| Hendricks Community Hospital | |
| 503 E Lincoln Street, Hendricks, Minnesota 56136 | |
| (507) 275-3134 | |
| Name | Hendricks Community Hospital |
|---|---|
| Location | 503 E Lincoln Street, Hendricks, Minnesota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 48 |
| Occupancy Rate | 95% |
| Medicare ID (CCN) | 245467 |
| Legal Business Name | Hendricks Community Hospital Assn & Retirement Home |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1932285061 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Hendricks Community Hospital Assn & Retirement Home |
| Doing Business As | Hendricks Nursing Home |
| Address | 503 East Lincoln St, Hendricks, MN 56136 |
| Phone Number | 507-275-3134 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.53 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.7 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.46 | 0.86 |
| Nurse aide hours per resident per day | 2.38 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.92 | 3.42 |
| RN hours per resident per day on the weekend | 0.23 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 56.9% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 25, 2026 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | No plan of correction |
| Jun 25, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, pattern | No plan of correction |
| Jun 25, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | No plan of correction |
| Apr 30, 2025 | 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. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Waiver has been granted |
| Apr 30, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 25, 2025 |
| Apr 30, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 25, 2025 |
| May 30, 2024 | 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. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Waiver has been granted |
| May 30, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jul 31, 2024 |
| May 30, 2024 | Have a Compliance and Ethics Program. F0895, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jul 31, 2024 |
| May 30, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| May 30, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| May 30, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| May 30, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| May 30, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| May 30, 2024 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 31, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.45 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.13 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.13 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 7.41 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.63 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 14.63 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.35 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.95 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.73 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.27 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.43 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.71 | 15.38 |