We're All About You
We're All About Relationships
We're All About People
We're All About Satisfaction
We're All About Trust
Hickory Ridge of Temperance
For individuals who are in need of long-term care and short-term sub-acute rehabilitative services, Hickory Ridge of Temperance offers high quality care in a state-of-the-art facility with modern-living amenities and hospitality. Our residents experience personalized care from highly qualified, professional and compassionate staff with focused attention and innovative best practices.
We're All About Making You Feel At Home.
We believe that from the moment you walk in to the facility, we have a responsibility to offer you the best. Be it services or experts, we endeavor to make you smile with satisfaction.
- Professional care that feels personal
- Pristine home like living environments
- Healthy meals that actually taste great
- Compassionate caregivers
We're All About Offering The Best Career Opportunities!
We’re all about making Ciena the best place to work in the healthcare industry. We offer unrivaled benefits that provide for employees' physical and emotional needs. We always strive to create an environment of respect, compassion, and belonging for everyone. If you are committed to providing the highest level of care and services to our guests and community, your next opportunity is just a click away.
- Health & Wellness
- Worklife Balance
- Career Advancement
- Educational Opportunities
- Employee Perks
- Additional Benefits
Hickory Ridge of Temperance offers a full spectrum of post-hospital services, from a short-term rehabilitation stay to long-term nursing care.
Nursing & Rehabilitation
- Physical, Occupational and Speech Therapy
- Around the clock nursing care
- Dental, Podiatry and Psychiatry
- X-Ray, Pharmacy and Laboratory
- Ophthalmology and Audiology
- Wound Care Management
- Restorative Nursing-ADL Care
- Recreational Therapy
- Dietary and Nutritional Services
- Dialysis Care Services
- Care management, discharge planning, and social work
- Pain Management
- Medication Administration
- IV Therapy
- Respite Care
- Licensed Administrator
- Director of Nursing
- Director, Admissions and Marketing
- Physician Medical Director
- Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants
- Physical, Occupational and Speech Therapists
- Dietary Manager
- Social Services Director
- Therapeutic Recreation Director
- Registered Infection Control Nurse
- Private and semi private rooms
- Private bathrooms with shower in all rooms
- Cable TV and phone in all rooms
- Unlimited visiting hours
- Gourmet dining
- Ice cream parlor
- Outdoor patios
- Beautician/barber services
- Religious services and programs
Take a Virtual Tour
The best way to tour our facilities is always in person, but if you would like to take a quick peek online, take our virtual tour below or contact us for more information.
Please contact your insurance representative and the Ciena Center if you do not see your insurance plan. The participation in an insurance plan does not guarantee payment for services provided. Please contact your insurance representative and our staff to verify coverage.
- BCBSM/Advantage PPO
- Blue Care Network/Advantage
- Blue Cross Complete (Formerly BlueCaid)
- Coventry Cares Of Michigan (Aetna Better Health)
- HealthPlus Of MI
- Humana-Choice Care
- McLaren Health Plan
- Priority Health
- Total Healthcare
- United Healthcare
- United Healthcare Community Plan (Great Lakes)
- Zing Health
Skilled nursing facilities (SNFs) like Ciena Healthcare provide crucial services for our most vulnerable population: the frail and elderly. Today’s SNFs have significantly evolved over time to provide both long-term comprehensive care and short-term rehabilitation services. However, in comparison to other medical settings, especially hospitals, SNFs are often overlooked for important resources and funding.
As health care evolves, skilled nursing facilities are increasingly providing care previously delivered in hospitals. Nationwide, the 65 and older population will double over the next 20 years. By 2040, it could triple. As our population ages, SNFs are becoming increasingly vital to the care and wellbeing of our seniors.
SNFs need advocates and allies to actively engage with their representatives and speak up about important issues facing our industry. This page is designed to share ways you can help support SNFs and the vital services they provide for our elders.
Contact Your Elected Officials and Voice Your Support for SNFs!
It is crucial the voices of SNF supporters be heard by Congress. Members of Congress value their constituents’ opinions and it is critical they hear from our advocates and allies.
Click here to locate your elected officials and “Speak Up” for SNFs!
American Health Care Association Action Center
The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represents the collective interests of more than 14,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers, and homes for individuals with intellectual and development disabilities.
Click here to support the pressing issues AHCA is pursuing with the federal government.
Find the latest facility data, visitation updates, vaccine information, news and resources pertaining to the Novel Coronavirus (COVID-19) below.
Until further notice, our facility will continue to follow federal and state COVID-19 guidance for healthcare settings, guidance that includes:
- Visitation guidelines
- Screening of visitors and staff
- Use of PPE, including masks for all visitors
- Encouragement of good hand hygiene, social distancing when possible, and focused cleaning protocols
We appreciate your cooperation and support.
