Hickory Creek at Scottsburg

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 18, 2021

  Based on observation, record review, and interview, the facility failed to ensure interventions were implemented to prevent the development and worsening of pressure ulcers, which resulted in the development of a stage II pressure ulcer, and a state III pressure ulcer which worsened to a stage IV for 1 of 4 residents reviewed for pressure ulcers. (Resident 130) Findings include: During an observation of wound care for Resident 130, on 6/16/21 at 1:00 p.m., RN 11 assisted LPN (Licensed Practical Nurse) 13, with wound care. She removed the ABD (Abdominal) pad, which was dated 6/16/21 from the left buttock. The area from hip to hip and coccyx to scrotum was reddened. The LPN indicated she felt the redness was [MEDICATION(S)]. The wound measured at 5.5 cm deep tunneling. […]

• No harm, potential for more than minimal, patternF880Dec 6, 2024

  Based on observation, interview and record review, the facility failed to ensure staff hand sanitized during a medication pass and failed to ensure staff did not touch medications prior to medication administration for 6 of 6 residents reviewed for infection control. (Resident's B, C, E, F, G and H) Findings include: 1. The clinical record for Resident B was reviewed on 12/5/24 at 12:12 p.m. The resident's diagnoses included, but were not limited to, chronic obstructive pulmonary disease (COPD), chronic respiratory failure and gastroesophageal reflux disease (GERD). […]

• No harm, potential for more than minimal, patternF565Apr 25, 2024

  Based on interview and record review, the facility failed to act upon resident concerns of not answering the call lights in a timely manner; beds not made and rooms messy; urinals not emptied or put away; glove usage without handwashing; rooms not being deep cleaned; missing clothes after being sent to laundry; staff cursing and talking about other staff in front of residents; feeling rushed by housekeeping to eat and leave the dining room for 9 of 10 Resident Council meetings (August, September, October, November, and December 2023, January, February, March and April 2024). This deficient practice had the potential to affect 31 of 31 residents currently residing in the facility. Findings include: 1. […]

• No harm, potential for more than minimal, patternF804Apr 25, 2024

  Based on observation and interview, the facility failed to provide meals that were palatable, appetizing and at appropriate temperatures. This deficient practice had the potential to affect 30 of 31 residents currently residing in the facility. Findings include: 1. During an observation on 4/21/24 at 11:55 a.m., a test tray was placed on the last cart for the hall trays. The cart arrived to the hall at 12:00 p.m. The staff began serving the trays at 12:00 p.m. and completed at 12:12 p.m. During a test tray on 4/21/24 at 12:14 p.m., the following food temperatures and observations were obtained: -The sliced turkey temperature was 124.9 degrees F. It had a processed flavor and texture, but was appetizing. -The Au gratin Potatoes temperature was 118 degrees F. […]

• No harm, potential for more than minimal, patternF727Jul 12, 2023

  Based on record review and interview, the facility failed to schedule 8-hour RN coverage during the weekend day and night shifts for June and July 2023. This had the potential to affect all 31 residents residing in the facility. Findings include: On 7/6/23 between 9:30 a.m. and 2:30 p.m., the ED (Executive Director) provided a document indicating the facility had no staffing waivers. The June and July nursing schedule was reviewed on 7/11/23 at 9:02 a.m. 8-hour RN coverage was not documented on the following weekends: - On 6/3/23 no RN was scheduled for the day or night shift. - On 6/4/23 no RN was scheduled for the day or night shift. - On 6/10/23 no RN was scheduled for the day or night shift. - On 6/11/23 no RN was scheduled for the day or night shift. […]