Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vancrest Of Hicksville during CMS and state inspections, most recent first.
Resident trust accounts were not credited with interest dividends based on individual balances. A BOM stated she split the bank’s monthly bulk interest payment evenly among residents in the SNF and ALF without considering each account balance, and she could not explain why some residents received different interest amounts despite similar processing.
A dietary service deficiency occurred when residents on a mechanical soft diet were served an undersized meatloaf portion compared with the menu requirement, and residents on a pureed diet did not receive pureed bread with the noon meal. Staff observations and interviews confirmed the incorrect plating of mechanical soft and pureed meals, including meatloaf, lima beans, and mashed potatoes being served without all required meal components.
Unlocked public bathrooms near the lobby were accessible to residents and had no emergency call lights. RN and ADON confirmed the restrooms were open and available at all times, and repeated observations showed the doors remained open and unlocked. The facility identified 36 independently ambulatory residents as potentially affected.
A resident with CHF, hyponatremia, and an 1800 mL fluid restriction was not accurately monitored or documented for fluid intake. Nursing and aide charting showed inconsistent intake totals, staff gave conflicting accounts of how they measured and recorded fluids, and observations found the resident receiving multiple beverages at meals, including coffee, juice, and soup, with a water pitcher also present in the room. The DON confirmed the resident was sometimes non-compliant, but no progress notes were documented for noncompliance or staff education.
An LPN failed to prime an insulin Lispro pen before giving insulin to a resident. During observation, the LPN dialed and activated the pen before attaching the needle, then administered the dose without priming the pen first. The LPN confirmed the incorrect process, and the device manual stated the needle should be fully attached before priming, dialing the dose, and injecting.
Two residents with orders for mechanical soft diets and restrictions against foods with skins, seeds, or nuts were served whole peas, which did not comply with their prescribed diets. Staff interviews revealed confusion about which foods were restricted, and there was no defined list to guide dietary staff, resulting in the residents receiving inappropriate food items.
Resident Trust Interest Dividends Not Based on Account Balances
Penalty
Summary
The facility failed to ensure residents received appropriate interest dividends based on the balances in their resident trust accounts. Review of monthly resident trust statements showed that five residents with trust accounts received interest payments that did not appear to correspond to their individual ending balances. For example, one resident had an ending balance of $0.36 and received $0.11 in interest, while other residents with balances of $1,335.17, $1,567.22, $1,776.02, and $1,162.39 received interest payments of $0.11, $0.11, $0.05, and $0.11, respectively. The facility identified 37 residents with resident trust accounts out of a census of 51. During interview, the Business Office Manager stated she had managed resident trust accounts for about a year and was trained to allocate the monthly bulk interest payment evenly between all residents in the SNF and ALF. She stated she did not consider individual account balances when applying interest to accounts and later could not explain why some residents received $0.05 while others received $0.11 when the bank’s bulk interest payment was supposedly split evenly.
Modified Diet Meals Were Served With Incorrect Portions and Missing Components
Penalty
Summary
The facility failed to ensure menus met residents’ nutritional needs by not providing the correct meal components and portions for residents on modified diets. During the noon meal service, staff plated mechanical soft and pureed meals, and the dietary staff member confirmed that mechanical soft meatloaf was being served using a two-ounce scoop with two scoops provided, totaling a four-ounce portion. The menu spreadsheet and dietary manager confirmed that residents on a mechanical soft diet should have received a five-and-one-third ounce portion of meatloaf. The same observation and interviews confirmed that residents on a pureed diet received meatloaf, lima beans, and mashed potatoes, but pureed bread was not prepared or served with the meal.
Unlocked Public Bathrooms Without Emergency Call Lights
Penalty
Summary
The facility failed to ensure that common bathrooms accessible to residents had emergency call lights. Survey observations on 05/04/26 showed two public restrooms near the entrance lobby were kept unlocked when not in use, with the doors standing open. RN #272 confirmed that the two public restrooms off the main lobby were unlocked and accessible at all times, and ADON #226 confirmed that these restrooms were accessible to residents and had no call lights for residents to use in case of emergency. Additional observations on 05/05/26, 05/06/26, and 05/07/26 showed the bathroom doors remained open and unlocked. The facility identified 36 independently ambulatory residents as potentially affected, and the census was 51.
