Hickory Village

The facility failed to update the care plan for one resident within 10 days of a significant change in status. Specifically, the resident's care plan was not revised following their admission to hospice care on July 11, 2025.

The facility failed to ensure that the recording of medication administration on the medication administration record was performed by the staff person who actually administers the medication.

The facility failed to complete a significant change assessment within 10 days of a resident being admitted to hospice care. Specifically, for Resident #2, there was no documentation of a care plan revision or assessment following the transition to hospice services on 07/11/25.

The facility failed to ensure that medical referrals and follow-up care were completed for a resident requiring a speech therapy evaluation due to swallowing difficulties. Although a physician order was placed in January, the necessary referral was not effectively processed, resulting in a delay in the resident receiving the ordered evaluation and treatment.

The facility failed to ensure proper referral and follow-up for a resident requiring a speech therapy evaluation due to difficulty swallowing. Although a physician order for the evaluation was issued on 01/31/24, the home health agency did not receive the referral until 02/06/24, resulting in a delay in necessary care.

The facility failed to ensure proper referral and follow-up for residents to meet acute health care needs. Specifically, the facility did not notify the primary care provider of an allegation of resident-to-resident sexual assault and failed to obtain a referral for mental health services following an incident.

The facility failed to ensure proper referral and follow-up for two residents regarding health care needs. Specifically, the facility did not notify the primary care provider of an allegation of resident-to-resident sexual assault and failed to obtain a referral for mental health services following the incident.