Hickory Creek At Huntington
HICKORY CREEK AT HUNTINGTON in HUNTINGTON, IN — inspection on March 3, 2026.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview, on 3/3/26
situation where a resident said they hit someone, she would try to get all the story, then report it to
no matter the resident's cognitive status.
During an interview, on 3/3/26 at 1:52 p.m., the DON indicated if a resident said they had been hit, then she would consider it an allegation of abuse.
She would separate the resident, make sure everyone is safe, ask the staff what was witnessed. Resident 4 and Resident 17 were yelling. Resident 4 was always yelling.
She reported allegations to the Administrator. If she had written anything down about the investigation, she would not have kept it, because she did not think it was abuse.
During an interview, on 3/3/26 at 2:27 p.m., the Administrator indicated he knew the resident-to-resident altercation happened because he heard the ruckus. Resident 4 was severely cognitively impaired. He did not see anything on Resident 17. He had the nurses check out the residents to be on the safe side. He felt Resident 4 made an outburst statement.
During an interview, on 3/3/26 at 2:58 p.m., the Administrator indicated he had found his investigation on the computer. He had forgotten that Resident 4 had said he was going to punch someone - not that he had punched someone. A current facility policy, last revised 2/2020, titled Abuse Prohibition, Reporting and Investigation, provided by the Administrator during entrance conference on 2/24/26, indicated the following: .The Executive Director is the designated individual responsible for coordinating all efforts in the investigation of abuse allegations, and for assuring that all policies and procedures are followed.Resident to Resident Abuse:.It is the responsibility of the Administrator/Director of Nursing to report the abuse, or allegations of abuse, immediately, within 2 hours to the Indiana State Department of Health via the ISDH gateway system. 410 IAC 16.2-3.1-28(e)
155543 03/03/2026
Hickory Creek at Huntington 1425 Grant St Huntington, IN 46750
bed-hold policies.
representative was notified in writing of the transfer/ discharge appeal rights and bed hold policy for
was reviewed on 2/26/26 at 8:39 a.m.
Diagnoses include encephalopathy (change in brain function), aphasia (, major depressive disorder, and history of a stroke.A progress note, dated 1/29/26 at 10:20 a.m., indicated Resident 37 was discharged home.
Discharge summary, medications, follow-up appointments and other paperwork were discussed with Resident 37 and representative.The clinical record lacked indication that the resident and the resident's representative were notified of the transfer/discharge appeal rights and bed hold policy in writing for Resident 37's discharge.During an interview, on 2/26/26 at 9:38 a.m., the DON indicated they discussed resident appeal rights, ombudsman notification and transfer/discharge information during admission and during resident council meetings.
The Business Office Manager (BOM) was responsible for discussing appeal rights and bed hold policy.
During an interview, on 2/26/26 at 12:29 p.m., the BOM indicated she completed resident discharge paperwork.
She tried to get those completed 48 hours before the resident discharges.
She did not have the resident and/ or representative sign the paperwork or put in a progress note stating the resident or their representative was notified of appeal rights or bed hold policy.
During an interview, on 2/26/26 at 1:41 p.m., the ADON indicated resident medications and follow up appointments were discussed during discharge.
Any contact information for the ombudsman, facility, the resident's primary care physician and the bed hold policy would also be discussed.
She would have the resident and/or their representative sign the discharge summary, which did not include the bed hold or appeal rights.
She did not put in a progress note indicating the residents appeal rights or the bed hold policy was discussed during discharge.A current facility policy, dated 11/2017 and revised 1/2019, titled Bed Hold Policy, provided by the Administrator, on 3/2/26 at 4:08 p.m., indicated the following: .3.
The Resident's Representative will be informed of the bed hold policy at the time of notification of transfer.
The Resident Representative will be provided a copy of the bed hold policy. 4.
The facility staff will document the notification to the resident and the resident representative of the bed hold policy on the Emergency Resident Transfer Form.16.2-3.1-12(a)(6)(A)(i)16.2-3.1-12(a)(6)(A)(ii)16.2-3.1-12(a)(6)(A)(iii)
155543 03/03/2026
Hickory Creek at Huntington 1425 Grant St Huntington, IN 46750
During a medication administration observation, on 2/25/26 at 12:24 p.m., Resident 3 asked for pain medication.
She had a 10 on a 1 to 10 scale of back pain. QMA 7 returned to the medication cart, removed a morphine tablet from the narcotics drawer, signed out the morphine, returned to the resident's room with the morphine, and gave the resident the morphine along with her nitrofurantoin and protein supplement.
She did not ask a nurse for permission to administer the PRN medication or mention to the nurses at the nurses' station while she pulled the medication from the cart that the resident had requested the pain medication.
The ADON, DON, and RN 8 sat at the nurses' station. Resident 3's clinical record was reviewed on 2/26/25 at 10:01 a.m.
Diagnoses included chronic kidney disease, generalized anxiety disorder, dysphagia, intervertebral disc degeneration of the lumbar region, pressure area to the sacrum, peripheral vascular disease, obesity, impaired mobility, gastroesophageal reflux disease, and osteomyelitis of the vertebrae sacral region.
Current orders included morphine immediate release 15 mg every four hours PRN for moderate to severe pain (2/16/26). A quarterly Minimum Data Set (MDS) assessment indicated the resident was cognitively intact. A care plan, initiated 5/10/19, indicated the resident was at risk for pain related to intervertebral disc degeneration of the lumbar region, pressure area to the sacrum, peripheral vascular disease, obesity, impaired mobility, gastroesophageal reflux disease, and osteomyelitis of the vertebrae sacral region. An intervention, initiated 3/12/21, indicated to administer oral and topical medication per order and notify the physician if they are not effective. 2.
