Hickory Creek at Rochester
340 E 18th Street, Rochester, IN 46975 · Fulton County · (574) 223-5100
36 certified beds, about 24 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155430 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2025, inspectors cited 4 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 17 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,901 in the last three years; the largest was $14,901, and the latest is dated February 6, 2025.
Nurses and nurse aides worked 4.28 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 1.14 of those hours.
55.6% 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.
204/23
606/24
202/25
204/25
105/25
406/25
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
3F
Potential for minimal harm
0A
0B
0C
June 11, 2025Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to store food under sanitary conditions related to foods not sealed tightly and outdated foods and failed to ensure opened foods were labeled with an open date for 1 of 1 kitchen observed. This issue had the potential to affect 26 of 26 residents who received food from this kitchen.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide independent, one on one and group activities for 1 of 2 residents reviewed for activities. (Resident 126)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide proper positioning devices for 1 of 3 residents reviewed for mobility and positioning. (Resident 13)
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to provide consented immunizations for 1 of 5 residents reviewed for immunization compliance. (Resident 14)
May 7, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to ensure safety measures were followed to prevent a resident's fall while riding in the facility bus for 1 of 3 residents reviewed for unusual occurrences. (Resident B). The deficient practice was corrected on 4/18/2025, prior to the start of the survey, and was therefore past noncompliance.
April 15, 2025Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure an allegation of misappropriation of resident property was reported to the appropriate state agency for 1 of 2 residents reviewed for misappropriation of resident property. (Resident E)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure medication destruction form was completed for a resident that was hospitalized for 1 of 3 residents reviewed for medications. (Resident E)
February 6, 2025Complaint inspection · 2 citations
- J Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident received the necessary treatment and services to promote healing and prevent worsening of a pressure ulcer, as well as prevent the development of additional pressure ulcers for 1 of 2 residents reviewed for pressure ulcers. This deficient practice resulted in the worsening of an identified pressure ulcer, from a Stage 2 to a Stage 4 and the development of multiple pressure ulcers which progressed from a DTI (Deep Tissue Injury) to unstageable wounds with slough, the need for treatment from a local wound treatment center and the need for an upcoming surgical colostomy procedure to reduce contamination and damage to the area. [...]
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed ensure a resident's responsible party was notified in a timely manner of condition and roommate changes for 1 of 3 residents reviewed for notification, (Resident B).
June 10, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure kitchen equipment were in good working condition in 1 of 1 kitchen reviewed.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review the facility failed to ensure performance evaluations were completed annually for 4 of 4 employee files reviewed. (CNA 3, CNA 4, CNA 7 & CNA 8)
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure proper infection control practices were implemented related to Enhanced Barrier Precautions (EBP) for 1 of 4 residents reviewed for EBP; failed to follow infection control practices when completing a blood sugar check for 1 of 1 resident reviewed for blood sugar assessments and failed to complete changing gloves and hand washing during catheter care for 1 of 1 resident observed for urinary catheter care. (Resident 28, QMA 2, CNA 5, Resident 23)
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to provide a transfer/discharge form for 2 of 2 residents reviewed for hospitalizations. (Residents 11 & 1)
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interview, the facility failed to provide the bed hold policy for 2 of 2 residents reviewed for hospitalizations. (Residents 11 & 1)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and interview, the facility failed to properly store a Bi-Pap (bi-level positive airway pressure) mask for 1 of 1 resident reviewed for oxygen/respiratory equipment. (Resident 131)
April 21, 2023Standard inspection · 2 citations
- F 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.
Inspectors wroteBased on record review and interview, the facility failed to have 8 consecutive hours of RN coverage in the facility. This deficient practice affected 31 of 31 Residents who resided in the facility.
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were labeled, dated when opened, and failed to provide a clean medication cart for 1 of 1 medication carts observed. (Front Hall Medication Cart)
Fire safety inspections
21 fire safety citations on file: 5 on June 11, 2025, 10 on June 10, 2024, 6 on April 21, 2023.
