Hickory Creek at Madison has an overall 5 out of 5 stars. Its staffing is a weak point at 2 out of 5 stars, with reported nurse staffing of 3.18 hours per resident per day below the 4.1-hour federal benchmark, while the facility had no fines in the last 24 months and a 4 out of 5 health inspection rating.
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1823.
Staffing detail
Registered nurses
0.68
Licensed practical nurses
0.61
Nurse aides
1.89
Weekend nursing
2.80
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.7%8%No change
Residents with a fall causing major injury
3.3%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%4.8%No change
Residents whose ability to walk got worse
—6.6%—
Long-stay residents on antianxiety or sleep medication
34.6%26.1%Improving
Short-stay residents newly given an antipsychotic
4.8%3.8%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3.7%12.4%Worsening
Residents with depressive symptoms
10.7%4.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
90%92.3%Improving
Short-stay residents given the pneumonia vaccine
81.5%85.7%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2023 — limited pattern, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICAN SENIOR COMMUNITIES · 91 homes · 4 stars avg
Occupancy
33.4 residents on an average day (93% of 36 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.