Nursing Investigation Results -

Pennsylvania Department of Health
HICKORY HOUSE NURSING HOME
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HICKORY HOUSE NURSING HOME
Inspection Results For:
There are 31 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


HICKORY HOUSE NURSING HOME - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Name: - Component: -- - Tag: 0000

Based on an Emergency Preparedness Survey completed on September 10, 2019, at Hickory House Nursing Home, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.

Plan of Correction:

Initial comments:Name: MAIN BUILDING - Component: 01 - Tag: 0000

Facility ID #083002
Component 01
Original Building

Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on September 10, 2019, it was determined that Hickory House Nursing Home was in substantial compliance with the requirements of the Life Safety Code for an existing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a one-story, Type II (000), unprotected noncombustible structure, without a basement, which is fully sprinklered.

Plan of Correction:

Initial comments:Name: BUILDING 02 - Component: 02 - Tag: 0000

Facility ID #083002
Component 02
D Wing - New Addition

Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on September 10, 2019, it was determined that Hickory House Nursing Home was in substantial compliance with the requirements of the Life Safety Code for an existing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a one-story, Type V (111), protected wood frame structure, without a basement, which is fully sprinklered.

Plan of Correction:

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