D68

HICKORY CREEK AT ROCHESTER

Grade D 68/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

36

Ownership

Non profit - Corporation

Total Fines

$14,901

Last Survey

N/A

340 E 18TH STREET, ROCHESTER, IN 46975
5742235100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.74h
LPN
0.46h
CNA
1.69h
Total
2.89h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

AMERICAN SENIOR COMMUNITIES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

PULASKI MEMORIAL HOSPITAL

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

MALOTT, GREGG

IndividualCORPORATE OFFICERSince Apr 2023

LUTHER, FRIEDA

IndividualCONTRACTED MANAGING EMPLOYEESince Apr 2023

PRUITT, TOMMI

IndividualCONTRACTED MANAGING EMPLOYEESince Apr 2023

Penalties & Fines (1)

$14,901total fines
DateTypeDescriptionAmount
Feb 6, 2025Fine$14,901

Health Inspection Deficiencies (29)

May 7, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2025
April 15, 2025Health2 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 4, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 4, 2025
February 6, 2025Health2 deficiencies1 severe
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Feb 21, 2025
0686JImmediate jeopardy, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Nov 8, 2024
June 10, 2024Health6 deficiencies
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Jun 28, 2024
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jun 28, 2024
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Jun 28, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 28, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 28, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 28, 2024
May 5, 2023Health1 deficiency1 severe
0580GActual harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 28, 2023
April 21, 2023Health2 deficiencies
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected May 25, 2023
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected May 25, 2023
November 19, 2021Health15 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Dec 16, 2021
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2021
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2021
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2021
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2021
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2021
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Dec 16, 2021
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 16, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 16, 2021

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Frequently Asked Questions

What is the CareGrader rating for HICKORY CREEK AT ROCHESTER?

HICKORY CREEK AT ROCHESTER in ROCHESTER, Indiana has a CareGrader grade of D (Below Average), with a composite score of 67.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HICKORY CREEK AT ROCHESTER?

HICKORY CREEK AT ROCHESTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HICKORY CREEK AT ROCHESTER have?

HICKORY CREEK AT ROCHESTER has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has HICKORY CREEK AT ROCHESTER been fined?

Yes. HICKORY CREEK AT ROCHESTER has $14,901 in total fines from CMS enforcement actions across 1 penalty.

How many beds does HICKORY CREEK AT ROCHESTER have?

HICKORY CREEK AT ROCHESTER has 36 certified beds with approximately 25 current residents (69% occupancy). The facility is located at 340 E 18TH STREET, ROCHESTER, Indiana 46975. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.