A list of the most recent deficiencies for Hickory Point Christian Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-13 | 2023-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-13 | 2023-04-28 | N |
| 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. | Health | 2023-04-13 | 2023-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-13 | 2023-04-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-13 | 2023-04-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-24 | 2022-09-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-24 | 2022-09-14 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-01 | 2022-04-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-10 | 2022-04-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-10 | 2022-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-04-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-10 | 2022-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-10 | 2022-04-07 | N |
| 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. | Health | 2022-03-10 | 2022-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-04-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-10 | 2022-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-04 | 2021-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-05 | 2021-03-11 | N |
| 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. | Health | 2021-02-05 | 2021-03-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-05 | 2021-03-11 | N |
| 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. | Health | 2021-02-05 | 2021-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-05 | 2021-03-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-04 | 2021-03-05 | N |
