Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Scottsburg during CMS and state inspections, most recent first.
A resident with pain and depression did not receive a scheduled Fentanyl patch because the medication was unavailable, and there was no timely notification to the pharmacy or physician. The facility did not follow its policy requiring immediate action when a medication shortage was discovered, resulting in a delay in pain management.
A resident with pain and depression received PRN Percocet on several occasions, as shown in the controlled substance record, but the medication administration record did not reflect these administrations. An LPN confirmed that both records should be signed when narcotics are given, and facility policy requires proper documentation.
A resident with a history of GI bleeding and multiple chronic conditions experienced repeated episodes of dark brown vomiting and an elevated heart rate. Despite these symptoms and the resident's request for hospital evaluation, the LPN did not notify the NP or DON for over six hours, delaying medical intervention. Facility policy required prompt communication of such changes, but this was not followed.
A QMA in a LTC facility failed to follow infection control protocols during medication administration for several residents. The QMA handled medications with bare hands and did not perform hand hygiene before or after administering medications, despite the facility's policy requiring such practices. This was observed across multiple instances involving residents with various medical conditions.
The facility failed to follow physician orders for three residents during medication administration. A resident with COPD did not receive the correct dosage of calcium carbonate and was not offered Advair Diskus. Another resident did not rinse her mouth after using Breo Ellipta and Incruse Ellipta inhalers. A third resident did not rinse and spit after using Advair HFA inhaler. The facility's policy requires adherence to medication administration guidelines, which was not followed.
A facility failed to document the administration of narcotic medications for a resident with anxiety, irritable bowel syndrome, and pain. Despite physician orders for Xanax, Viberzi, and hydrocodone-acetaminophen, the medication administration record lacked documentation, although the controlled substance record indicated administration on various dates. An LPN confirmed the requirement to sign off on administered narcotics, and the DON provided a procedure document for controlled substances.
The facility failed to address multiple resident concerns raised during Resident Council meetings over several months, including delayed call light responses, improper room cleaning, and staff using foul language. Despite promises from management to resolve these issues, residents continued to experience the same problems, indicating a lack of effective action and accountability.
The facility failed to provide meals that were palatable, appetizing, and at appropriate temperatures, affecting 30 of 31 residents. Observations revealed that food temperatures were not maintained within the required range, and residents reported dissatisfaction with the food quality and temperature. The Dietary Manager acknowledged logistical challenges in maintaining food temperatures and noted that the menu had not been updated since October.
Failure to Provide Timely Pain Medication Due to Unavailability
Penalty
Summary
The facility failed to ensure that a resident's pain medication, specifically a Fentanyl Duragesic patch, was available and administered in a timely manner. The resident, who had diagnoses including depression and pain and was assessed as cognitively intact, was care planned to receive pain medication as ordered. The medication administration record showed that the pain patch was due but not administered on the scheduled date because it was unavailable. The resident reported not having her pain patch for two days, and documentation indicated that the pharmacy was not notified until one day after the missed dose. The clinical record lacked evidence of timely notification to the physician or pharmacy regarding the unavailability of the medication. Facility policy required immediate action and notification to the pharmacy upon discovery of a medication shortage, but this procedure was not followed. Interviews with facility leadership confirmed that it was the facility's responsibility to ensure medication availability for residents.
Failure to Document PRN Narcotic Administration in MAR
Penalty
Summary
The facility failed to ensure that a resident's medication administration record (MAR) accurately reflected the administration of as needed (PRN) narcotic pain medication. Review of the clinical record for a resident with diagnoses including depression and pain showed that the physician had ordered Percocet (oxycodone-acetaminophen) 5-325 mg every 6 hours as needed for pain. Controlled substance records indicated that the medication was administered on multiple occasions across October and November, but the corresponding MARs for those months lacked documentation of these administrations. During interviews, an LPN confirmed that both the MAR and the controlled substance record should be signed when a narcotic is given, and facility policy required documentation of controlled substances in accordance with applicable law.
