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Hickory Creek At Madison


Hickory Creek At Madison Information

     
Facility Name Hickory Creek At Madison
Location 1945 Cragmont St, Madison, IN 47250
County (SSA Code) Jefferson (380)
Phone Number 812-273-4696
Certification(s)Medicare and Medicaid
Number of Beds36
Average Number of Residents35.2
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long 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 TypeNon profit - Corporation
Date First Approved1992-02-01

Reported Nurse Aide Staffing Hours per Resident per Day1.81928
Reported LPN Staffing Hours per Resident per Day0.3038
Reported RN Staffing - Hours per Resident per Day0.72637
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.03017
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.84946
Reported Physical Therapy Staffing - Hours per Resident Per Day0.02046
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.43306
Case-Mix LPN Staffing - Hours per Resident per Day0.72976
Case-Mix RN Staffing - Hours per Resident per Day0.34223
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.50505
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.59186

Total Weighted Health Survey Score for three cycles16
Rating cycle 1 Standard Survey Health Date2020-02-12
Rating cycle 1 - Health Deficiency Score5
Date of Rating cycle 2 Standard Health Survey Date2019-03-11
Date of Rating cycle 3 Standard Health Survey Date2018-03-09

Number of Facility-Reported Incidents2
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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