All citations for Hickory Creek at Rochester

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Hickory Creek at Rochester

Last standard health inspection on record

June 11, 2025

Showing 1 to 25 of 38 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 8, 2024).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 27, 2025).

  3. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  6. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  7. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  8. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  9. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 25, 2023).

  10. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  11. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  12. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  13. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  14. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2023).

  15. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2025).

  16. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  17. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of June 11, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  18. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2024).

  20. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

  21. No harm, with potential for more than minimal harm

    Construct fire resistant interior walls.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  22. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  23. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2024).

  24. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

  25. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.