A list of the most recent deficiencies for Hickory Creek at Crawfordsville. 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 and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-11-15 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-10 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-24 | 2022-03-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-27 | 2021-09-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-08-27 | 2021-09-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-27 | 2021-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-27 | 2021-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-27 | 2021-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-27 | 2021-09-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-27 | 2021-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-27 | 2021-09-23 | 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 | 2021-08-27 | 2021-09-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-08-27 | 2021-09-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-27 | 2021-09-23 | 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 | 2021-08-27 | 2021-09-23 | 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 | 2021-08-27 | 2021-09-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-27 | 2021-09-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-08-27 | 2021-09-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-27 | 2021-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-09 | 2021-09-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-09 | 2021-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-09 | 2021-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-09 | 2021-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-09 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-06-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-14 | 2021-05-10 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-04-03 | 2019-04-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-03 | 2019-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-03 | 2019-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-03 | 2019-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-03 | 2019-04-24 | 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 | 2019-03-06 | 2019-03-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-06 | 2019-03-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-06 | 2019-03-22 | N |
