Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hickory Creek At Peru during CMS and state inspections, most recent first.
The facility did not ensure the Surety Bond amount was sufficient to cover residents' personal fund accounts. The BOM reported the bond was $25,000.00, while resident funds totaled over this amount in June and July. The Administrator acknowledged the bond's insufficiency and lack of a policy, potentially affecting all 31 residents.
A facility failed to create a comprehensive care plan for a resident with positioning issues, as observed when the resident was leaning in a wheelchair without proper support documented. Despite having a history of traumatic brain injury and hemiplegia, the care plan did not address these needs. Staff used pillows to prevent leaning, but this was not included in the care plan, contrary to facility policy.
A facility failed to revise care plans for a resident with heart failure, end-stage renal disease, and other conditions, leading to contradictory instructions regarding fluid consumption. Despite the need for careful fluid management, care plans included conflicting interventions, such as encouraging fluid intake. The Director of Nursing admitted the plans were not updated, and the facility's policy requiring periodic review and revision of care plans was not followed.
A facility failed to provide a resident with the appropriate therapeutic diet necessary for their dialysis treatment. The resident, with conditions such as heart failure and end-stage renal disease, had specific dietary orders that were not followed, including sodium, potassium, and phosphorus restrictions, as well as a Nephro supplement. The DON admitted the orders were not transcribed correctly, resulting in the resident not receiving the required dietary care.
The facility did not post daily nurse staffing data in a timely manner, as required by federal regulations. Observations showed that the staffing data was not updated daily on multiple occasions. The Executive Director indicated that the DON was responsible for this task. A policy stated that staffing information should be publicly posted for residents and visitors.
The facility failed to ensure proper labeling and storage of medications in one of the medication storage areas. An observation of the front hall medication cart revealed several issues, including opened bottles of dietary supplements and over-the-counter medications without resident identifiers, and three loose pills in the cart drawers. RN 4 confirmed the labeling and storage issues, and the DON provided a policy document outlining proper medication storage and labeling requirements.
A facility failed to follow infection control practices during insulin administration. An RN cleansed a resident's arm with an alcohol pad but then improperly fanned the area, contrary to the facility's policy, which requires the site to dry naturally. The RN admitted the mistake during an interview.
Insufficient Surety Bond Coverage for Resident Funds
Penalty
Summary
The facility failed to ensure that the Surety Bond amount was sufficient to cover the residents' personal fund accounts. During an interview, the Business Office Manager (BOM) revealed that the Surety Bond was set at $25,000.00, while the total resident funds amounted to $28,511.66 in June and $26,803.46 in July. This discrepancy indicated that the Surety Bond would not cover the total amount in the resident funds account. Additionally, the Administrator confirmed that the Surety Bond would not always cover the total amounts in the resident fund account and admitted to not having a policy for the Surety Bond. This deficiency had the potential to affect all 31 residents in the facility.
Failure to Develop Comprehensive Care Plan for Resident's Positioning Issues
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident with positioning issues. During an observation, the resident was seen leaning to the left side in his wheelchair with a stuffed animal placed between his left arm and the armrest. The resident's medical record, which included diagnoses such as diffuse traumatic brain injury, hemiplegia, and hemiparesis following a cardiovascular accident, lacked a care plan addressing these positioning issues. Interviews with facility staff revealed that the staff's response to the resident's leaning was to put him in bed and lay him down. The Director of Nursing (DON) indicated that pillows were used to prevent the resident from leaning, but this intervention was not documented in the care plan. A half-lap tray had been used previously but was discontinued at the request of the resident's mother. The facility's policy required a comprehensive care plan with measurable goals and resident-specific interventions, which was not followed in this case.
