Hickory Creek at Greensburg

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Oct 11, 2024

  Based on interview and record review, the facility failed to provide the required RN (Registered Nurse) on duty for eight consecutive hours a day for 12 of 29 days reviewed. Findings include: During an interview on 10/09/24 at 1:24 P.M., the Director of Nursing (DON) indicated they were the only RN working in the facility at this time so sometimes there was not an RN on duty for eight consecutive hours a day. During an interview on 10/11/24 at 10:31 A.M., the Regional Director of Clinical Services indicated the payroll was completed by the facility staff then the corporate Manager of Financial Operations compiled the information and reported the Payroll-Based Journal (PBJ). […]

• No harm, potential for more than minimal, widespreadF727Sep 8, 2022

  Based on interview and record review, the facility failed to provide the required RN (Registered Nurse) on duty for eight hours a day for 2 of the 8 days during the survey time period. Findings include: During an interview on 09/08/22 at 2:27 P.M., the DON (Director Of Nursing) indicated the facility did not have an RN working in the facility for eight consecutive hours on the weekends. She, the DON, was on call every weekend and would come in when needed. There was always an LPN (Licensed Practical Nurse) in the building. They were actively trying to hire more RNs. The DON and RN 6 were the only two RNs currently working in the facility and RN 6 only worked part-time. […]

• No harm, potential for more than minimal, patternF812Aug 10, 2023

  Based on observation, interview, and record review, the facility failed to store dry foods in a sanitary manner related to the dry storage room. This deficient practice had the potential to affect all 30 residents who reside in the facility. Findings include: During an initial kitchen and dry storage observation on 08/06/23 at 10:42 A.M., the following was observed: - a watermelon sat inside a plastic container that contained ranch dressing packets, - a cardboard box of disposable lids and a cardboard box of plastic bowls sat on the floor under the middle rack, and - there was a white powdered substance along the back wall behind the middle rack of dry goods that measured approximately 3-4 feet long and 6 inches wide, and - 4 small Styrofoam bowls, a tea bag, a clear plastic bowl, and a… […]

• No harm, potential for more than minimal, patternF692Sep 8, 2022

  Based on interview and record review, the facility failed to ensure residents received ordered nutritional supplements for 5 of 12 residents reviewed. (Residents 10, 3, 6, 22, and 13) Findings include: 1. The clinical record for Resident 10 was reviewed on 09/06/22 at 1:38 P.M. A Significant Change MDS (Minimum Data Set) assessment, dated 06/22/22, indicated the resident was severely cognitively impaired. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident required extensive staff assistance with eating. The resident was admitted to hospice services on 07/28/22. A Registered Dietician Progress Note, dated 08/04/2022 at 8:54 A.M., indicated the resident had experienced a 7 lb. (pound) weight loss in 30 days, a 13 lb. weight loss in 90 days, and a 24 lb. weight loss in 180 days. […]

• No harm, potential for more than minimal, patternF755Sep 8, 2022

  Based on record review and interview, the facility failed to have medications available for 2 of 5 residents reviewed for unnecessary medications. (Residents 6 and 9) Findings include: 1. The clinical record for Resident 6 was reviewed on 09/06/22 at 10:05 A.M. An Admission MDS (Minimum Data Set) assessment, dated 06/01/22, indicated the resident was cognitively intact. The diagnoses included, but were not limited to, cancer, [CONDITION(S)], hypertension, [CONDITION(S)], diabetes, and end stage renal disease. The resident had received [CONDITION(S)] while a resident in the facility. An open ended physicians' order, with a start date of 05/25/22, indicated the resident was to take [MEDICATION(S)] (a platelet medication) 5 mg (milligrams), twice a day. […]