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Hickory Creek at Madison

1945 Cragmont St., Madison, IN 47250 · Jefferson County · (812) 273-4696

36 certified beds, about 35 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 155427 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 18, 2025, inspectors cited 3 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 7 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.96 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

33.3% of nursing staff left within the year CMS measured (Indiana average 45.9%).

CMS links it to American Senior Communities, an affiliated group of 90 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was clean and sanitary during 3 of 3 kitchen observations. This deficient practice had the potential to affect 33 of 33 residents who received meals and snacks in the facility.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure appropriate pharmacy and order labeling was on the insulin pens (Residents 18 and 24), and the removal of unused insulin pens (Residents 14 and 18) for 3 of 5 residents reviewed for Medication Storage.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 10, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the accuracy of weekly skin assessments for 1 of 12 residents reviewed for resident records. (Resident 3)
October 25, 2024Standard inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen concentrator filters were maintained for 3 of 5 residents reviewed for respiratory care. (Residents 16, 29, and 21)
March 15, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to document a resident's skin assessment for the skin under the mepilexes dressing or the implementation of a treatment order for a skin tear, upon re-admission for 1 of 3 residents reviewed for quality of care. (Resident B)
September 15, 2023Standard inspection · 2 citations
  1. E
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on record review and interview, the facility failed to schedule 8-hour consecutive RN coverage for 6 of 6 months reviewed. (April, May, June, July, August and September 2023). This had the potential to affect all 31 residents currently residing in the facility.
  2. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure adequate supervision and the implementing of care planned interventions for a resident with dementia related to aggressive behaviors, and resident to resident abuse for 1 of 4 residents reviewed for dementia care. (Resident 11)

Fire safety inspections

3 fire safety citations on file: 1 on October 25, 2024, 2 on September 15, 2023.

Every fire safety citation3 citations
  1. E
    Install properly constructed windows in hallway walls or doors.
    K 364 · October 25, 2024 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · September 15, 2023 · Corrected (the home has a date of correction)
  3. F
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · September 15, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIndianaUnited States
All nursing staff (RN, LPN and aides)2.963.693.86
Registered nurses0.610.670.69
All nursing staff on weekends2.563.253.42
Nurse aides1.72
Licensed practical nurses0.64
Nursing staff turnover (share who left in a year)33.3%45.9%45.8%
Registered nurse turnovernot reported40.3%42.9%
Administrators who left0

CMS expects 4.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.13 on weekdays and 2.56 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 2.96 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.960.613.132.56 0.0%0 of 9035
Oct to Dec 20253.180.683.332.80 0.0%0 of 9233
Jul to Sep 20253.310.583.502.83 0.0%1 of 9234
Apr to Jun 20253.120.583.262.76 0.0%0 of 9134
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Indiana, Jan to Mar 20263.630.623.803.193.4%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIndianaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.611.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.63.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.611.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.23.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.713.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.41.8

Owners and operators

Legal business name: HENRY COUNTY MEMORIAL HOSPITAL. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.

NameRoleTypeShareSince
Henry County Memorial Hospital5% or greater direct ownership interestOrganization100%08/01/2013
Chies, StevenManaging control - governing bodyIndividual03/01/2021
Jackson, BlakeManaging control - governing bodyIndividual03/01/2021
Jackson, EthanManaging control - governing bodyIndividual03/01/2021
Jackson, MarkManaging control - governing bodyIndividual03/01/2021
Jackson, MichaelManaging control - governing bodyIndividual05/14/2024
Jackson, WessleyManaging control - governing bodyIndividual03/01/2021
Justice, DavidManaging control - governing bodyIndividual03/01/2021
Kelsey, DonnaManaging control - governing bodyIndividual07/18/2024
Pidgeon, JohnManaging control - governing bodyIndividual01/01/2013
Shore, MarionManaging control - governing bodyIndividual01/01/2013
Stitle, StephenManaging control - governing bodyIndividual03/01/2021
Ware, DeborahManaging control - governing bodyIndividual08/27/2021
Wright, TheressaManaging control - governing bodyIndividual05/21/2021
Ring, BrianCorporate officerIndividual08/01/2022
American Senior Communities LLCOperational/managerial controlOrganization03/01/2021
Cox, KatelanOperational/managerial controlIndividual05/18/2026
Dice, MarkOperational/managerial controlIndividual06/01/2023
Meacham, DawnOperational/managerial controlIndividual10/01/2021
Ring, BrianOperational/managerial controlIndividual08/01/2022
Schmidlapp, AngelaOperational/managerial controlIndividual03/07/2022
Shane, AndrewOperational/managerial controlIndividual02/01/2023
Van Camp, StevenOperational/managerial controlIndividual06/01/2023
Gilman, ErikaTrustee of the SNFIndividual11/14/2025
Pidgeon, JohnTrustee of the SNFIndividual01/01/2013
Shore, MarionTrustee of the SNFIndividual01/01/2013
Ware, DeborahTrustee of the SNFIndividual08/27/2021
American Senior Communities LLCAdp of the SNFOrganization03/24/2025
Henry County Memorial HospitalAdp of the SNFOrganization04/27/2025
Cox, KatelanAdp of the SNFIndividual05/28/2026
Dice, MarkAdp of the SNFIndividual06/01/2023
Meacham, DawnAdp of the SNFIndividual03/24/2025
Shane, AndrewAdp of the SNFIndividual02/01/2023
Van Camp, StevenAdp of the SNFIndividual06/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on October 25, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.56 hours per resident per day, below the Indiana average of 3.25.

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Indiana contacts for a concern about a nursing home

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Common questions

What is Hickory Creek at Madison's Medicare star rating?
CMS rates Hickory Creek at Madison 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hickory Creek at Madison get at its last inspection?
3 health deficiencies at the standard inspection on September 18, 2025. The Indiana average is 7.2.
Has Hickory Creek at Madison been fined?
CMS lists no fines in the last three years.
Does Hickory Creek at Madison accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hickory Creek at Madison?
CMS lists 34 owners and managers, and links the home to American Senior Communities. Legal business name: HENRY COUNTY MEMORIAL HOSPITAL.

Sources

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