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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 Beds36
Average Number of Residents34.6
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameHENRY COUNTY MEMORIAL HOSPITAL
Ownership TypeGovernment - County
Date First Approved1992-02-01

Reported Nurse Aide Staffing Hours per Resident per Day2.06924
Reported LPN Staffing Hours per Resident per Day0.7111
Reported RN Staffing - Hours per Resident per Day0.32584
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 Day0.01113
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.07079
Case-Mix LPN Staffing - Hours per Resident per Day0.74936
Case-Mix RN Staffing - Hours per Resident per Day0.36603
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 cycles31.333
Rating cycle 1 Standard Survey Health Date2019-08-13
Rating cycle 1 - Health Deficiency Score7
Rating cycle 1 - Total Health Inspection Score20
Date of Rating cycle 2 Standard Health Survey Date2018-08-27
Rating cycle 2 - Health Deficiency Score20
Date of Rating cycle 3 Standard Health Survey Date2017-10-18
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28