Deficiency Records for Hickory Creek at Scottsburg
Updated as of August 01, 2021
This is not the most recent data for Hickory Creek at Scottsburg. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-10-22 | 2020-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-10 | 2020-03-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-10 | 2020-03-27 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-03 | 2019-10-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-07-31 | 2019-08-28 | 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 | 2019-07-31 | 2019-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-08-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-20 | 2018-12-20 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-24 | 2018-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-04 | 2018-10-04 | N |
