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Quality Care III LLC / Hickory Tree HomeFacility Address4010 Hickory Tree Lane |
Mailing Address
|
Contact Information
In Care of: Ronald A Benjamin |
| Program code | Services | Age | Facility Type | Disability Category |
|---|---|---|---|---|
| 27G.5600C | Supervised Living for Adults with Developmental Disabilities | RESIDENTL | IID |
| Inspection Type | Document Type | Inspection Date | Pages |
|---|---|---|---|
| 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 | Plan of Correction | 10/15/2021 | 21 |
| MHLCS Annual and Follow-up | Statement of Deficiency | 10/15/2021 | 15 |
| 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 | Statement of Deficiency | 6/13/2019 | 10 |
| MHLCS Annual | Plan of Correction | 6/13/2019 | 12 |
| 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 |