During a medication administration observation, on 2/25/26 at 12:41 p.m., Resident 29 requested pain medication as he walked by the QMA. He indicated his pain was 5 on a 1/10 pain scale. QMA 8 retrieved a 600 mg ibuprofen tablet from the medication cart.
She did not ask for permission to administer the medication.
The ADON and DON sat at the nurses' station and did not appear to hear the resident's request as they made no comments about the resident's request for pain medication. QMA 8 administered the ibuprofen to the resident in his room. Resident 29's clinical record was reviewed on 2/26/26 at 10:25 a.m.
Diagnoses included traumatic brain injury, pain in left hip, and gastroesophageal reflux disease.
Current orders include ibuprofen 600 mg every four hours PRN (12/16/25). A quarterly MDS, dated [DATE], indicated the resident was cognitively intact. A care plan, initiated 4/28/25, indicated the resident was at risk for pain related to traumatic brain injury, pain in left hip, and gastroesophageal reflux disease.
Interventions included administer medications as ordered (4/28/25).
During an interview, on 2/25/26 at 12:53 p.m., QMA 8 indicated she was supposed to ask a nurse prior to giving a PRN medication to a resident.
She had been nervous and messed up two times, once with Resident 3 and then with Resident 29.
During an interview, on 2/25/26 at 12:54 p.m., the ADON indicated QMAs are supposed to ask for permission prior to the administration of a PRN medication.
During an interview, on 3/3/26 at 11:49 a.m., the DON indicated a QMA needed to ask permission prior to giving a PRN medication.
According to the Qualified Medication Aide Scope of Practice (for Indiana), accessed 2/25/26 at 1:00 p.m. at https://www.in.gov/health/files/QMAScopeofPractice.pdf, The following tasks are within the scope of practice for the QMA unless prohibited by facility policy: .Administer previously ordered pro re nata (PRN) medication only if authorization is obtained from the facility's licensed nurse on duty or on call.
A current facility procedure, revised 4/2025, titled Medication Administration, provided by the Administrator on 3/3/26 at 12:47 p.m., indicated .Procedure Steps: PRN Medications 31.
Licensed nurse assessed resident to determine the need for the PRN medication. 410 IAC 16.2-3.1-35(g)(1)
155543 03/03/2026
Hickory Creek at Huntington 1425 Grant St Huntington, IN 46750
lab said they did not draw the ammonia lab on 7/10/25.
The requisition had been turned in on
for labs.
The nurses also put in lab orders.
She followed up on labs even if the NP ordered the labs.
completed on 8/11/25. A current facility policy, revised 4/2024, titled Guidelines for Lab and Radiology Tracking, provided by the Administrator on 3/3/26 at 3:21 p.m., indicated the following: .All lab and/or radiology orders will be entered into MatrixCare Physician Orders upon receipt of order.
Daily order checks by medical records or designee will ensure all orders have been entered in MatrixCare and are accurate. 410 IAC 16.2-3.1-49(a)
155543 03/03/2026
Hickory Creek at Huntington 1425 Grant St Huntington, IN 46750
During an interview, on 2/25/26 at 11:27 a.m., Dietary Aide 6 indicated he should have worn a beard net.
During an interview, on 2/25/26 at 11:27 a.m., the Dietary Manager indicated Dietary Aide 6 had just returned from break.
She did not notice he wasn't wearing a beard cover and acknowledged he should have worn one.On 2/25/26 at 11:34 a.m., a posted sign on the kitchen door indicated the following: Notice: Hair net and beard cover required beyond this point
During an interview, on 2/26/26 at 9:29 a.m., the Administrator indicated he would expect staff to wear hair net coverings, including beard nets, when entering the kitchen area.16.2-3.1-21(i)(2)16.2-3.1-21(i) (3) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155543 03/03/2026
Hickory Creek at Huntington 1425 Grant St Huntington, IN 46750
observation, on 2/24/26 at 12:23 p.m., the following was observed:A laundry staff member delivered
was pressed up against the front of her body while she knocked on the resident's door and proceeded into the residents room.
She opened the closet door and hung the clean laundry up.
She performed hand hygiene upon exiting the resident's room.She pushed the covered cart down the hallway.
She stopped in front of another resident's room where she pulled their clean laundry out of the cart.
The clean laundry was placed against the front of her body as she entered the resident's room.
She proceeded to hang clothing in the resident's closet.
Hand hygiene was performed while exiting the resident's room.She removed another resident's laundry from the covered cart.
The clothing touched the front of her body when she knocked on the resident's door before proceeding into the resident's room.
She opened the closet door before putting the clothing away.
Hand hygiene was performed upon exiting the room.She pulled another resident's laundry from the covered cart. As she turned to enter the resident's room, the laundry touched the front of her body.
Hand hygiene was performed upon exiting the resident's room
During an interview, on 2/24/26 at 12:33 p.m., Laundry Aide 5 indicated when delivering clean clothing it should not touch one's body.
During an interview, on 3/3/26 at 1:46 p.m., the DON indicated staff should keep laundered clothing or linens away from their body to prevent cross contamination.A current facility policy, dated 8/2017 and revised 12/2021, titled Laundry Policy, provided by the Administrator, on 3/2/26 at 4:41 p.m., indicated the following: .Personnel shall handle, store, process and transport personal clothing and linen in a manner that prevents the spread of infection as follows: 1.
Clean linen should be carried away from the body to prevent cross contamination 410 IAC (Indiana Administrative Code) 16.2-3.1-19(g)
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.