Arc at Hickory Point

In the surveyor’s words

From the most serious findings on record at Arc at Hickory Point, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 17, 2026

  Based on observation, interview, and record review, the facility failed to identify a newly admitted resident as a potential elopement risk and failed to provide supervision and interventions to prevent elopement for one of four (R1) residents reviewed for elopement on a sample list of four. These failures resulted in R1, a severely cognitively impaired resident at risk for falls with impaired safety awareness, leaving the facility unsupervised on foot with no coat or shoes on with outside temperatures below freezing. R1 was found by family members six tenths of a mile from the facility in a restaurant parking lot near two interstates/highways eight hours after the resident was last observed in the facility. […]

• Immediate jeopardy, isolatedF686Sep 12, 2024

  Based on interview and record review, the facility failed to implement pressure relieving interventions, assess, monitor, and treat a pressure sore, notify the physician of a reopened pressure sore/worsening pressure sore, and notify the physician of a facility acquired deep tissue injury for two of seven residents (R1, R4) reviewed for pressure sores in the sample list of seven residents. These failures resulted in R1's left elbow pressure sore progressing to an infected stage 4 pressure sore requiring hospitalization , surgery, a wound vacuum, and intravenous antibiotic theray and R4's right heel deep tissue injury deteriorating to an open unstageable pressure sore. […]

• Actual harm, isolatedF686Jul 31, 2026

  Based on observation, interview and record review, the facility failed to ensure a resident received timely antibiotic therapy for a wound infection, failed to notify the physician of new wounds and obtain treatment orders, and failed to follow Enhanced Barrier Precautions, complete wound assessments and update wound care plans for two of four (R4 and R6) residents reviewed for pressure sores on the sample list of 20. Failing to ensure R4 received timely antibiotic therapy resulted in R4's pressure sore continuing to deteriorate and R4 experiencing severe pain. […]

• Actual harm, isolatedF557Mar 4, 2026

  Based on interview and record review, the facility failed to treat residents with respect and dignity for one (R76) of three residents (R75, R60, R76) reviewed for respect and dignity in the sample list of 37 residents. This failure resulted in R76 feeling embarrassed and degraded with a low self-esteem after staff continued the incontinence check after R76 stated R76 had notified staff that R76 was continent of urine.Findings Include:R76's Medical Record reviewed documents R76 was admitted to the facility on [DATE] from a local hospital with Diagnoses of Seasonal Allergic Rhinitis, Polyneuropathy, Long Term (Current) Use Of Oral Hypoglycemic Drugs, Presence Of Right Artificial Knee Joint, Aftercare Following Joint Replacement Surgery, Chronic Obstructive Pulmonary Disease, Autoimmune… […]

• Actual harm, isolatedF689Mar 4, 2026

  Based on observation, interview and record review, the facility failed to ensure an oxygen cylinder was secured and stored properly for two residents (R71 and R1) in a sample list of 37 residents. Findings Include: On 3/01/2026 at 8:35AM, R71 had a portable oxygen cylinder located on the left side of R71's bed, not secured and not in use by the resident. R71 stated R71 does not use oxygen. On 03/01/2026 at 9:05AM, R1 had a portable oxygen cylinder located by the entry door inside R1's room. R1 stated R1 use to use oxygen and a BiPAP (Bilevel Positive Airway Pressure) machine but no longer uses either. R71's Physician Orders documented on 2/21/26, R71 receives two liters of Oxygen via Nasal Cannula every shift for Shortness of Breath. […]