HICKORY CREEK AT GOSHEN - GOSHEN, IN
United States hospital / nursing home:
HICKORY CREEK AT GOSHEN - GOSHEN, IN
HICKORY CREEK AT GOSHEN
1101 W LINCOLN AVE
GOSHEN, IN 46526
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by HICKORY CREEK AT GOSHEN:
- Activities services are provided onsite 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 residents
- Pharmacy services are provided onsite to residents
- Physician extender services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided onsite to non 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 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): 2.61
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.20
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 6
Prior change of ownership (The date of a prior change of ownership): Jan 2001
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
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): 12.70
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.24
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.06
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.01
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.50
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.44
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.53
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.24
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.11
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.01
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): OHI INDIANA INC
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
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.09
Organized resident group (Indicates if the facility has an organized residents group): Yes
Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 5.99
Other physician - Part time (The number of full-time equivalent other physicians employed by a facility on a part time basis): 0.06
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.03
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.09
Physician extender - Part time (The number of full-time equivalent physician extenders employed by the facility on a part-time basis): 0.03
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.01
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
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.01
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): Oct 2001
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): May 1994