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Disclaimer: Plans of Correction PDFs may not be accessible. To preserve the original record, documents are provided as scanned images. If you require an accessible version or assistance, please contact the Mental Health Licensure Section at (919) 855-3795 or by mail at 2718 Mail Service Center, Raleigh, NC 27699-2718.

Facility

Quality Care III LLC / Hickory Tree Home

Facility Address

4010 Hickory Tree Lane
Greensboro
27406
Guilford County

Mailing Address


Greensboro
NC
27406

                  

Contact Information

In Care of: Ronald A Benjamin
Phone:     (336)558-1742
Program codeServicesAgeFacility TypeDisability Category
27G.5600C Supervised Living for Adults with Developmental Disabilities RESIDENTL IID
Inspection TypeDocument TypeInspection DatePages
MHLCS Annual Statement of Deficiency 1/9/2026 9
MHLCS Annual Plan of Correction 1/9/2026 15
MHLCS Annual Statement of Deficiency 8/28/2024 1
MHLCS Annual and Follow-up Statement of Deficiency 7/17/2023 1
MHLCS Complaint and Follow-up Statement of Deficiency 9/29/2022 1
MHLCS Follow-up Statement of Deficiency 5/25/2022 1
MHLCS Follow-up Statement of Deficiency 4/14/2022 17
MHLCS Complaint Plan of Correction 1/6/2022 15
MHLCS Complaint Statement of Deficiency 1/6/2022 13
MHLCS Annual and Follow-up Statement of Deficiency 10/15/2021 15
MHLCS Annual and Follow-up Plan of Correction 10/15/2021 21
MHLCS Complaint and Follow-up Plan of Correction 8/28/2019 17
MHLCS Complaint and Follow-up Statement of Deficiency 8/28/2019 10
MHLCS Annual Plan of Correction 6/13/2019 12
MHLCS Annual Statement of Deficiency 6/13/2019 10
MHLCS Follow-up Statement of Deficiency 9/24/2018 1
MHLCS Annual Statement of Deficiency 6/20/2018 37
MHLCS Annual Plan of Correction 6/20/2018 118
MHLCS Annual Plan of Correction 6/20/2018 75
MHLCS Annual Plan of Correction 6/20/2018 49
MHLCS Annual Statement of Deficiency 6/20/2018 26
MHLCS Annual Plan of Correction 6/20/2018 26
MHLCS Annual Plan of Correction 6/20/2018 75