Nursing homes › Indiana › Hickory Creek at Columbus
5480 E 25Th Street, Columbus, IN 47203 · 8123726136 · 36 certified beds
Per CMS filings, this facility is affiliated with American Senior Communities, a group operating 92 facilities in 1 states. Group record: average rating 3.9/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $229,761 in federal fines. This facility rates above its group average (3.9/5).
Total nurse staffing: 3.35 (Indiana median: 3.55). RN hours: 0.72. Weekend total: 3.05. Nursing staff turnover: 39%.
All-time on record: 8 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-09-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-09-29 |
| 2025-09-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-09-29 |
| 2025-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-09-29 |
| 2024-08-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-09-21 |
| 2024-08-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-09-21 |
| 2024-01-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-02-03 |
| 2023-06-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-07-07 |
| 2023-06-12 | 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. | D | Health | corrected 2023-07-07 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HENRY COUNTY MEMORIAL HOSPITAL | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2013 |
| CHIES, STEVEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| DYNES, SHELDON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2013 |
| JACKSON, BLAKE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| JACKSON, ETHAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| JACKSON, MARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| JACKSON, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/14/2024 |
| JACKSON, WESSLEY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| JUSTICE, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| KELSEY, DONNA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/18/2024 |
| PIDGEON, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2013 |
| SHORE, MARION | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2013 |
| STITLE, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| WARE, DEBORAH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2021 |
| WRIGHT, THERESSA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/21/2021 |
| RING, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2022 |
| AMERICAN SENIOR COMMUNITIES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2021 |
| BOWLING, KIMBERLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/20/2026 |
| DICE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
| MORIO-HALE, SABRINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/08/2025 |
| MUSTAKLEM, MARWAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/22/2021 |
| RING, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2022 |
| SHANE, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
| VAN CAMP, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155424. Corrections: data@carerecords.org.