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Hickory Creek At Winamac


Hickory Creek At Winamac Information

     
Facility Name Hickory Creek At Winamac
Location 515 E 13th St, Winamac, IN 46996
County (SSA Code) Pulaski (650)
Phone Number 574-946-6143
Certification(s)Medicare and Medicaid
Number of Beds36
Average Number of Residents28.6
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 Approved1992-04-01

Reported Nurse Aide Staffing Hours per Resident per Day1.72102
Reported LPN Staffing Hours per Resident per Day0.61175
Reported RN Staffing - Hours per Resident per Day0.61316
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.22491
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.94593
Reported Physical Therapy Staffing - Hours per Resident Per Day0.00416
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.11872
Case-Mix LPN Staffing - Hours per Resident per Day0.67808
Case-Mix RN Staffing - Hours per Resident per Day0.30901
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.1058
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.02407

Total Weighted Health Survey Score for three cycles9.333
Rating cycle 1 Standard Survey Health Date2019-05-23
Rating cycle 1 - Health Deficiency Score2
Rating cycle 1 - Total Health Inspection Score12
Date of Rating cycle 2 Standard Health Survey Date2018-03-22
Rating cycle 2 - Health Deficiency Score12
Date of Rating cycle 3 Standard Health Survey Date2017-02-03
Rating cycle 3 - Health Deficiency Score8
Rating cycle 3 - Total Health Inspection Score8

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