A list of the most recent deficiencies for Hickory Creek at Peru. 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? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-06 | 2023-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-06 | 2023-11-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-10 | 2023-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-10 | 2023-11-04 | 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 | 2023-10-10 | 2023-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-10 | 2023-11-04 | 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 | 2023-10-10 | 2023-11-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-10 | 2023-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-10 | 2023-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-10 | 2023-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-12-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Develop a communication plan. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Develop a communication plan. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-21 | 2019-08-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-16 | 2019-06-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-16 | 2019-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-16 | 2019-06-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-16 | 2019-06-15 | 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 | 2019-05-16 | 2019-06-15 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-05-16 | 2019-06-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-05-16 | 2019-06-15 | N |
