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Deficiency Records for Hickory Creek at Columbus

A list of the most recent deficiencies for Hickory Creek at Columbus. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Hickory Creek at Columbus. 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-16 2024-02-03 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-06-29 2023-08-19 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-06-29 2023-08-19 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-06-29 2023-08-19 N
Develop a communication plan. Fire Safety 2023-06-29 2023-08-19 N
Establish staff and initial training requirements. Fire Safety 2023-06-29 2023-08-19 N
Conduct testing and exercise requirements. Fire Safety 2023-06-29 2023-08-19 N
Meet other general requirements that are deficient. Fire Safety 2023-06-29 2023-08-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-29 2023-08-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-06-29 2023-08-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-12 2023-07-07 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 2023-06-12 2023-07-07 N
Keep residents' personal and medical records private and confidential. Health 2022-09-27 2022-10-15 Y
Implement emergency and standby power systems. Fire Safety 2022-07-13 2022-08-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-13 2022-08-12 N
Meet other general requirements that are deficient. Fire Safety 2022-07-13 2022-08-12 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-07-13 2022-08-12 N
Provide properly protected cooking facilities. Fire Safety 2022-07-13 2022-08-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-13 2022-08-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-13 2022-08-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-07-13 2022-08-12 N
Provide a written emergency evacuation plan. Fire Safety 2022-07-13 2022-08-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-07-13 2022-08-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-13 2022-08-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-21 2022-07-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-21 2022-07-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-21 2022-07-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-21 2022-07-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-06-21 2022-07-21 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 2022-06-21 2022-07-21 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2022-06-10 2022-07-10 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-06-10 2022-07-10 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-09-10 2021-10-02 N
Install an approved automatic sprinkler system. Fire Safety 2021-09-10 2021-10-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-10 2021-10-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-10 2021-10-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-09-10 2021-10-02 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-09-10 2021-10-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-09 2021-09-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-12 2021-07-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-12 2021-07-29 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 2021-07-12 2021-07-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-07-12 2021-07-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-07-12 2021-07-29 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 2021-07-12 2021-07-29 N
Provide and implement an infection prevention and control program. Health 2021-07-12 2021-07-29 N

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