Franklin, IN

Hickory Creek At Franklin

5-star overall rating with 5-star inspections with $7,446 in total fines with 10 fire-safety deficiencies in the latest cycle

580 Lemley Street, Franklin, IN

(317) 736-8214

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

32

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

American Senior Communities

Operator or chain grouping

Approved since

1992-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

91 facilities

Chain averages 4 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.35

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

2.52

CMS adjusted total nurse staffing hours

Case-mix index

1.82

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,552

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

3.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.75

Baseline 76.47% · Performance 70.00% · Measure score 0.75 · Achievement 0 · Improvement 0.75

Adjusted total nurse staffing

0

Baseline 3.12 hours · Performance 2.53 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.44%	8.2% 5.8 pts worse	Numerator 1 · Denominator 41
Staff flu vaccination coverage	2.38%	42% 39.6 pts worse	Numerator 1 · Denominator 42
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.8% 0.6 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.7% · Q3 6.5% · Q4 3.4% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	77.3%	24.6% 52.7 pts worse	11.4% 65.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 70.4% · Q3 70.0% · Q4 89.3% · 4Q avg 77.3%
Percentage of long-stay residents who lose too much weight	0.9%	5.6% 4.7 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	40.7%	23.5% 17.2 pts worse	19.6% 21.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 46.2% · Q3 37.9% · Q4 32.1% · 4Q avg 40.7%
Percentage of long-stay residents who received an antipsychotic medication	22.2%	14.8% 7.4 pts worse	16.7% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 22.7% · Q4 21.7% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.8%	13.3% 7.5 pts better	16.3% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.1%	11.7% 9.6 pts better	14.9% 12.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.2%	24.2% 7 pts better	19.8% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 3.8% · Q3 3.0% · Q4 32.4% · 4Q avg 17.2%
Percentage of long-stay residents with pressure ulcers	0.0%	4.1% 4.1 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.2%	81.6% 3.6 pts better	81.7% 3.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 87.0% · 4Q avg 85.2%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.7%	79.0% 16.7 pts better	79.7% 16 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-13 · Fire 2025-01-13

0 health deficiencies

No concentrated health issue counts in this cycle.

10 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2024-04-05 · Fire 2024-04-05

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-02-23

F · Potential for more than minimal harm 2025-01-13

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-02-23

F · Potential for more than minimal harm 2025-01-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-23

F · Potential for more than minimal harm 2025-01-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-23

F · Potential for more than minimal harm 2025-01-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-23

C · Minimal harm 2025-01-13

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-02-23

C · Minimal harm 2025-01-13

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-02-23

C · Minimal harm 2025-01-13

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-02-23

C · Minimal harm 2025-01-13

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-02-23

C · Minimal harm 2025-01-13

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-02-23

F · Potential for more than minimal harm 2024-04-05

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-11

F · Potential for more than minimal harm 2024-04-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-11

E · Potential for more than minimal harm 2024-04-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-11

F · Potential for more than minimal harm 2023-05-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-06-20

F · Potential for more than minimal harm 2023-05-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-20

F · Potential for more than minimal harm 2023-05-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-20

F · Potential for more than minimal harm 2023-05-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-20

F · Potential for more than minimal harm 2023-05-19

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-06-20

F · Potential for more than minimal harm 2023-05-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-04-05

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-24

D · Potential for more than minimal harm 2023-12-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-09-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-21

J · Immediate jeopardy 2023-05-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-05-19

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-05-31

C · Minimal harm 2023-05-19

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-05-31

Penalties and ownership

What sits behind the stars

$7,446 2023-05-19

Fine

Fine · fine $7,446

Fine

Ownership

Henry County Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 31 facilities 2013-08-01

American Senior Communities LLC

Operational/Managerial Control · Organization

0% 89 facilities 2021-03-01

Dice, Mark