Hickory Creek at Madison
1945 Cragmont St, Madison, IN 47250 · Jefferson County · 36 certified beds · avg 35 residents/day · certified since Feb 1, 1992
Part of chain: AMERICAN SENIOR COMMUNITIES (90 facilities, chain avg rating 3.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.46 | 3.42 | 3.95 | bottom 3% in Indiana; bottom 3% in the U.S. |
| Registered Nurse hours | 0.50 | 0.62 | 0.69 | bottom 38% in Indiana; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.12 | 3.01 | 3.50 | bottom 2% in Indiana; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.47 | 0.48 | bottom 39% in Indiana; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 45.9 | 45.8 | top 14% in Indiana; top 20% in the U.S. |
| RN turnover (%) | 0.0 | 40.4 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.96, RN 0.61, weekend 2.56. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Henry County Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2013 |
| American Senior Communities LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| American Senior Communities LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Chies, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Cox, Katelan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2026 |
| Cox, Katelan | Individual | ADP of the SNF | NOT APPLICABLE | 05/28/2026 |
| Dice, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Dice, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Dynes, Sheldon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2013 |
| Dynes, Sheldon | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2013 |
| Henry County Memorial Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 04/27/2025 |
| Jackson, Blake | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Jackson, Ethan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Jackson, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Jackson, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/14/2024 |
| Jackson, Wessley | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Justice, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2021 |
| Kelsey, Donna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/18/2024 |
| Meacham, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| Meacham, Dawn | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Waters of Clifty Falls, the | 0.5 mi | Madison, IN | ★☆☆☆☆ | 1/5 | |
| River Terrace Health Campus | 2.0 mi | Madison, IN | ★★★☆☆ | 3/5 | |
| Thornton Terrace Health Campus | 5.2 mi | Hanover, IN | ★★★★★ | 4/5 | |
| Aperion Care Hanover | 5.7 mi | Hanover, IN | ★☆☆☆☆ | 1/5 | |
| Bedford Springs Health and Rehabilitation | 13.2 mi | Bedford, KY | ★★★★★ | 5/5 | |
| Signature Healthcare of Carrollton Rehab & Wellnes | 14.0 mi | Carrollton, KY | ★★★★☆ | 4/5 | |
| Swiss Villa Nursing and Rehabilitation | 17.3 mi | Vevay, IN | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 155427.