Failure to Timely Notify Physician of Resident's Change in Condition
Penalty
Summary
The facility failed to ensure timely notification of a physician following a significant change in a resident's condition. The resident, who had a complex medical history including chronic iron deficiency anemia, diabetes, schizoaffective disorder, and a history of gastrointestinal (GI) bleeding, experienced multiple episodes of vomiting dark brown emesis. On one occasion, the resident vomited a large amount of dark emesis in the early morning hours, with vital signs showing low blood pressure and elevated heart rate. Despite these symptoms and the resident's request to go to the emergency room, the nurse practitioner (NP), director of nursing (DON), and executive director (ED) were not notified until several hours later. Documentation revealed that the resident had a known history of GI bleeding and had previously been hospitalized for similar symptoms. On the date in question, the resident began vomiting at 1:56 a.m., but the NP, DON, or ED were not notified until 8:28 a.m., more than six hours after the initial episode. During this time, the resident continued to vomit and exhibited an elevated heart rate. Only after the delayed notification was the NP contacted, who then ordered the resident to be sent to the emergency room for evaluation and treatment. Interviews with facility staff confirmed that the DON was not contacted at the time of the incident, and the nurse's notes did not reflect timely communication with the appropriate clinical leadership. The facility's policy required that all changes in resident condition be promptly communicated to the physician and responsible parties, but this protocol was not followed in this instance, resulting in a delay in medical intervention for the resident.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during medication administration for six residents. During observations, a Qualified Medication Aide (QMA) was seen handling medications with bare hands and not performing hand hygiene before or after administering medications. This was observed across multiple instances involving different residents, each with various medical conditions such as chronic obstructive pulmonary disease (COPD), diabetes, and depression. For Resident B, the QMA was observed removing calcium carbonate tablets with bare hands and transferring them between medication cups without sanitizing her hands. Similar practices were noted for Resident C, where the QMA did not sanitize her hands before or after handling medications. The QMA's actions were inconsistent with the facility's policy, which requires hand hygiene before and after direct resident contact and prohibits touching medications with bare hands. The same QMA was observed repeating these practices with Residents E, F, G, and H. In each case, the QMA unlocked the medication cart, handled medications, and used a computer mouse without performing hand hygiene. The facility's Director of Nursing provided a document outlining the proper procedures for medication administration, which the QMA did not follow. This deficiency was related to specific complaints and highlighted a failure in adhering to established infection control protocols.
Failure to Follow Physician Orders During Medication Administration
Penalty
Summary
The facility failed to ensure physician orders were followed during medication administration for three residents. Resident B, diagnosed with chronic obstructive pulmonary disease (COPD), chronic respiratory failure, and gastroesophageal reflux disease, was supposed to receive 1,250 mg of calcium carbonate and one puff of Advair Diskus with instructions to rinse the mouth after use. However, during observation, the Qualified Medication Aide (QMA) administered only 1,000 mg of calcium carbonate and did not offer the Advair Diskus to the resident, despite the Director of Nursing indicating that the medication should have been offered even if the resident typically refused it. Resident C, with diagnoses including COPD and diabetes, was to receive Breo Ellipta and Incruse Ellipta inhalers with instructions to rinse the mouth after use. During the medication administration observation, the QMA failed to ensure the resident rinsed her mouth after using both inhalers. Similarly, Resident G, diagnosed with COPD and iron deficiency anemia, was to receive Advair HFA aerosol inhaler with instructions to rinse and spit after use. The QMA did not have the resident rinse and spit after administration. The facility's policy and procedure document, provided by the Director of Nursing, emphasized the importance of following manufacturer medication administration guidelines, which were not adhered to in these cases.
