Hickory Ridge of Temperance

In the surveyor’s words

From the most serious findings on record at Hickory Ridge of Temperance, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 21, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.Findings Include:On 4/19/2026 beginning at 8:39 AM a tour of the kitchen was conducted with [NAME] B serving as kitchen supervisor.On 4/19/2026 at 9:06 AM observed spots of build up on multiple shelves of the metal storage racks in the walk in cooler. […]

• No harm, potential for more than minimal, widespreadF814Mar 5, 2025

  Based on observation, interview, and record review the facility failed to properly dispose of refuse and maintain cleanliness of garbage and refuse areas resulting in the potential harborage of pests. This deficient practice has the potential to affect all 79 residents in the facility. Findings include: On 3/04/25 at 10:10 a.m., during an observation of the environment with Dietary Manager (DM) A, the following observations at the garbage area located near the kitchen door of the facility were made: 1. Left and right side of the garbage dumpster was observed with trash that consisted of soiled gloves, paper, plastic cups and lids, straws, salt and pepper packs, and condiment packs. 2. Left and right-side doors to dumpster were open. 3. […]

• No harm, potential for more than minimal, patternF558Oct 14, 2022

  This citation has two deficient practices. Deficient practice number 1. Based on interview and record review, the facility failed to respond to call lights timely in multiple resident rooms (Rooms 118, 120, 121,122, 127, 144, 145, 146, 148, 156, 172, 173, 174, 175, 177, 181,197, and Therapy Room Bathroom) resulting in complaints of slow staff call light response times for one resident (R30) from a total of 19 residents reviewed for accommodation of needs and the potential for long wait times and resident frustration. Findings Include: On 10/12/22 at 12:18 PM R30 complained that his call light was not answered last Tuesday for almost 4 hours. R30 said, They do not answer the call lights timely. There is no light or bell that alerts them that I need assistance. […]

• No harm, potential for more than minimal, patternF880Oct 14, 2022

  Based on observation, interview, and record review, the facility failed to maintain proper infection control practices by ensuring staff properly used PPE (Personal Protective Equipment) for one resident(R203) of one resident reviewed for Infection Control, potentially resulting in the spread of a highly contagious virus which could affect residents residing on the unit. Findings include: In an observation on 10/12/22 at 10:15 a.m., R203 had a sign on the room door which read DROPLET & CONTACT PRECAUTIONS . Wash hands before entering and when leaving. Required: Gown and Gloves put on before entry and discard before exit. […]

• No harm, potential for more than minimal, patternF600Jun 23, 2021

  This citation is linked to Intake #MI 512. Based on observation, interview, and record review, the facility failed to prevent mistreatment and verbal abuse for two Residents (#3 and #4) of nine residents reviewed for abuse, resulting in multiple verbal abuse and mistreatment events for Resident #4, and contributed to Resident #4's physical, emotional, and psychosocial decline, as well as feelings of frustration for Resident #3. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 5/19/21, revealed Resident #3 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]