Failure to Revise Care Plans for Fluid Management
Penalty
Summary
The facility failed to revise care plans for a resident with multiple health conditions, including heart failure, end-stage renal disease, diabetes, and bipolar disorder. The resident's care plans, which were supposed to address fluid consumption, contained contradictory instructions. Despite the resident's need for careful fluid management due to their medical conditions, the care plans included interventions such as encouraging fluid intake, which conflicted with the resident's requirement to limit fluid consumption. This inconsistency was not addressed or revised in the care plans, leading to a deficiency in the resident's care. The issue was identified during a record review and interview process. The Director of Nursing acknowledged that the care plans were not updated as they should have been, noting that the resident had previously been consuming too much water. The facility's policy required that care plan problems, goals, and interventions be reviewed and revised by the interdisciplinary team periodically and following each Minimum Data Set (MDS) assessment. However, this policy was not adhered to in the case of the resident, resulting in the deficiency.
Failure to Provide Appropriate Therapeutic Diet for Dialysis Resident
Penalty
Summary
The facility failed to ensure that a resident with complex medical conditions, including heart failure, end-stage renal disease, diabetes, and bipolar disorder, received the appropriate therapeutic diet. The resident, who was undergoing dialysis, had specific dietary needs as indicated in their admission orders and subsequent dialysis notes. These orders included restrictions on sodium, potassium, phosphorus, and fluid intake, as well as a dietary supplement, Nephro, to be administered twice daily. However, the facility did not follow these dietary orders, as the resident's record lacked documentation showing adherence to the prescribed diet and supplement regimen. During an interview, the Director of Nursing acknowledged the failure to correctly transcribe the diet and Nephro supplement orders, resulting in the resident not receiving the necessary dietary care. The facility's policy on dialysis care emphasized the importance of communication and collaboration with the dialysis facility and the review of new orders upon the resident's return from dialysis. Despite this policy, the facility did not ensure that the resident's dietary needs were met, leading to a deficiency in providing adequate nutrition and hydration to maintain the resident's health.
Failure to Timely Post Nurse Staffing Data
Penalty
Summary
The facility failed to post daily nurse staffing data in a timely manner, as required by federal regulations. Observations on three separate occasions revealed that the nurse staffing data posting form was not updated daily. On 9/25/2024, the form was dated 9/24/2024; on 9/27/2024, it was dated 9/26/2024; and on 9/30/2024, it was dated 9/27/2024. During an interview, the Executive Director stated that the Director of Nursing was responsible for posting the nurse staffing data every morning. A policy provided by the Regional Director of Nursing indicated that staffing information should be readily available and publicly posted for residents and visitors at any given time.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure proper labeling and storage of medications in one of the two medication storage areas observed. During an observation of the front hall medication cart, several issues were noted, including an opened bottle of Dr. Love dietary supplement and opened containers of Equate allergy relief, Equate gas relief, and Relaxium sleep tablets, all lacking resident identifiers. Additionally, there were three loose pills found in the medication cart drawers. RN 4 confirmed that the pill containers should have had labels and that there should be no loose pills in the medication cart. The Director of Nursing provided a policy document titled 'Clinical Nurse Highlight- Medication Storage,' which stated that medication storage areas should be clean and orderly, and medications should be properly labeled with patient name, lot number, and expiration date. Over-the-counter medications for individual patients should also have the patient's name and expiration date noted, following state regulations.
Infection Control Breach During Insulin Administration
Penalty
Summary
The facility failed to adhere to proper infection control practices during insulin administration for a resident. During an observation, a registered nurse (RN) washed her hands, applied gloves, and cleansed the resident's left outer arm with an alcohol pad. However, the RN then fanned the cleansed area with an open hand, which is not in accordance with the facility's policy. The policy, provided by the Director of Nursing, specifies that the injection site should be cleansed with an alcohol swab and allowed to dry naturally. The RN acknowledged during an interview that fanning the area was inappropriate.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Peru
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Peru Skilled Nursing Facility, The | 0.3 mi | — | 0 | 0 |
| Blair Ridge Health Campus | 1.2 mi | — | 2 | 0 |
| Aperion Care Peru | 6.5 mi | — | 32 | 0 |
| Miller's Merry Manor | 13.1 mi | — | 9 | 0 |
| Vernon Health & Rehabilitation | 13.5 mi | — | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.