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HICKORY CREEK AT COLUMBUS - COLUMBUS, IN

 



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HICKORY CREEK AT COLUMBUS
5480 E 25TH ST
COLUMBUS, IN 47203


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by HICKORY CREEK AT COLUMBUS:
  • Activities services are provided offsite to residents
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided offsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided offsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 3 - Indicates other activity services provided by staff offsite to residents
  • Field 3 - Indicates services provided by other social s ervices staff offsite to residents
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided offsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided offsite to residents
  • Diagnostic xray services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 40

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 40

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.86

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.23

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 5

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 40

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 8.36

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.57

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.11

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.97

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.14

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HICKORY CREEK HEALTH CARE FOUNDATION

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 1.14

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.09

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.09

Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 0.17

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): May 2002

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Feb 1992

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