Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HICKORY CREEK AT COLUMBUS

COLUMBUS, IN · 36 certified beds · Last Life Safety survey September 12, 2025

CMS Certification Number 155424 · first certified February 1992

Ownership

Operated by AMERICAN SENIOR COMMUNITIES · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within IN

16 citations — more than 52% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to November 2026. This facility’s last Life Safety survey was September 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

8 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility16IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
92023-0632024-0842025-09
Citations at each Life Safety survey
Survey dateCitations
June 12, 20239
August 29, 20243
September 12, 20254

Most-cited tags

Most-cited tags at this facility
E-00062E-00392K-03001K-09201K-09181K-03531E-00131K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0006Conduct risk assessment and an All-Hazards approach.22024-08-29
E-0039Conduct testing and exercise requirements.22024-08-29
K-0300Meet other general requirements that are deficient.12023-06-12
K-0920Ensure proper usage of power strips and extension cords.12025-09-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-09-12
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-06-12
E-0013Develop Emergency Preparedness policies and procedures.12023-06-12
K-0351Install an approved automatic sprinkler system.12025-09-12

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 2
  • Egress Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 12, 2025 — 4 citations

Citations issued on September 12, 2025
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 19, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 19, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 19, 2025)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (December 19, 2025)

August 29, 2024 — 3 citations

Citations issued on August 29, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (September 27, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 27, 2024)
K-0200Meet other general requirements.Deficient, Provider has date of correction (September 27, 2024)

June 12, 2023 — 9 citations

Citations issued on June 12, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 19, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (August 19, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (August 19, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (August 19, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 19, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 19, 2023)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 19, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 19, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 19, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.