A list of the most recent deficiencies for Hickory Creek at Franklin. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-12-13 | 2024-01-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-05-31 | 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 | 2023-05-19 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-05-31 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-19 | 2023-05-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Develop a communication plan. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-07-29 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-01 | 2022-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-29 | 2021-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-29 | 2021-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-29 | 2021-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-29 | 2021-10-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-29 | 2021-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-24 | 2021-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-24 | 2021-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-24 | 2021-10-24 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-09-24 | 2021-10-24 | 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 | 2021-09-24 | 2021-10-24 | N |
