Hickory Creek At New Castle

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.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 36 beds and averages 31.1 residents a day — about 86% occupied, or roughly 5 beds typically open. It runs fairly full. 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 3.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 3.25 hrs/resident/day on weekends vs 3.67 on weekdays — 11% thinner on weekends. RN hours go from 0.62 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 69% is well above the national median of 45%.

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Dcited before2026-05-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for 1 of 2 residents reviewed for abuse. (Resident B)Findings include:An interview was conducted with Resident B on 5/26/26 at 1:16 p.m. She indicated she was abused in the facility about a month ago. Resident D touched her breasts. It happened in her room. The door was shut, and Resident D came into the room to give her candy, and Resident D grabbed Resident B's breast. Resident B felt uneasy about it. Resident B had waited a couple of days to tell, but the Executive Director (ED) knew all about it. Resident B was unsure why she waited to tell. Resident B would not talk to or even look at Resident D any longer. The investigation into the above allegation was provided by the ED on 5/27/26 at 10:45 a.m. It included the follow-up incident report, an interview with Resident D, an interview with Resident B, staff interviews with no concerns, multiple resident interviews, and documentation of 15-minute checks on Resident B beginning 4/6/26.The follow-up…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-29 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide sufficient information to describe the results of an abuse investigation to the Indiana Department Of Health (IDOH) for 2 of 2 residents reviewed for abuse. (Residents B and D)Findings include:The clinical record for Resident B was reviewed on 5/26/26 at 1:05 p.m. Resident B's diagnoses included, but were not limited to, major depressive disorder (serious mood disorder) and insomnia (inability to sleep).The clinical record for Resident D was reviewed on 5/26/26 at 1:10 p.m. Resident D's diagnoses included, but were not limited to, depression (serious mood disorder) and anxiety (a feeling of fear and stress).An interview was conducted with Resident B on 5/26/26 at 1:16 p.m. She indicated she was abused in the facility about a month ago. Resident D touched her breasts. It happened in her room. The door was shut, and Resident D came into the room to give her candy, and Resident D grabbed Resident B's breast. Resident B felt uneasy about it. The Executive Director (ED) knew all about it. Resident B waited a couple of…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-29 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to implement a resident's comprehensive care plan interventions to prevent falls for 1 of 3 residents reviewed for accidents. (Resident 1) Findings include:The clinical record for Resident 1 was reviewed on 5/27/26 at 9:58 a.m. The diagnoses included, but were not limited to, osteoporosis (fragile bones), Lennox-Gastaut syndrome (rare, severe form of childhood-onset epilepsy [chronic neurological disorder characterized by recurrent, unprovoked seizures]), and anxiety (feelings of worry and tension). The Quarterly Minimum Data Set (MDS) assessment, dated 3/17/26, indicated Resident 1 was severely cognitively impaired, had no behaviors for rejecting care, had non-traumatic brain dysfunction, and was at risk for falls. During an observation on 5/26/26 at 12:46 p.m., and 5/27/26 at 11:31 a.m., and 1:36 p.m., Resident 1 was lying in bed without a helmet on their head and the bed was not in the lowest position. A progress note, dated 11/19/25 at 1:20 p.m. indicated Resident 1 had an unwitnessed fall out of their bed…

  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 · D2026-05-29 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a nebulizer was stored in a bag to promote infection control measures (Resident 23), failed to ensure oxygen tubing was dated (Resident 1), and failed to ensure ear protectors were implemented as ordered by the physician (Resident 1) for 2 of 3 residents reviewed for respiratory services. Findings include: 1, The clinical record for Resident 23 was reviewed on 5/29/2026 at 11:14 AM. The medical diagnoses included, but were not limited to, chronic obstructive pulmonary disease (COPD). COPD (Chronic Obstructive Pulmonary Disease) is a long-term lung condition that damages and narrows your airways which makes it hard to breathe, especially when gases and mucus build up in your lungs.A quarterly Minimum Data Set Assessment, dated 3/24/2026, indicated Resident 23 was cognitively intact, received respiratory therapy for at least fifteen minutes each day, and was independent with upper body dressing without impairments to bilateral upper extremities. A care plan, dated 8/12/2024 and last revised 3/30/2026,…

  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 · D2026-05-29 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to timely schedule an imaging appointment required for a pain specialist appointment for 1 of 2 residents reviewed for pain management. (Resident 8) Findings include:The clinical record for Resident 8 was reviewed on 5/26/26 at 2:37 p.m. The diagnoses included, but were not limited to, intervertebral disc degeneration (progressive breakdown of the rubbery cushions [discs] between the spine's vertebrae), lumbar region (lower back) with discogenic (originates from damaged discs) back pain and lower extremity pain and spinal stenosis (narrowing of the spaces within the spine, which puts pressure on the spinal cords and nerves). The quarterly Minimum Data Set (MDS) assessment, dated 4/7/26, indicated Resident 8 was cognitively intact, used a wheelchair, needed substantial/maximal assistance with sitting to stand and chair to bed transfers, and received scheduled pain medication. During an interview with Resident 8 on 5/26/26 at 1:12 p.m., Resident 8 indicated their back had been hurting really bad and they had been waiting to see…

