Hickory Creek At Sunset

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 38 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 68 beds and averages 53.1 residents a day — about 78% occupied, or roughly 15 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.01 hrs/resident/day on weekends vs 3.70 on weekdays — 19% thinner on weekends. RN hours go from 0.62 to 0.60 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · D2025-11-21 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to inform a resident and/or their representative of the benefits, risks, and alternatives for a medication prior to initiating a psychotropic medication for 1 of 5 residents reviewed for unnecessary medications (Resident 3). Findings include:Resident 3's record was reviewed on 11/18/25 at 1:45 p.m. A quarterly Minimum Data Set (MDS) assessment, dated 10/22/25, indicated the resident was cognitively intact and received an antidepressant during the look back period. A physician's order, dated 9/11/25, indicated to administer 1 tablet of mirtazapine (antidepressant) 15 milligrams (mg) by mouth at bedtime for weight loss. The medical record lacked documentation of an Interdisciplinary (IDT) Psychotropic New/Increase Order Observation, or other documentation the resident was notified of the benefits, risks, alternatives, and the black box warning associated with the medication, was completed prior to the initiation of the mirtazapine. An event report, dated 9/10/25, indicated the resident's representative was notified of the order…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the code status of a resident was clear and concise and was the desire of the resident for 1 of 24 resident code status reviewed (Resident 17). Findings include:Resident 17's record was reviewed on [DATE] at 10:46 a.m. The profile indicated the resident's diagnoses included, but were not limited to, dementia with anxiety (a common complication where a person experiences a loss of cognitive function alongside feelings of excessive worry, restlessness, and being on edge) and major depressive disorder (a mood disorder characterized by persistent feelings of sadness and loss of interest that interfere with daily life). A POST form (Physician Orders for Life Sustaining Treatment-a medical order form that documents a patient's treatment preferences in the event of an emergency), dated [DATE], indicated the resident desired to have CPR (Cardiopulmonary Resuscitation) attempted if she had no pulse and was not breathing. At the same time, the POST form…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's Minimum Data Set (MDS) assessment was coded accurately for 1 of 19 residents' MDS assessments reviewed (Resident 3). Findings include:Resident 3's record was reviewed on 11/18/25 at 1:45 p.m. An admission MDS assessment, dated 7/21/25, indicated the resident had an intellectual disability (ID) or developmental disability (DD), with no organic (physical) condition. The resident's diagnosis list lacked documentation the resident had a diagnosis of an ID or DD. During an interview, on 11/20/25 at 1:20 p.m., the MDS Coordinator indicated the resident's assessment was coded in error, and the resident did not have an ID or DD. The facility used the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) manual as their policy for MDS coding. The CMS RAI manual version 3.0, dated October 2025, indicated, .A1550: Conditions Related to Intellectual Disability/Developmental Disability (ID/DD) Status.Item…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to complete accurate skin assessments and obtain treatments for 2 of 2 residents reviewed for quality of care (Residents 28 and 49). Findings include: 1. On 11/17/2025 at 12:10 p.m., during an observation and interview of Resident 28, observed a bandage on the lower right abdominal fold of the resident. The bandage was dated 11/12/25. The resident indicated the bandage was applied when she was recently in the hospital for an open wound that would not heal. A large purple bruise was observed on the top of the right upper thigh. The resident indicated it had occurred while in the hospital. On 11/18/25 at 10:00 a.m., during an interview the resident indicated the abdominal dressing had not been changed but the wound nurse told her she would come in and change it. On 11/18/25 at 2:30 p.m., the medical record of Resident 28 was reviewed. The resident was re-admitted to the facility on [DATE]. admission diagnoses included, but were not limited…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident was safely transported in the wheelchair resulting in a fall for 1 of 2 residents reviewed for accidents (Resident 1). Findings include:Resident 1's record was reviewed on 11/19/25 at 10:20 a.m. Census information indicated the resident was hospitalized from [DATE] to 10/2/25. Diagnoses on the resident's profile included, but were not limited to, Parkinson's disease (a progressive movement disorder of the nervous system), neurocognitive disorder with Lewy bodies (a decline in thinking ability, especially in the areas of attention, visual perception, and planning and organization), and repeated falls. A physician's order, dated 2/14/24, indicated anti-roll backs (device to keep the wheelchair from rolling backwards if a resident stood up without locking the wheels) to the resident's wheelchair. A physician's order, dated 1/3/25, indicated the resident may use cushion with pommel-type (designed to promote proper positioning