Inaccurate Monitoring and Documentation of Fluid Restriction
Penalty
Summary
The facility failed to accurately provide, monitor, and document fluid intake for a resident on an 1800 mL fluid restriction related to hypo-osmolality and hyponatremia. The resident had diagnoses including CHF, hypo-osmolality and hyponatremia, and hypertension, and the care plan identified risk for altered cardiac output/arrhythmia related to CHF, hypertension, and nonrheumatic aortic insufficiency. The record also noted the resident had acute kidney injury and was at times non-compliant with the fluid restriction, with education provided on the importance of following it. Review of the nursing and aide charting showed the resident’s daily fluid intake was documented as ranging from 1560 mL to 2000 mL, and the charting included fluids from meals and fluids provided by nursing staff. The aide charting for another period showed intake ranging from 540 mL to 1450 mL per day. Staff interviews showed inconsistent understanding of how to measure and document intake, with one LPN stating she charted 360 mL per meal because that was the amount allowed, while a CNA stated she sometimes documented 720 because that was how she was trained and could not estimate the amount consumed. Observations showed the resident was served beverages that did not match the documented restriction. At meals, the resident had multiple drinks, including clear liquid, orange juice, coffee, and soup, and the dietary manager confirmed the breakfast meal provided 720 mL of fluids. The resident also had a water pitcher in the room despite being on a fluid restriction, and staff were unsure whether he was restricted. The DON confirmed the resident was not compliant at times and that staff provided education, but no progress notes were documented regarding noncompliance or staff education. The facility policy stated fluid intake must be monitored and documented according to orders, refusals or noncompliance must be documented, and dietary services must provide beverages consistent with orders.
Improper Priming of Insulin Pen Before Administration
Penalty
Summary
The facility failed to ensure insulin pens were primed correctly before administration, affecting one resident reviewed for insulin administration. During observation on 05/06/26 at 7:58 A.M., an LPN obtained an insulin Lispro injection pen for Resident #33 from the medication cart, dialed the pen to two units and activated the injector, then applied the needle to the pen and dialed the pen to two units before injecting the resident. The LPN did not prime the insulin pen prior to administering the insulin, and the LPN confirmed the incorrect priming process during the concurrent interview. Review of the Lilly Disposable Insulin Delivery Device User Manual, revised 05/02/05, stated that a needle should be completely attached to the pen before priming, setting the dose, and injecting the insulin.
Failure to Provide Physician-Ordered Diet Textures and Restrictions
Penalty
Summary
Two residents with physician-ordered mechanical soft diets, including ground meats and a restriction against foods with skins, seeds, or nuts, were observed receiving meals that did not comply with these orders. Both residents had dementia, with one also diagnosed with dysphagia, and required assistance with eating. Their medical records specified that all foods should be served with gravy or sauce and should exclude items with skins, seeds, or nuts. During meal observations, both residents were served whole peas, which have skins, contrary to their dietary orders. Staff interviews confirmed that the diet tickets indicated the restriction, but there was confusion among dietary staff regarding which foods qualified as having skins, seeds, or nuts. The dietary manager acknowledged the lack of a defined list of restricted items, and the speech therapist confirmed that peas should not have been served to these residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 196 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hicksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park View Care Center | 10.5 mi | ★★★★★ | 9 | 0 |
| Pines Of Dekalb | 11.7 mi | ★★★★★ | 0 | 0 |
| Gardens Of Paulding The | 13 mi | ★★★★★ | 2 | 0 |
| Cedars The | 13.9 mi | ★★★★★ | 0 | 0 |
| Vancrest Of Payne | 14.5 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Vancrest Of Hicksville.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.