HICKORY CREEK AT COLUMBIA CITY - COLUMBIA CITY, IN

United States hospital / nursing home:
HICKORY CREEK AT COLUMBIA CITY - COLUMBIA CITY, IN

HICKORY CREEK AT COLUMBIA CITY
522 NORTH LINE ST
COLUMBIA CITY, IN 46725


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

Services provided by HICKORY CREEK AT COLUMBIA CITY:

  • 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 onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to non residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided onsite to non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to non 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): 2.13

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.17

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

Change of ownership date (Effective date of a change of ownership): Jan 2001

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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.86

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.17

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 - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 1.56

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 4.30

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.43

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.06

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.13

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.44

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.49

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.63

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 1.50

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): OMEGA HEALTHCARE INVESTORS INC

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

Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 1.47

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): 0.46

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.29

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

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.03

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.70

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): 1.14

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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): Jan 2001

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