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Hickory Creek at Peru

390 W Boulevard, Peru, IN 46970 · Miami County · (765) 473-4900

36 certified beds, about 26 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

Inside a hospital 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 155406 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 23, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).

None of its 19 health citations since October 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 3.58 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

61.3% 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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
2E
1F
Potential for minimal harm
0A
0B
0C
December 23, 2025Standard inspection · 4 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure narcotics were reconciled for 2 of 2 medication carts reviewed for narcotic reconciliation. (Front and Back Medication Carts)
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident had qualifying criteria to warrant a new schizoaffective disorder diagnosis for 1 of 5 residents reviewed for unnecessary medications. (Resident 5)
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure interventions from a prior elopement were in place to prevent the potential of future elopements at the facility for 1 of 1 resident reviewed for elopement. (Resident 27)
  4. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on observation interview, and record review, the facility failed to monitor for the continued need for a PRN (as needed) antianxiety medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 1)
September 30, 2024Standard inspection · 7 citations
  1. E
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Surety Bond amount was sufficient to cover the Resident's personal fund account. This deficient practice had the potential to effect 31 of 31 residents in the facility.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to develop a comprehensive person-centered care plan for a resident with positioning issues for 1 of 17 residents reviewed. (Resident 11)
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to revise care plans for fluid consumption for 1 of 17 residents whose care plans were reviewed. (Resident 4)
  4. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received the appropriate therapeutic diet for 1 of 1 residents reviewed for reviewed for dialysis. (Resident 4)
  5. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation and interview, the facility failed to post daily nurse staffing data timely.
  6. 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 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medication carts were free from loose pills and failed to ensure medications were labeled in 1 of 2 medication storage areas observed. (Front hall medication cart)
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 18, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure infection control practices were followed when administering insulin for 1 of 1 resident reviewed for insulin administration. (Resident 13)
October 10, 2023Standard inspection · 8 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food items in the freezer were dated/labeled with used by dates, dispose of expired foods, and failed to ensure the dishwasher, freezer, and toaster were clean and in good condition in the main kitchen. This deficient practice had the potential to affect 31 of 31 residents who received meals out of the kitchen.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a Resident with a history of constipation and ileus was assessed, medicated and had their physician notified of a lack of bowel movement after 5 days as a result the resident continued to experience bouts of constipation and nausea nad vomiting and was hospitalized 21 days later with a small bowel obstruction for 1 of 3 residents reviewed. (Resident 82)
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on interview, and record review the facility failed to care plan interventions for gastrointestinal reflux disease, tremors, and the use of an antidepressant for 1 of 5 residents reviewed. (Resident 24)
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on record review and interviews, the facility failed to ensure care plan meetings, including the resident and/or their representative were conducted timely for 3 of 14 residents reviewed. (Resident 3, 11 and 27)
  5. 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 · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident received care planned interventions during periods of constipation for 1 of 3 residents reviewed for bowel management (Resident 82).
  6. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on interview and record review, the facility failed to follow through with physician recommendations for 1 of 1 residents reviewed for urinary tract infections. (Resident 11)
  7. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure respiratory equipment was stored properly for 1 of 1 resident reviewed for oxygen therapy. (Resident 182)
  8. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 4, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the physician responded timely to pharmacy recommendations for 1 of 5 residents reviewed for medication use. (Resident 4)

Fire safety inspections

13 fire safety citations on file: 9 on December 23, 2025, 2 on September 30, 2024, 2 on October 10, 2023.

Every fire safety citation13 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · December 23, 2025 · Corrected (the home has a date of correction)
  2. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 23, 2025 · Corrected (the home has a date of correction)
  3. F
    Meet other general requirements that are deficient.
    K 300 · December 23, 2025 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 23, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 23, 2025 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 23, 2025 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 23, 2025 · Corrected (the home has a date of correction)
  8. D
    Provide properly protected cooking facilities.
    K 324 · December 23, 2025 · Corrected (the home has a date of correction)
  9. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 23, 2025 · Corrected (the home has a date of correction)
  10. E
    Have proper medical gas storage and administration areas.
    K 923 · September 30, 2024 · Corrected (the home has a date of correction)
  11. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 30, 2024 · Corrected (the home has a date of correction)
  12. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 10, 2023 · Corrected (the home has a date of correction)
  13. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · October 10, 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)3.583.693.86
Registered nurses0.620.670.69
All nursing staff on weekends3.203.253.42
Nurse aides1.87
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)61.3%45.9%45.8%
Registered nurse turnovernot reported40.3%42.9%
Administrators who left0

CMS expects 5.56 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 3.73 on weekdays and 3.20 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.580.623.733.20 4.3%0 of 9026
Oct to Dec 20253.390.473.473.18 0.0%0 of 9226
Jul to Sep 20253.400.563.503.14 0.0%0 of 9225
Apr to Jun 20253.540.513.673.23 0.0%0 of 9125
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Indiana

JobMedianMiddle halfEmployed
Indiana, all employers
CNAs (nursing assistants)$18.43$17.80 to $21.3633,640
LPNs and LVNs$31.60$29.35 to $35.3014,480
Registered nurses$40.14$37.86 to $48.2868,980
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Hickory Creek at Peru. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
1.411.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.03.93.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.111.914.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.23.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.213.615.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hickory Creek at Peru's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

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
Gilman, ErikaManaging control - governing bodyIndividual11/14/2025
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
American Senior Communities LLCOperational/managerial controlOrganization03/01/2021
Dice, MarkOperational/managerial controlIndividual06/01/2023
Keane, EamonnOperational/managerial controlIndividual08/27/2021
Parker, DanielleOperational/managerial controlIndividual11/19/2023
Ring, BrianOperational/managerial controlIndividual08/01/2022
Shane, AndrewOperational/managerial controlIndividual02/01/2023
Shepherd, BrendaOperational/managerial controlIndividual07/12/2021
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
Dice, MarkAdp of the SNFIndividual06/01/2023
Keane, EamonnAdp of the SNFIndividual03/24/2025
Shane, AndrewAdp of the SNFIndividual02/01/2023
Shepherd, BrendaAdp of the SNFIndividual03/24/2025
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. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 23, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 23, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on December 23, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 30, 2024: "Assure the security of all personal funds of residents deposited with the facility."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Indiana average of 3.25.

Other nursing homes nearby

Indiana contacts for a concern about a nursing home

These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hickory Creek at Peru's Medicare star rating?
CMS rates Hickory Creek at Peru 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 Peru get at its last inspection?
4 health deficiencies at the standard inspection on December 23, 2025. The Indiana average is 7.2.
Has Hickory Creek at Peru been fined?
CMS lists no fines in the last three years.
Does Hickory Creek at Peru 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 Peru?
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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