by…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-21 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to provide the open date of medication stored in 1 of 2 medication administration carts. Findings include: On 11/20/25 at 9:55 a.m., during the observation of the North Hall medication administration cart, an opened un-dated Aspart 100 unit insulin pen (an injection device that you can use to deliver preloaded insulin into your subcutaneous tissue, the innermost layer of skin in your body) prescribed for Resident 5 was observed. On 11/20/25 at 10:00 a.m., during an interview Licensed Practical Nurse (LPN) 11 indicated the insulin pen had been opened on 11/19/25 in the evening. She acknowledged the pens should be dated when opened. On11/20/25 at 11:30 a.m., the Director of Nursing (DON) provided a document titled, Storage and Expiration Dating of Medications and Biologicals, dated 06/30/25, and indicated it was the policy currently being used by the facility. The policy indicated, .11. Once any medications or biologicals package is opened, facility should follow manufacturer/supplier guidelines with respect to expiration dates…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's medical record was accurate when the resident's physician's orders were not updated to reflect their selections on the Physician's Orders for Scope of Treatment (POST) form (documentation of the resident's wishes at the end of life) for 1 of 24 residents' code statuses reviewed (Resident 1). Findings include: Resident 1's record was reviewed on 11/19/25 at 10:20 a.m. Census information indicated the resident was hospitalized from [DATE] to 10/2/25. Diagnoses on the resident's profile included, but were not limited to, nontraumatic intracranial hemorrhage (bleeding within the skull) and Parkinson's disease (a progressive movement disorder of the nervous system). An admission Minimum Data Set (MDS) assessment, dated 10/9/25, indicated the resident had a severe cognitive impairment and a feeding tube (inserted into the abdomen for artificial nutrition). The resident's current physician's orders included the following orders related to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to ensure a resident was safely transported in her wheelchair resulting in a fall and nasal fracture for 1 of 3 residents reviewed for accidents (Resident B). The deficient practice was corrected on 1/22/25, prior to the start of the survey, and was therefore past noncompliance. Findings include: During an interview, on 2/4/25 at 10:23 a.m., Resident B indicated she was admitted to the facility in December 2024 with a right shoulder and right hip fracture following a fall at home. On the morning of 1/10/25, the facility's bus driver was going to take her out to an appointment in Indianapolis to have her sutures removed from her previous fracture repair. The bus driver pushed her in her wheelchair, from her room towards the exit door, and she was moving pretty fast. There was a dip in the floor near the dining room, and when the bus driver pushed the wheelchair over the dip the resident's foot got caught on the floor. She was wearing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2024-09-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure proper handwashing procedure during meal service for 1 of 2 dining observations. Findings include: During an observation of the lunch meal service, on 9/5/24 at 12:27 p.m., Nursing Assistant in Training (NAIT) 5 was observed to wash hands for less than 20 seconds and to turn off the water faucet without using a paper towel as a barrier. She then proceeded to serve trays to multiple residents in the dining room. During an interview, on 9/10/24 at 3:08 p.m., the Director of Nursing (DON) indicated all staff should all be aware of proper handwashing technique. The NAIT had been trained on handwashing and should have known better. On 9/10/24 at 2:25 p.m., the Executive Director (ED) provided a skills competency document, with a revision date of 7/2022, titled, Hand Hygiene, and indicated it was the policy currently being used by the facility. The policy indicated, .Procedure Steps: .6. Vigorously rub hands for at least 20 seconds .10. Use paper towel to turn off faucet 3.1-21(i)(3)

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure the dignity of a resident during meal service for 1 of 2 dining observations (Resident B). Findings include: During observation of the lunch meal in the main dining room, on 9/5/24 at 12:22 p.m., Resident B was sitting at a table along with Resident C. Both residents required physical assistance with eating their meals. Both residents had been provided drinks and were being assisted with their drinks by an unidentified staff member. On 9/5/24 at 12:42 p.m., Resident C received her meal tray and was assisted to eat by the unidentified staff. No tray was served to Resident B. Nursing Assistant in Training (NAIT) 5 sat at the table to assist Resident B with her drink. On 9/5/24 at 12:58 p.m., Resident B requested that she get at least something to eat. At the same time, the resident indicated that she had requested a hamburger as a substitute for the scheduled meal way before she had been brought into the dining room, so the kitchen should have had plenty of time to prepare it for her. NAIT 5 went to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AMERICAN SENIOR COMMUNITIES — 90 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 36 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN