Hickory Creek At Hicksville
Hickory Creek At Hicksville Information
| Facility Name | Hickory Creek At Hicksville |
| Location | 401 Fountain Street, Hicksville, OH 43526 |
| County (SSA Code) | Defiance (200) |
| Phone Number | 419-542-7795 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 61 |
| Average Number of Residents | 45.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HICKORY CREEK HEALTHCARE FOUNDATION INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1986-05-19 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.61508 |
| Reported LPN Staffing Hours per Resident per Day | 0.7234 |
| Reported RN Staffing - Hours per Resident per Day | 0.53506 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.25846 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.87354 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00737 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.23481 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76456 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.339 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33837 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.74427 |
| Total Weighted Health Survey Score for three cycles | 11.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-05 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-02 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-01 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| 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 |