Nursing homes › Indiana › Hickory Creek at Peru
390 W Boulevard, Peru, IN 46970 · 7654734900 · 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: 3.58 (Indiana median: 3.55). RN hours: 0.62. Weekend total: 3.20. Nursing staff turnover: 61%.
All-time on record: 19 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-01-05 |
| 2025-12-23 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-01-05 |
| 2025-12-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-01-05 |
| 2025-12-23 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-01-05 |
| 2024-09-30 | Assure the security of all personal funds of residents deposited with the facility. | E | Health | corrected 2024-10-18 |
| 2024-09-30 | 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 2024-10-18 |
| 2024-09-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-10-18 |
| 2024-09-30 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-10-18 |
| 2024-09-30 | Post nurse staffing information every day. | D | Health | corrected 2024-10-18 |
| 2024-09-30 | 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 2024-10-18 |
| 2024-09-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-18 |
| 2023-10-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-04 |
| 2023-10-10 | 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 2023-11-04 |
| 2023-10-10 | 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 2023-11-04 |
| 2023-10-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-04 |
| 2023-10-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-11-04 |
| 2023-10-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-11-04 |
| 2023-10-10 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-10-10 |
| 2023-10-10 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-11-04 |
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 |
| AMERICAN SENIOR COMMUNITIES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2021 |
| DICE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
| KEANE, EAMONN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/27/2021 |
| PARKER, DANIELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/19/2023 |
| RING, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2022 |
| SHANE, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2023 |
| SHEPHERD, BRENDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/12/2021 |
| 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 155406. Corrections: data@carerecords.org.