Hickory Creek at Peru has an overall rating of 4 out of 5 stars, with strong health inspection and quality scores but a very low staffing rating of 1 out of 5. Reported nurse staffing is 3.39 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
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 3.3878.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
1.12
Nurse aides
1.79
Weekend nursing
3.18
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.6%Steady
Residents with a fall causing major injury
3%Improving
Residents with pressure ulcers (bedsores)
3%Steady
Residents with a urinary tract infection
1%Steady
Residents who lost too much weight
4.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.3%Steady
Residents whose ability to walk got worse
3.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.5%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.4%Worsening
Residents with depressive symptoms
64.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98%Steady
Short-stay residents given the pneumonia vaccine
88.2%Steady
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.
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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.
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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.
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INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICAN SENIOR COMMUNITIES · 91 homes · 4 stars avg
Occupancy
25.6 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.