HICKORY CREEK AT COLUMBUS
5480 E 25TH STREET
COLUMBUS, IN, 47203
8123726136
CCN: 155424
5
Overall4
Health2
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| HENRY COUNTY MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| RING, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| DICE, MARK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MILLER, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MORIO-HALE, SABRINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MUSTAKLEM, MARWAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RING, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHANE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VAN CAMP, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AMERICAN SENIOR COMMUNITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (8)
2025-09-12 · Health
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-08-29 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-01-16 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2023-06-12 · Health
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.57
RN Hrs/Resident/Day0.54
0.80
LPN Hrs/Resident/Day0.81
0.71
CNA Hrs/Resident/Day2.33
2.06
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01