The Greens at Hickory

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF658Jan 28, 2026

  Based on record reviews, and resident, family member, staff, and Medical Director interviews, the facility failed to ensure medications were administered as prescribed by the physician when Nurse #8 administered medications to Resident #83 prescribed for Resident #33 which included Metformin (an antidiabetic agent), Coreg (beta-blocker that affects the heart and circulation), Trazadone (an antidepressant), Melatonin (hormone that regulates sleep), Senna (plant-based product used as laxative) and Tizanidine (muscle relaxant). In addition, Nurse #6 administered medications to Resident #139 prescribed for Resident #23 which included Tylenol (an analgesic) and Buspar (an anti-anxiety medication). […]

• No harm, potential for more than minimal, patternF759Jan 28, 2026

  Based on observations, record reviews and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 28 opportunities, resulting in a medication error rate of 7.14% for 2 of 4 residents observed during medication administration (Resident #62 and Resident #112).The findings included:1. The manufacturer's instructions for prefilled Tresiba insulin pen indicated the pen contained long-acting insulin that was injected once daily subcutaneously in the thigh, abdomen or upper arm. Prime the pen with 2 units before each dose. Priming the pen (essential): turn the dose selector to 2 units, hold the pen with the needle up, tap gently, and press the button until the counter shows 0 and a drop of insulin appears. […]

• No harm, potential for more than minimal, patternF761Nov 15, 2024

  Based on observations and staff interviews the facility failed to remove expired medications and intravenous fluids stored for use in 3 of 4 medication storage rooms (East, North, and Memory Care) reviewed for medication storage. The findings included: a. An observation was conducted on 11/12/2024 at 11:34 am of the East Medication Storage Room. The East Medication Storage Room contained 3 syringes of Heparin (blood thinning medication) that expired 2/2022, 2 syringes of Heparin that expired 3/31/2022, 2 syringes of Heparin that expired 4/30/2022, 8 syringes of Heparin that expired 6/30/2022, 2 syringes of Heparin that expired on 7/31/2022, 1 syringe of Heparin that expired on 8/31/2022, 10 syringes of Heparin that expired on 11/30/2022, 21 syringes of Heparin that expired 3/2023, 9… […]

• No harm, potential for more than minimal, patternF695Aug 17, 2023

  Based on observations, record review, staff, resident, and Physician Assistant interviews the facility failed to ensure a Bilevel Positive airway Pressure (BiPAP) machine (machine used to push air into your lungs), was in working order (Resident #38), failed to ensure oxygen concentrators and filters were clean (Resident #6, Resident #9, Resident #18, and Resident #65), failed to ensure an oxygen concentrator had external filters (Resident #21), and failed to ensure an oxygen flow rate was at the prescribed rate (Resident #6). This affected 6 of 6 residents reviewed for respiratory care. The findings included: 1. Resident #38 was admitted to the facility on [DATE] and most recently readmitted on [DATE]. […]

• No harm, potential for more than minimal, patternF867Aug 17, 2023

  Based on observations, record reviews, staff, resident, and Physician Assistant interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint survey of 03/18/22. This failure was for 1 deficiency that was originally cited in the area of Quality of Care (F695) and was subsequently recited on the current recertification and complaint survey of 08/17/23. The repeat deficiency during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QA program. […]