Our Visitation Status
The Centers for Medicare and Medicaid Services (CMS) issued a memo in September 2020, revised November 2021, with directives concerning nursing home visitation. Whereas previous versions of the memo outlined certain parameters for restricting visitation at nursing homes in response to the COVID-19 pandemic, the November 2021 update eliminates most of these restrictions.
Per CMS, indoor visitation is currently allowed for all residents, and vaccination status does not affect the ability to visit. However, visitors are still required to follow facility policies, wear appropriate PPE, and observe physical distancing during their visit.
Visitors are encouraged to contact our facility prior to arriving for visit, but it is not required. Whenever possible, we do ask that visitors observe our recommended visiting hours.
Please contact our facility for recommended visiting hours and click “Visitation Information” to learn more about what to expect when visiting our facility.
Please know there is a possibility our visitation status will change! All nursing homes will be required to constantly assess and reassess visitation status. Our eligibility for hosting visits will be determined based on our ability to meet the standards outlined by MDHHS. We will review our status weekly and communicate changes on this site accordingly.
Ciena Healthcare facilities are committed to effective communication. We regularly apprise residents, families, and employees to changes in facility status and policy as needed and as deemed appropriate. This COVID-19 Resources page is an extension of these efforts and also serves as a means to update the communities we serve.
Our Reporting Notification Process
In accordance with QSO-20-29-NH from the Centers for Medicare & Medicaid Services (CMS), our facility strives for transparency in communications with all interested stakeholders. It is in this effort we have created a place for residents, families/responsible parties, and our associates to look to for updated COVID-19 surveillance data.
Our data will never include personally identifiable information. It will include information about our residents and staff for the following aspects of COVID-19 reporting:
- New Onset of Respiratory Symptoms -- The number of staff/residents newly identified as exhibiting respiratory symptoms of COVID-19 as defined by the CDC on that day.
- Confirmed Infection of COVID-19 -- The number of staff/residents with whom their first positive result was received utilizing an FDA-approved COVID-19 test kit on that day.
- New Onset Respiratory Symptoms Over the Last 7 Days -- The cumulative number over the last 7 days of the new onset of respiratory symptoms for staff/residents.
- Total of Confirmed Infections of COVID-19 -- The cumulative number of confirmed infections of COVID-19 for staff/residents currently at the facility as of today.
- Cumulative Confirmed Infections of COVID-19 -- The cumulative number of confirmed infections of COVID-19 for staff/residents since May 1, 2020 regardless of whether or not the infections are still active.
We expect to update our data according to the guidance which is by 5 p.m. the next calendar day following the occurrence of either a single confirmed infection of COVID-19, or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other.
If at any time you have questions about the information in the below data set, please reach out to Administrator of this facility.
Note: If no dates or numbers are appearing for any of the categories found in the COVID-19 Surveillance data below, please click on the header in each box to refresh the information. If no date or numbers appear after clicking on the header, then no conditions and/or infections have been reported for that date, per CMS guidance.
Here you will find the latest information on COVID-19 vaccines and how they impact long-term care. We are committed to educating residents, employees and the general public about the importance of vaccines in limiting the further spread of this deadly virus. Resources from the Society for Post-Acute and Long-Term Care Medicine (AMDA) and the Centers for Disease Control & Prevention (CDC) were used in creating this page.
Where Should I Look for Accurate Information on COVID-19 Vaccines?
- It is important to seek information from reliable sources. Social media is full of misinformation and opinions based on that misinformation.
- Here are some helpful links:
Why Were Long-Term Care Residents & Staff Being Made First Priority for COVID-19 Vaccines?
- The average age of residents in long-term care facilities is over 80 years old. Most individuals have underlying health conditions, and some have multiple chronic conditions. According to CDC data, the risk of mortality from COVID-19 in this age group is 630 times higher than those 18-29 years old.
Is Our Facility Receiving Vaccines from Pfizer, Moderna or Johnson & Johnson?
- Our facilities received COVID-19 mRNA vaccines from Moderna for initial vaccination clinics in late 2020/early 2021.
- As we host and schedule vaccine maintenance clinics, we will likely receive vaccines from all three distributors.
What Do I Need to Know About Booster Shots?
- CDC Webpage on Booster Shots
- Our facility will contact you as booster doses become available and we hold vaccine maintenance clinics.
How has Ciena worked to stop the potential spread of COVID-19?
- Our facility has been implementing and acting on guidance from external agencies such as the Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), and the Department of Health and Human Services at the state and local level since February 28, 2020.
- We have restricted visitors from entering our facility since the national advisement in mid-March, ceased group activities within the building, and have continually monitored residents and screened staff members and essential external personnel for symptoms according to CDC guidance.
