Life Care Center of Hickory Woods

In the surveyor’s words

From the most serious findings on record at Life Care Center of Hickory Woods, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on facility policy review, observation, and interview, the facility failed to maintain a clean and sanitary environment when food debris was found on top of and inside the deep fryer, oil was observed dripping from the fryer onto the floor, a black, dried liquid substance was observed on the floor behind and around the stove, oven, deep fryer, ice machine, along the base boards and in the corners of the kitchen and when carbon build up and food debris was observed on the stovetop. The facility's census was 112 and 111 residents received meal trays from the kitchen. The findings include:1. […]

• No harm, potential for more than minimal, isolatedF638Nov 19, 2025

  Based on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, policy review, medical record review, and interview, the facility failed to ensure assessments were signed to reflect timely submission and failed to complete quarterly assessments timely, using the Centers for Medicare & Medicaid Services-specified RAI process within the regulatory time frames for 3 of 23 (Resident #5, #92, and #148) sampled residents reviewed. The findings include: 1. The MDS 3.0 RAI Manual v (version) 1.20.1 October 2025, page 2-35, revealed .The Quarterly assessment is an OBRA (Omnibus Budget Reconciliation Act) non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous OBRA assessment of any type. […]

• No harm, potential for more than minimal, isolatedF880Nov 19, 2025

  Based on the Centers for Disease Control and Prevention (CDC) guideline review, policy review, medical record review, observation, and interview, the facility failed to ensure infection control practices to prevent the spread of communicable diseases when 3 of 3 staff (Certified Nursing Assistant (CNA) A, CNA B, and CNA C) failed to don personal protective equipment (PPE) and properly perform urinary catheter care for 2 of 2 (Resident #135 and #158) sampled residents reviewed for enhanced barrier precautions and catheter care. […]

• No harm, potential for more than minimal, isolatedF558Aug 23, 2024

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure call lights were within reach for 1 of 118 (Resident #82) sampled residents reviewed for access to call lights. The findings include: Review of the facility's policy titled, Resident Call System, revised on 1/4/2023, revealed, .The nurses' stations in the facility will be equipped to receive resident calls with a communication system through audible or visual signals from resident rooms .The call light should be positioned in reach of the resident .The call system must be accessible to residents while in their bed or other sleeping accommodations within the resident's room . […]

• No harm, potential for more than minimal, isolatedF609Aug 23, 2024

  Based on facility policy review, medical record review, Facility Reported Investigation (FRI) review, and interview, the facility failed to report allegations of abuse within 2 hours for 2 of 3 (Residents #170 and #270) sampled residents reviewed for abuse. The findings include: Review of the facility policy titled, Incident and Reportable Event Management, with revision date of 5/4/2023 revealed, .Reporting of Alleged Violations .Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment .are reported immediately, but not later than 2 hours after the allegation is made . […]