Hickory Ridge Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hickory Ridge Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on observations, interviews and facility policy review, the facility failed to ensure clean food service areas. This had the potential to affect all residents who received meals from the kitchen. The facility did not identify any residents who received nothing by mouth. The facility census was 141.Findings include:Observation of the kitchen area on 01/05/26 between 8:14 A.M. and 8:35 A.M. with Dietary Manager (DM) #378 revealed the following that was verified at the time of discovery:- There were mold and dried liquid droplets on four out of four racks in reach-in #1.- There were mold and dried liquid droplets on five out of six racks in reach-in #1.- The shelf underneath the steam table had food residue, food crumbs and pieces of parchment paper.- The back splash of the mixer had… […]

• No harm, potential for more than minimal, widespreadF804Jan 12, 2023

  Based on interviews with residents, interview with dietary staff, review of a test tray, and review of the facility policy the facility failed to ensure foods were palatable and served at appropriate temperatures. This had the potential to affect 127 residents who received food from the kitchen. The facility identified one resident (#117) as receiving nothing by mouth. The facility census was 128. Findings include: On 01/09/23 at 10:35 A.M., interview with Resident #87 stated the food did not taste good. On 01/09/23 at 10:43 A.M., interview with Resident #77 stated the food was cold and did not taste good. On 01/09/23 at 10:50 A.M., interview with Resident #63 stated the food was cold. On 01/11/23 from 12:36 P.M. […]

• No harm, potential for more than minimal, patternF807Jan 14, 2026

  Based on record review, observation, interview and facility policy review, the facility failed to honor preferences. This affected six residents (#9, #17, #71, #105, #106, and #129) out of six residents for beverage preferences. This had the potential to affect 141 residents who received meals from the facility. No residents were identified as receiving nothing by mouth (NPO). The facility census was 141.Findings include: 1. Review of the medical record for Resident #17 revealed an admission date of 12/19/25. Diagnoses included fracture of the upper end of right tibia, muscle weakness, and osteoarthritis.Review of the care plan dated 11/20/25 for Resident #17 revealed there was a potential for alteration in nutrition due to diagnoses. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure staff utilized appropriate hand hygiene during medication administration. This affected four residents (#27, #68, #105, and #116) out of eight residents observed for medication administration. The facility census was 141.Findings include:Observation on 01/08/26 from 8:23 A.M. to 8:39 A.M. of medication administration with Licensed Practical Nurse (LPN) #388 revealed the following: on 8:23 A.M. […]

• No harm, potential for more than minimal, patternF880Jan 28, 2025

  Based on observation, record review, interview, policy and procedure review, and review of the Centers for Disease Control (CDC) guidance, the facility failed to ensure staff performed appropriate hand hygiene and ensure all staff implemented enhanced barrier precautions. This affected two of three residents reviewed for incontinence care (Residents #65 and #8) and one of 20 residents who ate their meals and resided on the 100 hall (Resident #58). These failures also had the potential to affect all 20 residents currently residing on the 100 hall (Residents #8 #17, #25, #37, #58, #65, #71, #74, #75, #78, #94, #95, #105, #109, #117, #135, #137, #139, #143 and #146). The facility census was 147. Findings include: 1. […]