Deficiency Records for Hickory Point Christian Village
Updated as of October 01, 2021
This is not the most recent data for Hickory Point Christian Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-25 | 2019-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-25 | 2019-05-09 | 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 | 2019-04-18 | 2019-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-21 | 2019-03-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-07 | 2018-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-07 | 2018-04-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-07 | 2018-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-07 | 2018-04-11 | 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 | 2018-03-07 | 2018-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-04-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-06 | 2018-03-30 | N |
