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? |
|---|---|---|---|---|
| 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 |
