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HICKORY CREEK AT KENDALLVILLE

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HICKORY CREEK AT KENDALLVILLE VS
All other Nursing Homes USA
General
City KENDALLVILLE   vs 0% Nursing Homes USA have KENDALLVILLE
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 1433 S MAIN ST  
Zip Code 46755  
Phone 2603473612  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(2.31 lower than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
36  (72.94 lower than average)
vs
108.94

Total Number of Residents
22  (69.25 lower than average)
vs
91.25

Percent of Occupied Beds
61 % (22.65 % lower than average)
vs
83.65 %

Health Survey Date 12/15/2011  
Fire Survey Date 1/6/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
14  (6.52 higher than average)
vs
7.48

Staff Information
Number of Residents
22  (69.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.83  (0.06 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.97  (0.13 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.8  (0.21 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/19/2012
date Of Correction: 05/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/13/2009
date Of Correction: 06/01/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/16/2009
date Of Correction: 05/16/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 04/19/2012
date Of Correction: 05/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 11/09/2011
date Of Correction: 12/09/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 04/16/2009
date Of Correction: 05/16/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 04/19/2012
date Of Correction: 05/19/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/19/2012
date Of Correction: 05/19/2012 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 11/09/2011
date Of Correction: 12/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 11/09/2011
date Of Correction: 12/09/2011 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 05/13/2009
date Of Correction: 06/01/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/16/2009
date Of Correction: 05/16/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/19/2012
date Of Correction: 04/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/16/2009
date Of Correction: 05/16/2009 

Quality Measures Q3
Deficiency #2 23.4 % 
Percent of long-stay residents who received an antipsychotic medication
30.6 % (5.21 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
13 % (10.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
19 % (4.9 % higher than average)
vs
14.10 %

Percent of long-stay residents who lose too much weight
5.8 % (2.7 % lower than average)
vs
8.50 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.6 % (0.02 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
7.7 % (3.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
47.1 % (22.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.5 % (14.06 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 % (12.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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