HICKORY CREEK AT ROCHESTER

The information listed below provides an in-depth look into the type and quality of care offered at Hickory Creek at Rochester. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HICKORY CREEK AT ROCHESTER
340 E 18TH ST
ROCHESTER, IN 46975
(574) 223-5100

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 32
  • Certified Beds: 36

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Culver | Plymouth | Winamac

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hickory Creek at Rochester. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-514.2%
Total Percent:14.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.5%
ADL Index Range: 6-1017.4%
ADL Index Range: 0-522.1%
Total Percent:59.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1611.3%
ADL Index Range: 0-56.7%
Total Percent:18.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
4.1%
Total Percent:4.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
0.6%
ADL Index Range: 0-1
- No Signs of depression
4.1%
Total Percent:4.7%
 

Rating Details For Hickory Creek at Rochester

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours45 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours40 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 41 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 40 Minutes
Total Nurse Hours3 Hours and 6 Minutes3 Hours and 54 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse20%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%16%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%50%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores15%10%
Percent of Short-Stay Residents Who Have Delirium4%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain52%18%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/10/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/31/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/28/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/28/2009

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/31/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 02/26/2009
  • Correction Date: 03/28/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/31/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/20/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)02/26/2009$1,950

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hickory Creek at Rochester, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/24/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/24/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/26/2011
  • Correction Date: 06/24/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Hickory Creek at Rochester had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/21/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/04/2011

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/24/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/24/2010
  • Correction Date: 03/26/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/04/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 02/24/2010
  • Correction Date: 03/26/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 02/24/2010
  • Correction Date: 03/26/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/04/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009
Proper Exit Design.
  • Inspection Date: 02/24/2010
  • Correction Date: 03/26/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/04/2011

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 02/24/2010
  • Correction Date: 03/26/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/21/2011
  • Correction Date: 04/04/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 03/02/2009
  • Correction Date: 03/28/2009
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011