Deficiency Records for Hickory Creek at Rochester
Updated as of September 01, 2019
This is not the most recent data for Hickory Creek at Rochester. For the most recent information, click here.
A list of the most recent deficiencies for Hickory Creek at Rochester. 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-15 | 2019-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-15 | 2019-06-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-04-04 | 2019-05-04 | 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 ne | Health | 2019-04-04 | 2019-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-04 | 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 | 2018-11-01 | 2018-11-13 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-19 | 2017-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-19 | 2017-08-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-07-19 | 2017-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-19 | 2017-08-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-16 | 2017-06-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-16 | 2017-06-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-16 | 2017-06-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-16 | 2017-06-29 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-06-16 | 2017-06-29 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-16 | 2017-06-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-16 | 2017-06-29 | N |
