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Deficiency Records for Hickory Creek at Sunset
A list of the most recent deficiencies for Hickory Creek at Sunset. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Hickory Creek at Sunset. 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? |
|---|---|---|---|---|
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-06-28 | 2024-07-24 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2024-06-28 | 2024-07-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-28 | 2024-07-24 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-17 | 2023-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-17 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-17 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-17 | 2023-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-08-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-28 | 2023-08-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-08-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-28 | 2023-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-27 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-07-28 | 2023-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-20 | 2022-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-11 | 2022-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-06-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-26 | 2021-06-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-26 | 2021-06-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-26 | 2021-06-25 | 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 | 2021-05-26 | 2021-06-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-26 | 2021-06-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-05-26 | 2021-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-05-26 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| Develop a communication plan. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-25 | 2021-06-24 | 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 | 2021-05-25 | 2021-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-25 | 2021-06-24 | N |
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