The Plains, OH

Hickory Creek Of Athens

4-star overall rating with 4-star inspections with 3 recent health deficiencies

51 East 4th Street, The Plains, OH

(740) 797-4561

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

76

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

1982-10-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 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

0.50

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.00

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,161

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

Performance score

30.57

Composite VBP score used to determine payment impact.

Payment multiplier

0.9860

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

6.05

Baseline 27.54% · Performance 38.96% · Measure score 6.05 · Achievement 6.05 · Improvement 0

Adjusted total nurse staffing

0.07

Baseline 2.82 hours · Performance 2.99 hours · Measure score 0.07 · Achievement 0 · Improvement 0.07

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.43%
10.72%
0.7 pts worse
No Different than the National Rate · Eligible stays 36 · Observed rate 16.67% · Lower 95% interval 7.61%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.1
1.02
0.1 pts worse
Drug regimen review with follow-up 96.3%
95.27%
1 pts better
Numerator 26 · Denominator 27
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 27
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 7.41%
2.29%
5.1 pts worse
Numerator 2 · Denominator 27 · Adjusted rate 5.23%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 96
Staff flu vaccination coverage 10.91%
42%
31.1 pts worse
Numerator 12 · Denominator 110
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
1.8
0.8 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.8
About the same
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
92.4%
2 pts better
93.4%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 92.6% · Q3 95.3% · Q4 100.0% · 4Q avg 94.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 75.7%
94.5%
18.8 pts worse
95.5%
19.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.7%
Percentage of long-stay residents experiencing one or more falls with major injury 0.7%
3.3%
2.6 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 29.5%
26.1%
3.4 pts worse
11.4%
18.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 30.0% · Q3 31.1% · Q4 29.5% · 4Q avg 29.5%
Percentage of long-stay residents who lose too much weight 9.4%
6.2%
3.2 pts worse
5.4%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 12.1% · Q3 16.4% · Q4 8.3% · 4Q avg 9.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.9%
25.4%
13.5 pts worse
19.6%
19.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 40.7% · Q3 41.1% · Q4 40.0% · 4Q avg 38.9%
Percentage of long-stay residents who received an antipsychotic medication 23.6%
11.5%
12.1 pts worse
16.7%
6.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 16.7% · Q3 25.0% · Q4 23.3% · 4Q avg 23.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
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 3.5%
7.7%
4.2 pts better
16.3%
12.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.6% · Q3 3.6% · Q4 3.2% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 2.9%
6.2%
3.3 pts better
14.9%
12 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.7% · Q3 3.6% · Q4 3.3% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.2%
0.4 pts worse
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
0.5%
0.1 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
21.7%
0.9 pts better
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 32.1% · Q3 22.9% · Q4 11.1% · 4Q avg 20.8%
Percentage of long-stay residents with pressure ulcers 2.9%
3.7%
0.8 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.1% · Q3 3.0% · Q4 3.7% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.5%
78.1%
10.4 pts better
81.7%
6.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 79.4% · Q2 87.2% · Q3 93.2% · Q4 92.3% · 4Q avg 88.5%
Percentage of short-stay residents who had an outpatient emergency department visit 16.6%
12.5%
4.1 pts worse
12.0%
4.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 17.9% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 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 80.5%
75.6%
4.9 pts better
79.7%
0.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.7%
25.1%
13.4 pts better
23.9%
12.2 pts better
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 10.7% · Expected 21.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-11 · Fire 2025-08-11

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-06 · Fire 2024-06-06

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-10-04 · Fire 2022-10-04

12 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

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

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-06-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-09

F · Potential for more than minimal harm 2022-10-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-10-04

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-01-20

E · Potential for more than minimal harm 2022-10-04

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-19

Inspection history

Recent health citations

G · Actual harm 2025-08-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-08-11

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-08-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-18

D · Potential for more than minimal harm 2024-08-05

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

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 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-08-09

F · Potential for more than minimal harm 2022-10-04

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-10-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-10-04

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 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

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 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-10-04

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-10-19

Penalties and ownership

What sits behind the stars

Ownership

Colleran Fam Tr Dated 01-01-2018

5% Or Greater Indirect Ownership Interest · Organization

100% 63 facilities 2018-06-01
Foundations Health LLC

5% Or Greater Direct Ownership Interest · Organization

100% 63 facilities 2018-06-01
Colleran, Brian

Operational/Managerial Control · Individual

0% 63 facilities 2019-01-01
Colleran, Brian

Corporate Director · Individual

0% 63 facilities 2019-01-01
Colleran, Brian

Corporate Officer · Individual

0% 63 facilities 2019-01-01
Foundations Health Solutions, LLC

Operational/Managerial Control · Organization

0% 62 facilities 2019-01-01
Jonas, Christopher

Operational/Managerial Control · Individual

0% 2 facilities 2025-04-01
Krystowski, John

Operational/Managerial Control · Individual

0% 63 facilities 2018-06-01
Krystowski, John

Corporate Officer · Individual

0% 63 facilities 2018-06-01

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