Deficiency Records for Hickory Creek at Rochester
Updated as of October 01, 2021
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? |
---|---|---|---|---|
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-12 | 2020-08-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-04 | 2020-03-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-04 | 2020-03-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-04 | 2020-03-23 | 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 | 2020-03-04 | 2020-03-23 | N |
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 necessary and PRN use is limited. | 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 |