Hickory Creek at Connersville

Total Number of Beds: 38	Percent of Occupied Beds: 97%
Total Number of Residents: 37	Located Within a Hospital: No
Type of Ownership: Non profit - Other	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 10/27/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.32

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.46

Number of CNA Hours per Nursing Home Resident per Day: 2.19

Number of Staff Hours per Nursing Home Resident per Day: 2.97

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 9%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Short-Stay Residents With Delirium: 16%
Percent of Residents Who Were Physically Restrained: 10%
Percent of Residents With a Urinary Tract Infection: 10%
** Details Last Reported on: 10/27/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-20	2001-09-05	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
2001-08-20	2001-09-05	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2001-08-20	0000-00-00	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2002-08-13	2002-09-12	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2002-08-13	2002-09-12	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2002-08-13	2002-09-12	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Pattern	Minimal harm or potential for actual harm
2003-10-27	2003-12-06	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2003-10-27	2003-12-16	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Isolated	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.