Hickory Creek at Peru has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and health inspection results (4 stars), but very low staffing (1 star) and reported nurse staffing below the federal benchmark at 3.58 hours per resident per day versus 4.1. There were no fines in the last 24 months, though recent inspection citations included food handling, pharmaceutical services, and resident funds security.
Last inspection: December 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5767.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
1.09
Nurse aides
1.87
Weekend nursing
3.20
Hours per resident per day.
Total staff turnover: 61%
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
—19%—
Residents with a fall causing major injury
4.2%0%Improving
Residents with pressure ulcers (bedsores)
3.1%7.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.5%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—0%—
Residents whose ability to walk got worse
—3.1%—
Long-stay residents on antianxiety or sleep medication
13%16%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.8%35.8%Worsening
Residents with depressive symptoms
65.2%69.6%Worsening
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
95.8%100%Improving
Short-stay residents given the pneumonia vaccine
—91.4%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 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 pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly protect residents’ personal money that was kept by the facility. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 570 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICAN SENIOR COMMUNITIES · 92 homes · 3.9 stars avg
Occupancy
25.5 residents on an average day (71% 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.