A list of the most recent deficiencies for Hickory Creek at New Castle. 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 | 2023-04-11 | 2023-05-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-04-11 | 2023-05-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-24 | 2023-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-03-24 | 2023-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-17 | 2021-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-15 | 2021-10-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-15 | 2021-10-26 | 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 | 2021-10-15 | 2021-10-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-15 | 2021-10-26 | N |
| Meet other general requirements. | Fire Safety | 2019-09-17 | 2019-10-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-17 | 2019-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-17 | 2019-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-17 | 2019-10-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-07-26 | 2019-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-26 | 2019-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-26 | 2019-08-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-26 | 2019-08-25 | 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 | 2019-07-26 | 2019-08-25 | N |
