A list of the most recent deficiencies for Hickory Creek at Scottsburg. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-10 | 2023-09-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-10 | 2023-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-10 | 2023-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-12 | 2023-08-11 | 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 | 2023-07-12 | 2023-08-11 | 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 | 2023-07-12 | 2023-08-11 | N |
| 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. | Health | 2023-07-12 | 2023-08-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-12 | 2023-02-11 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-21 | 2022-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-21 | 2022-10-08 | 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 | 2022-08-24 | 2022-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-09-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-24 | 2022-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-09-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-11 | 2022-01-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-14 | 2022-01-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-11 | 2021-09-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-11 | 2021-09-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Develop a communication plan. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Establish methods for sharing information. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-07-06 | 2021-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-18 | 2021-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-18 | 2021-07-18 | 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 | 2021-06-18 | 2021-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-18 | 2021-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-18 | 2021-07-18 | N |