- We are continually monitoring ALL residents for CDC-recognized symptoms and changes in conditions.
What happens if a resident tests positive for COVID-19?
- Residents who have tested positive receive supportive care in an appropriate care setting per CDC guidance. If additional treatment for a resident is required, we will transfer to the local hospital and communicate with loved ones accordingly.
Why hasn't the facility tested my loved one for COVID-19?
- The attending physician, in conjunction with the county health department, is given ultimate decision authority by CDC and makes the decision on who and who not to test. It is not a decision made by administrative staff at the facility.
- It is important that we share our belief that skilled nursing facilities should be a higher priority for testing; that is, "universal testing" of both residents and staff to truly know the extent of COVID-19 in our community and throughout the state. Testing only those who are symptomatic, as we understand now, is not enough as many people who have the virus can spread it without showing symptoms (asymptomatic).
How can I stay informed of what is happening at the facility?
- Please be sure your contact information, including email address, is current. If you need to make changes or confirm your information, please call the facility.
- Periodically visit the facility website to see if there has been new information posted.
- Watch for opportunities to attend virtual gatherings, such as care plan meetings, family council meetings or other activities, some of which may be held by platforms such as Zoom.
The Centers for Medicare and Medicaid Services (CMS) issued a memo in September 2020, revised March 2022, with directives concerning nursing home visitation. Whereas previous versions of the memo outlined certain parameters for restricting visitation at nursing homes in response to the COVID-19 pandemic, the March 2022 update eliminates most of these restrictions.
VISITORS - What to Know Prior to Arriving for a Visit
- Indoor visitation is allowed for all residents.
- Vaccination status does not affect the ability to visit.
- However, the best and most proven way to keep your loved one in our facility safe is to get vaccinated if you’re eligible!
- Visitors must be willing and able to:
- Wear a face covering for the duration of their visit. The facility can provide visitors with a new surgical mask upon arrival
- Follow hand hygiene requirements.
- Observe appropriate physical distancing for the duration of their visit.
- Visitors are encouraged to contact our facility prior to arriving for a visit. Whenever possible, we do ask that visitors observe our recommended visiting hours.
- For more information on recommended visiting hours, please contact our facility.
- Visitors are strongly encouraged to share their vaccination status with our facility and provide proof of a negative COVID-19 test prior to arrival.
- Although CMS does NOT recommend, visits are allowed for all residents even if they are in transmission-based precautions or quarantine, or if an outbreak investigation is underway at the facility.
- Visitors for residents in transmission-based precautions or quarantine will be required to wear all PPE (N-95 mask, face shield, gloves, and gown) and physical distance for entire visit.
- Visiting during an outbreak investigation or visiting a resident in transmission-based precautions or quarantine puts the visitor at increased risk of contracting COVID-19.
- Compassionate care visits are always allowed, but with the full opening of routine visitation, there are few circumstances where a purely compassionate visit would apply.
VISITORS - What You Should Know Upon Arrival
- Visitors will be screened for temperature and signs and symptoms of COVID-19.
- If a visitor has a temperature at or above 100 degrees, exhibits any symptoms of the virus, has recently tested positive for COVID-19, or currently meets the criteria for quarantine, he or she will not be permitted to enter the facility.
- Visitors must provide legal federal or state identification upon screening. A telephone number will also be required.
- Visitors must complete the required education and attestation prior to their initial visit.
VISITORS - What to Expect During Your Visit
- Per CMS, in-room visitation (rather than visits in common areas) is preferred whenever possible to mitigate potential risk to other residents.
- Poor behavior by visitors and disregard for state or Federal orders is NOT ACCEPTABLE.
- Failure to adhere to the core principles of COVID-19 infection prevention will result in termination of the visit.
- Food and drink may be brought to a visit but should not be shared.
- Smoking is not permitted during a visit.
- Large gatherings of visitors should be avoided.
- To ensure smooth and timely functioning of the visitation process, please do not engage facility staff with your concerns during your visit.
- If you have questions about the established CMS guidelines, please complete your visit and address these concerns in an email or telephone call to the facility administrator following your visit.
PLEASE NOTE: A resident has the right to refuse to receive visitors and the facility staff must honor those wishes. If this occurs, facility staff will attempt to connect the resident with their visitors by offering a window visit, or a live video/phone call.
Please be mindful of our residents, associates, and other visitors to the building. If you exhibit signs and symptoms of COVID-19, have recently tested positive for COVID-19, or have had a recent exposure to COVID-19, please delay your visit.
Thank you for your cooperation and understanding.
Our facility is taking appropriate measures, consistent with the guidelines and directives from the Centers for Disease Control (CDC) and the Centers for Medicare and Medicaid (CMS), for the prevention and control of Coronavirus (COVID-19). COVID-19 is a viral infection that is caused by a distinct Coronavirus. The incubation period is two to fourteen (2-14) days, with the average being four (4) to five (5) days. This virus may be mild, moderate, or severe, and can be potentially life threatening.