Every fire safety citation21 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Conduct risk assessment and an All-Hazards approach.
- F Address patient/client population and determine types of services needed.
- F Create arrangements with other facilities to receive patients.
- E Install proper backup exit lighting.
- E Construct fire resistant interior walls.
- E Install a fire alarm system that can be heard throughout the facility.
- E Install an approved automatic sprinkler system.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- D Ensure gas cylinders are properly stored.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Develop Emergency Preparedness policies and procedures.
- F Establish policies and procedures for volunteers.
- F Develop a communication plan.
- F Conduct testing and exercise requirements.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2025 | Fine | $14,901 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.28 | 3.69 | 3.86 |
| Registered nurses | 1.14 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.25 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 55.6% | 45.9% | 45.8% |
| Registered nurse turnover | 75.0% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.07 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 4.60 on weekdays and 3.49 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 4.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.28 | 1.14 | 4.60 | 3.49 | 14.9% | 0 of 90 | 24 |
| Oct to Dec 2025 | 4.13 | 1.07 | 4.39 | 3.47 | 20.8% | 1 of 92 | 24 |
| Jul to Sep 2025 | 4.06 | 1.04 | 4.37 | 3.25 | 9.4% | 1 of 92 | 26 |
| Apr to Jun 2025 | 3.85 | 1.13 | 4.20 | 2.97 | 7.7% | 0 of 91 | 26 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 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.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.5 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.0 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.4 | 13.6 | 15.4 |
Owners and operators
Legal business name: PULASKI MEMORIAL HOSPITAL. CMS links this home to American Senior Communities, a group of 90 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Malott, Gregg | Managing control - governing body | Individual | 04/01/2023 | |
| American Senior Communities LLC | Operational/managerial control | Organization | 04/01/2023 | |
| Pulaski Memorial Hospital | Operational/managerial control | Organization | 04/01/2023 | |
| Corey, Kathy | Operational/managerial control | Individual | 12/01/2025 | |
| Haner, Erika | Operational/managerial control | Individual | 12/15/2025 | |
| Keller, Michael | Operational/managerial control | Individual | 05/27/2024 | |
| Malott, Gregg | Operational/managerial control | Individual | 04/01/2023 | |
| American Senior Communities LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Haner, Erika | Adp of the SNF | Individual | 12/16/2025 | |
| Keller, Michael | Adp of the SNF | Individual | 12/16/2025 | |
| Malott, Gregg | Adp of the SNF | Individual | 04/01/2023 |
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.
- 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 June 11, 2025: "Provide activities to meet all resident's needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 11, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 11, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Life Care Center of Rochester Rochester, 0.8 mi · 3 of 5 stars · 33 citations
- Miller's Merry Manor Culver, 16 mi · 3 of 5 stars · 11 citations
- Miller's Merry Manor Plymouth, 19.8 mi · 4 of 5 stars · 20 citations
- Hickory Creek at Winamac Winamac, 20.4 mi · 4 of 5 stars · 9 citations
- Pulaski Health Care Center Winamac, 20.4 mi · 3 of 5 stars · 21 citations
- Woodbridge Health Campus Logansport, 20.9 mi · 5 of 5 stars · 11 citations
- Chase Center Logansport, 21 mi · 5 of 5 stars · 8 citations
- Blair Ridge Health Campus Peru, 21.1 mi · 4 of 5 stars · 14 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Hickory Creek at Rochester's Medicare star rating?
- CMS rates Hickory Creek at Rochester 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hickory Creek at Rochester get at its last inspection?
- 4 health deficiencies at the standard inspection on June 11, 2025. The Indiana average is 7.2.
- Has Hickory Creek at Rochester been fined?
- Yes. CMS lists 1 fine totaling $14,901 in the last three years.
- Does Hickory Creek at Rochester 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 Rochester?
- CMS lists 11 owners and managers, and links the home to American Senior Communities. Legal business name: PULASKI MEMORIAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.