HICKORY CREEK AT HICKSVILLE Information
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HICKORY CREEK AT HICKSVILLE General InformationTotal number of certified beds: 63Category:Participating in Medicare and Medicaid Type:Non profit - Corporation Address:401 FOUNTAIN STREET HICKSVILLE OH 43526 (419)542-2779 Health survey date:Sept 20, 2007 Fire survey date:Sept 19, 2007 Sprinklers:fully sprinklered Total number of certified beds: 63 Total number of residents: 52 Percentage of certified beds that are occupied in the nursing home:83 % Located within a Hospital: NO Which councels nursing home participates in:RESIDENT | ||
HICKORY CREEK AT HICKSVILLE Staff InformationNumber RN Hours Per Resident Per Day: 0.43Number LPN/LVN Hours Per Res Per Day: 0.79 Total Number Licensed Staff Hours Per Resident Per Day: 1.22 Number CNA Hours Per Resident Per Day: 1.98 | ||
HICKORY CREEK AT HICKSVILLE Resident InformationPercent of High-Risk Long-Stay Residents Who Have Pressure Sores :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season :90 % Percent of Long-Stay Residents Who are More Depressed or Anxious :43 % Percent of Long-Stay Residents Who Have Moderate to Severe Pain :18 % Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder :0 % Percent of Long-Stay Residents Who Lose Too Much Weight :4 % Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair :0 % Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination :90+ % Percent of Long-Stay Residents Who Were Physically Restrained :2 % Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse :6 % Percent of Long-Stay Residents Whose Need for Help With Daily Activities Has Increased :34 % Percent of Long-Stay Residents With a Urinary Tract Infection :6 % Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder :33 % Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season :86 % Percent of Short-Stay Residents Who Had Moderate to Severe Pain :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % Percent of Short-Stay Residents With Delirium :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % Percent of Short-Stay Residents With Pressure Sores :Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. % | ||
HICKORY CREEK AT HICKSVILLE Quality Inspection ResultsMost recent survey Date:Feb 25, 2008 Deficiency corrected:Mar 24, 2008 Deficiency type:Health Description:Mistreatment Deficiencies Deficiency:1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Feb 25, 2008 Deficiency corrected:Mar 24, 2008 Deficiency type:Health Description:Mistreatment Deficiencies Deficiency:Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:June 20, 2007 Deficiency corrected:July 20, 2007 Deficiency type:Health Description:Quality Care Deficiencies Deficiency:Give professional services that meet a professional standard of quality. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Feb 25, 2008 Deficiency corrected:Mar 24, 2008 Deficiency type:Health Description:Quality Care Deficiencies Deficiency:Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Scope:Isolated Harm:Actual harm Most recent survey Date:June 20, 2007 Deficiency corrected:July 20, 2007 Deficiency type:Health Description:Pharmacy Service Deficiencies Deficiency:Make sure that residents are safe from serious medication errors. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:June 20, 2007 Deficiency corrected:July 20, 2007 Deficiency type:Health Description:Pharmacy Service Deficiencies Deficiency:Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Interior Finish Deficiencies Deficiency:fire-resistant room wall surfaces. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Corridor Walls and Doors Deficiencies Deficiency:corridors that are separated from common areas by walls constructed to limit the passage of smoke. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Corridor Walls and Doors Deficiencies Deficiency:corridor and hallway doors that block smoke. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Smoke Compartmentation and Control Deficiencies Deficiency:walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Hazardous Area Deficiencies Deficiency:construction that can resist fire for one hour or an approved fire extinguishing system. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Illumination and Emergency Power Deficiencies Deficiency:emergency lighting that can last at least 1 1/2 hours. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Automatic Sprinkler Systems Deficiencies Deficiency:automatic sprinkler systems that have been maintained in working order. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Medical Gases and Anesthetizing Areas Deficiencies Deficiency:proper medical gas storage and administration areas. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 10, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Fire Safety Description:Medical Gases and Anesthetizing Areas Deficiencies Deficiency:proper fire barriers, ventilation and signs for the transport of oxygen. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 12, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Health Description:Quality Care Deficiencies Deficiency:Give professional services that meet a professional standard of quality. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 12, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Health Description:Quality Care Deficiencies Deficiency:Give each resident enough fluids to keep them healthy and prevent dehydration. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 12, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Health Description:Nutrition and Dietary Deficiencies Deficiency:Make sure that the attending doctor orders special diets. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Jan 12, 2006 Deficiency corrected:Feb 12, 2006 Deficiency type:Health Description:Administration Deficiencies Deficiency:Get services outside the nursing home that meet professional standards. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Building Contruction Deficiencies Deficiency:a two-hour-resistant firewall in common walls. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Corridor Walls and Doors Deficiencies Deficiency:corridor and hallway doors that block smoke. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Smoke Compartmentation and Control Deficiencies Deficiency:smoke barrier doors that can resist smoke for at least 20 minutes. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Emergency Plans and Fire Drills Deficiencies Deficiency:record of quarterly fire drills for each shift under varying conditions. Scope:Widespread Harm:Potential for minimal harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Fire Alarm Systems Deficiencies Deficiency:an approved installation, maintenance and testing program for fire alarm systems. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Nov 08, 2006 Deficiency corrected:Dec 14, 2006 Deficiency type:Fire Safety Description:Automatic Sprinkler Systems Deficiencies Deficiency:automatic sprinkler systems that have been maintained in working order. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Interior Finish Deficiencies Deficiency:fire-resistant room wall surfaces. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Corridor Walls and Doors Deficiencies Deficiency:signs that state that exit doors are to be kept closed. Scope:Widespread Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Exits and Egress Deficiencies Deficiency:proper exit design. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Emergency Plans and Fire Drills Deficiencies Deficiency:record of quarterly fire drills for each shift under varying conditions. Scope:Widespread Harm:Potential for minimal harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Building Service Equipment Deficiencies Deficiency:properly protected cooking facilities. Scope:Widespread Harm:Potential for minimal harm Most recent survey Date:Sept 19, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Fire Safety Description:Electrical Deficiencies Deficiency:properly installed electrical wiring and equipment. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Resident Assessment Deficiencies Deficiency:Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Resident Assessment Deficiencies Deficiency:1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Quality Care Deficiencies Deficiency:Give each resident care and services to get or keep the highest quality of life possible. Scope:Isolated Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Pharmacy Service Deficiencies Deficiency:Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Pharmacy Service Deficiencies Deficiency:Properly mark drugs and other similar products. Scope:Pattern Harm:Minimal harm or potential for actual harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Administration Deficiencies Deficiency:1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. Scope:Pattern Harm:Potential for minimal harm Most recent survey Date:Sept 20, 2007 Deficiency corrected:Oct 20, 2007 Deficiency type:Health Description:Administration Deficiencies Deficiency:Give or get lab tests to meet the needs of residents. Scope:Isolated Harm:Minimal harm or potential for actual harm | ||
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