A list of the most recent deficiencies for Hickory Creek at Madison. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-10 | 2023-10-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-10 | 2023-10-26 | 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 | 2023-09-15 | 2023-10-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-15 | 2023-10-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-17 | 2022-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-16 | 2020-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-16 | 2020-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-16 | 2020-03-20 | 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 | 2020-02-12 | 2020-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-03-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-12 | 2020-03-12 | N |
