A list of the most recent deficiencies for Hickory Ridge of Temperance. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-25 | 2024-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-29 | 2024-02-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-03 | 2022-12-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-12-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-14 | 2022-11-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-14 | 2022-11-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-14 | 2022-11-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-14 | 2022-11-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-14 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-14 | 2022-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-02 | 2021-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2021-12-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2021-12-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-11 | 2021-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-08-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-23 | 2021-07-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-23 | 2021-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-23 | 2021-07-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-23 | 2021-07-22 | Y |
| 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 | 2021-06-23 | 2021-07-22 | Y |
