Hickory Creek at New Castle has a 3-star overall rating, with 3 stars for health inspections, 2 stars for staffing, and 4 stars for quality measures. It reported 3.87 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent cited areas included registered nurse coverage, food handling, and respiratory care.
Last inspection: August 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8741.
Staffing detail
Registered nurses
0.70
Licensed practical nurses
1.24
Nurse aides
1.93
Weekend nursing
3.32
Hours per resident per day.
Total staff turnover: 70%
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
9.5%20%Worsening
Residents with a fall causing major injury
0%8.3%Worsening
Residents with pressure ulcers (bedsores)
11.1%0%Improving
Residents with a urinary tract infection
0%4.2%Worsening
Residents who lost too much weight
9.7%8.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.9%4.5%Improving
Residents whose ability to walk got worse
—7.7%—
Long-stay residents on antianxiety or sleep medication
25.8%17.4%Improving
Short-stay residents newly given an antipsychotic
—2.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
38.4%21.5%Improving
Residents with depressive symptoms
80%68%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
93.8%91.7%Worsening
Short-stay residents given the pneumonia vaccine
—63.2%—
What the inspectors found
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 May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to submit complete and accurate staffing information based on verifiable records. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — 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 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Government - County
Chain
Part of AMERICAN SENIOR COMMUNITIES · 91 homes · 4 stars avg
Occupancy
28.1 residents on an average day (78% 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.