HICKORY CREEK AT KENDALLVILLE - KENDALLVILLE, IN

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

HICKORY CREEK AT KENDALLVILLE
1433 S MAIN ST
KENDALLVILLE, IN 46755


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

Services provided by HICKORY CREEK AT KENDALLVILLE:

  • 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
  • Field 3 - Indicates services provided by other social s ervices staff offsite 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 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
  • Therapeutic recreation specialist 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): 4.04

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 7

Change of ownership date (Effective date of a change of ownership): Nov 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): 1.29

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.13

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): 8.09

Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.04

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.71

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.31

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.07

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.31

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): 1.49

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.14

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

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.01

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

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.16

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.07

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: 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): 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): Nov 1991