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Hickory Creek At Lebanon
1585 PERRY WORTH RD
Lebanon, IN 46052
(765) 482-6391
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 64 |
| Number of Residents: | 50 |
| Percent of Occupied Beds: | 78% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20090729 | Health | Resident Assessment Deficiencies | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm | 20090828 |
| 20090729 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20090828 |
| 20090729 | Health | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm | 20090828 |
| 20090729 | Health | Nutrition and Dietary Deficiencies | Provide food in a way that meets a resident's needs. | Isolated | Minimal harm or potential for actual harm | 20090828 |
| 20100331 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100506 |
| 20100331 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20100430 |
| 20100721 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20100820 |
| 20100721 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20100820 |
| 20101012 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101111 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 27 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 18 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 21 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 56 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 7 | |
| Percent of long-stay residents who had a urinary tract infection: | 9 | |
| Percent of long-stay residents who lose too much weight: | 12 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 19 | |
| Percent of short-stay residents who have pressure sores: | 16 | |
| # of Residents: | 50 |
| # RN Hours per Resident: | 0.57 |
| # LPN Hours per Resident: | 0.87 |
| # CNA Hours per Resident: | 1.21 |
| Total Staff Hours per Resident: | 1.44 |
