Overall Rating
Address
2600 N Grand Ave
Connersville, IN 47331
Contact
7658259771
Certification Date
1992-04-01
CMS Certification Number
155434
Ownership Type
Non profit - Corporation
Number of Certified Beds
36
Average Number of Residents per Day
32.1
Provider Type
Medicare and Medicaid
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Affiliated Entity Name
HICKORY CREEK HEALTHCARE FOUNDATION
Affiliated Entity ID
268
Health Inspection Rating
4
Quality Measure Rating
2
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.02612
Reported LPN Staffing Hours per Resident per Day
0.45633
Reported RN Staffing Hours per Resident per Day
0.78746
Reported Total Nurse Staffing Hours per Resident per Day
3.26991
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.75380
Registered Nurse Hours per Resident per Day on the Weekend
0.47832
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02064
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
2
Total Weighted Health Survey Score
18.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
2
Standard Health Survey Date
2023-08-04
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
3
Health Deficiency Score
12
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2022-06-10
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Standard Health Survey Date
2021-07-08
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
2
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Number of Fines
1
Total Amount of Fines in Dollars
3250.00
Number of Payment Denials
0
Total Number of Penalties
1