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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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-11 | 2024-10-07 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-09-11 | 2024-10-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-11 | 2024-10-07 | N |
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-30 | Not Fixed | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-30 | Not Fixed | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-09-30 | Not Fixed | N |
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