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HICKORY CREEK AT COLUMBUS Inspection Report, Violations & Safety Grade (COLUMBUS, Indiana)

5480 E 25TH STREET, COLUMBUS, Indiana 47203

Phone: 8123726136

CMS Overall:5/5

Overview & Bed Count

Certified Beds
36
Avg Residents/Day
27.6
Ownership
Government - County
Provider Type
Medicare and Medicaid
County
Bartholomew
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.820.68+0.14
Total Nurse Hours per Resident per Day3.703.73-0.03
CMS Staffing Rating2/52.6/5-
Nursing Staff Turnover44.1%45.9%-

Health Citation History

8 health citations on record

DateCategoryDescriptionSeverity
2025-09-12Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-09-12Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-08-29Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-08-29Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-01-16Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2023-06-12Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-06-12Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-12Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-09-12Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-09-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-09-12Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper storage of liquid oxygen.D – Moderate Harm Potential
2024-08-29Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2024-08-29Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-08-29Egress DeficienciesMeet other general requirements.F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2023-06-12Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-06-12Egress DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2023-06-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2023-06-12Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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