |
| Reported RN Staffing - Hours per Resident per Day | 0.32584 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.03694 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.10618 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01113 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.07079 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.74936 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36603 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.18619 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.10813 |
| Total Weighted Health Survey Score for three cycles | 31.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-13 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-27 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-18 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| 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 |