Failure to Document Narcotic Medication Administration
Penalty
Summary
The facility failed to ensure that a resident's medication administration record accurately reflected the administration of narcotic medications. Specifically, the clinical record for a resident with diagnoses including irritable bowel syndrome, anxiety, and pain was reviewed, revealing discrepancies in the documentation of medication administration. The physician's orders indicated that the resident was to receive Xanax, Viberzi, and hydrocodone-acetaminophen at specified times. However, the October 2024 controlled substance record showed that these medications were administered on various dates and times, but the corresponding medication administration record lacked documentation of these administrations. During an interview, an LPN confirmed that when a narcotic medication is administered, it should be signed off on the medication administration record. The Director of Nursing provided a document titled 'General Dose Preparation and Medication Administration,' which outlined the procedure for documenting the administration of controlled substances. This deficiency was related to complaints IN00447152 and IN00447339, indicating a failure to adhere to accepted professional standards in maintaining accurate medical records for the resident.
Facility Fails to Address Resident Concerns Over Several Months
Penalty
Summary
The facility failed to address multiple resident concerns raised during Resident Council meetings over several months. Residents reported that call lights were not being answered in a timely manner, with some waiting up to hours or even a day for assistance. Additionally, rooms were not being properly cleaned, beds were left unmade, and urinals were not emptied. Staff were observed using gloves without washing their hands, and there were complaints about staff using foul language and discussing other staff members in front of residents. Residents also reported missing clothes after being sent to the laundry and feeling rushed by housekeeping staff during meal times. Despite these concerns being raised repeatedly from August 2023 to April 2024, the facility's management failed to take effective action to resolve them. The Director of Nursing (DON) and the Director of Maintenance/Housekeeping made several promises to educate staff, monitor call light response times, and ensure deep cleaning schedules were followed, but these measures did not lead to any significant improvements. Residents continued to experience the same issues month after month, indicating a lack of follow-through and accountability from the facility's management. Interviews with residents further highlighted the severity of the issues. Residents reported waiting long periods for call lights to be answered, sometimes resulting in them having to lie in soiled briefs. There were also complaints about noise levels at night, staff not being courteous, and aides placing urinals on tabletops. The facility's failure to address these ongoing concerns demonstrates a significant deficiency in providing adequate care and maintaining a safe and respectful environment for residents.
Failure to Provide Palatable and Appropriately Tempered Meals
Penalty
Summary
The facility failed to provide meals that were palatable, appetizing, and at appropriate temperatures, affecting 30 of 31 residents. Observations on multiple dates revealed that food temperatures were not maintained within the required range. For instance, on 4/21/24, the sliced turkey was served at 124.9°F, Au gratin potatoes at 118°F, and brussels sprouts at 117.8°F, all below the required 135°F. Additionally, the banana cream pie was partially frozen at 21.3°F. Similar issues were observed on 4/25/24, with the ham salad sandwich served at 37.7°F and 30.5°F, apricots at 34.5°F, broccoli soup at 164°F, and bean salad at 32°F. Residents reported that the food was often cold, unappetizing, and of poor quality, with some indicating that they could not eat certain items due to these issues. The Dietary Manager acknowledged the complaints and mentioned logistical challenges in maintaining food temperatures, such as the lack of a plate warmer machine and the need for a suction device to handle hot plates. Interviews with residents further highlighted the dissatisfaction with the food quality and temperature. One resident mentioned that the food was often cold and inedible, while another mistook turkey for ham due to the poor quality. The Dietary Manager noted that the menu had not been updated since October and that residents had requested changes due to repetitive meals. Despite these requests, the facility's policy on food temperatures, revised in June 2023, was not adhered to, as hot foods were not consistently held at or above 135°F and cold foods at or below 41°F. The Dietary Manager expressed confusion about the palatability complaints, citing that salt and pepper were available and that residents had maintained their weight, but acknowledged the need for better equipment to maintain food temperatures.
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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 Scottsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Scottsburg, The | 0.3 mi | — | 32 | 1 |
| Lake Pointe Village | 0.9 mi | — | 3 | 0 |
| Hampton Oaks Health Campus | 1 mi | — | 1 | 0 |
| Aperion Care Hanover | 16.3 mi | — | 11 | 0 |
| Thornton Terrace Health Campus | 16.7 mi | — | 8 | 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.