This facility endeavors to follow CDC and CMS guidance and to collaborate with State and Local health departments in its mitigating actions as we work through the necessary response to this unprecedented pandemic together.
Visitation and Family Communications Efforts
As of March 13, 2020, visits to all skilled nursing centers - ours included - have been restricted by the federal government, with the exception of certain compassionate care circumstances such as an end-of-life situation. We apologize for this inconvenience and thank you for your understanding and cooperation.
The facility has taken measures to provide virtual visits with loved ones, virtual family council meetings, and an enhanced facility website for increased communications during this period of restricted visits.
All associates, essential health care vendors and emergent visitors will be screened and documented as directed by CDC and CMS guidance.
Our staff is monitoring residents daily for change in condition, including the presence of elevated temperatures and respiratory illness in our facility. Any residents showing signs consistent with the virus are monitored each shift or more frequently as needed.
Staff are being screened for elevated temperature and respiratory illness prior to and after each shift, and we are requiring staff to stay home if they are sick or display symptoms of the virus.
Mitigating Actions Implemented to Prevent or Reduce the Risk of Transmission
The facility has several measures in place to prevent or reduce the risk of transmission, including, but not all-inclusive, as follows:
- Taking temperature readings for all associates, residents, and essential visitors per CDC guidelines.
- Monitoring for CDC-recognized symptoms including respiratory symptoms which may include cough, shortness of breath/difficulty breathing.
- Suspending non-essential group outings.
- Limiting communal dining as needed.
- Reviewing resident activities on a case-by-case basis to safely provide socialization and engagement opportunities.
- Applying social distancing of six feet for any required group engagement.
- Consideration to room placement for a suspected or confirmed COVID-19 diagnosis, per CDC guidance.
- Source control for residents to include wearing a facemask or cloth covering per CDC guidance.
- The use of PPE according to CDC guidelines.
- Environmental/cleaning standard facility procedures followed per regulation and guidance.
Reminding those in our facility that they must:
- Wash hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
- Observe "social distancing" whenever possible.
- Use of a mask as indicated or appropriate.
- Avoid touching your eyes, nose, and mouth.
- Avoid close contact with people who are sick.
- Stay home when sick or when a loved one is sick.
- Cover their cough or sneeze with a tissue, then throw the tissue in the trash and wash hands.
Last updated: May 28, 2020
At Ciena, there is nothing we take more seriously than the safety and well being of our guests and our dedicated associates who care for them. We are doing everything in our power to keep your loved ones safe and healthy during this crisis.
Connect with Your Loved One!
- You can send non-urgent messages - photos, updates, letters - firstname.lastname@example.org. A member of our staff checks this email daily and will relay your message to your loved one.
- We also encourage you to contact our facility to set up FaceTime, Zoom and Skype sessions with your loved one.
#CareNotCOVID - Share a message of support to our nursing home and assisted living residents
Medicare Scam Alert - CMS warning to Medicare beneficiaries
Thank our "Health Care Heroes"!
- Our associates have been working extremely hard under extraordinarily stressful circumstances. We are so proud of these individuals and the community should be as well. Phone calls, social media messages and words of thanks are welcomed and encouraged.
You might also consider:
- Coordination of a vehicle parade, clap-in or clap-out.
- These are very popular efforts currently taken by those offering support from the sidelines. If you would like to spearhead one of these events for the facility, please contact the Administrator who will provide you with some tips.
- Writing a heart-felt letter of appreciation.
- There's no better way to share your appreciation than to drop a card or write a note to facility staff. If you're so inclined and like to write, consider a favorable letter to the editor of your local newspaper or a post worthy of sharing. Positivity is contagious and we appreciate every effort in sharing positivity with our staff and residents.
Donations don't have to be big to be meaningful! Please consider a donation to our facility, a healthcare worker you know, your local hospital, public health department or other skilled nursing and assisted living facilities.
We will accept:
- Donations of Personal Protective Equipment (PPE) that is approved by the CDC:
- N95 or K95 Masks
- Isolation Gowns
- Face Shields
- Donations of PPE alternatives in the event of shortages:
- Homemade masks
- Disposable laboratory coats
- Reuseable (washable) patient gowns
- Reuseable (washable) laboratory coats
- Disposable aprons
- Long sleeve aprons
- Open back gowns
- Protective coveralls
- Sleeve covers
- Shoe Covers/Head Covers
- Donations of food for lunch, dinner or snacks for our healthcare workers
- It is recommended that food donations be prepared from a known restaurant and provided in a sealed container through a contact-less interaction.
Last updated: May 8, 2020