  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 · D2026-05-29 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to hold a resident's medication, as ordered, when their blood pressure results were out of parameters for administration for 1 of 5 residents reviewed for unnecessary medication. (Resident 23)Findings include:The clinical record for Resident 23 was reviewed on 5/29/26 at 11:20 a.m. Resident 23's diagnosis included, but were not limited to, hypertension.The at risk for ineffective tissue perfusion care plan, revised 3/30/26, indicated the goal was for Resident 23 to maintain adequate tissue perfusion as evidenced by blood pressure within normal limits, no change in mental status, and no complaints of dizziness/lightheadedness/syncope, and edema. Two of the interventions were to administer medications as ordered and to monitor vital signs.The physician's orders for Resident 23, dated May 2026, indicated to administer one 10 mg tablet of Amlodipine (medication to treat high blood pressure) once a day, and to hold if the systolic blood pressure result was less than 100 or if the diastolic blood pressure (bottom reading of 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a resident was free from verbal and mental abuse by a staff member to where the resident exhibited behaviors such as irritability and verbal disappointment in response to the staff member's presence for 1 of 3 residents reviewed for abuse. (Resident D)Findings include:The clinical record for Resident D was reviewed on 8/11/25 at 11:27 a.m. His diagnoses included, but were not limited to, depression, anxiety, pseudobulbar affect, hemiplegia, and hemiparesis. The 6/24/25 Quarterly MDS (Minimum Data Set) assessment indicated he was moderately cognitively impaired. A care plan, last reviewed/revised 7/7/25, indicated his cognition level could fluctuate throughout the day. A care plan, last reviewed/revised 7/7/25, indicated he was at risk for signs and symptoms of anxiety, and could have episodes of uncontrolled outbursts. The goal was for him to not have increased signs and symptoms of anxiety or uncontrolled outbursts. Approaches were to encourage him to verbalize fears and anxiety, and to offer validation and…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-12 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to administer Resident B's psychotropic medications as ordered and failed to implement Resident D's behavioral care plan for management of behavioral outburst for 2 of 3 residents reviewed for behavioral care management. (Resident B and Resident D)Findings include: 1. The clinical record for Resident B was reviewed on 8/11/2025 at 1:10 p.m. The medical diagnoses included stroke and behavioral disturbances. A Quarterly Minimum Data Set assessment, dated 7/16/2025, indicated Resident B had moderate cognitive impairment and exhibited behaviors of verbal aggression towards others. A psychotropic medication care plan for Resident B, initiated on 8/1/2024 and revised 7/28/2025, indicated an intervention to administer medications as ordered. A physician's order, dated 6/25/2025, indicated to administer an antipsychotic medication via intramuscular injection every second month on the 25th of the month. Review of the Medication Administration Record for June of 2025, indicated that Resident B did not receive her dose of intramuscular…

  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 · D2025-08-12 · tag F0745 — failed to provide medically-related social services — isolated
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to determine residents' ability to consent and establish individualized resident-centered care plans for a resident-to-resident relationships for 2 of 3 residents reviewed for resident-to-resident relationships. (Resident B and Resident C)Findings include: 1. The clinical record for Resident B was reviewed on 8/11/2025 at 1:10 p.m. The medical diagnoses included stroke and behavioral disturbances.A Quarterly Minimum Data Set assessment, dated 7/16/2025, indicated Resident B had moderate cognitive impairments.During an interview with Resident B on 8/11/2025 at 12:38 p.m., Resident B indicated she was in a relationship with Resident C. The relationship entailed her holding hands, playing cards, and kissing Resident C.Review of clinical record did not establish an assessment of Resident B's ability to consent nor care plans for Resident B's sexuality and relationship with Resident C.2. The clinical record for Resident C was reviewed on 8/11/2025 at 1:30 p.m. The medical diagnoses included chronic obstructive pulmonary disease…

  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 · Fcited before2025-05-08 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide eight consecutive hours of registered nurse (RN) coverage daily for 2 of 30 days reviewed. This deficient practice had the protentional to affect all 35 residents. Findings include: Preliminary review of the survey, completed on 5/4/2025 at 8:35 a.m., indicated the facility had a nurse-staffing waiver for RN coverage of eight consecutive hours every day. Review of the nursing schedule from April 4, 2025, through May 5, 2025, indicated the facility did not have RN coverage for the following days: April 20, 2025, and May 3, 2025. During an interview on 5/6/2025 at 12:45 p.m., the Executive Director (ED) indicated the facility will continue to utilize the RN waiver at that time. Overall, their staffing of RNs had improved, but not completely stabilized at that time. They are currently using as needed (PRN) RNs as well as their DON as the RN coverage, but it was mainly PRN RNs, and it was not consistent enough to get rid of the waiver currently. During an interview on 5/8/2025 at 11:35 a.m., the ED indicated there were…

  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.

  Nursing and Physician Services 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 35 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

About 83% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $644K paid to related parties — landlords or management companies under common ownership — equal to about 19% 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