Hickory Creek at Crawfordsville

In the surveyor’s words

From the most serious findings on record at Hickory Creek at Crawfordsville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jul 3, 2025

  Based on record review and interview, the facility failed to ensure Registered Nurse (RN) coverage of at least 8 consecutive hours each day for 7 days a week, for 1 of 4 quarters of the Payroll Based Journal (PBJ-a detailed report that tracks staffing and payroll information, primarily used in the healthcare sector) report reviewed. Findings include: During the entrance conference meeting, on 6/27/25 at 9:56 a.m., review of the PBJ report indicated the facility had failed to have at least 8 consecutive hours of RN coverage on, 1/12/25, 1/17/25, 1/26/25, 2/2/25, 2/8/25, 2/9/25, 2/16/25, and 2/23/25. On 6/27/25 at 12:11 p.m., staffing sheets were provided by the Executive Director (ED). The staffing sheets indicated the following: a. […]

• No harm, potential for more than minimal, widespreadF880Nov 9, 2023

  Based on observation, interview, and record review, the facility failed to ensure appropriate infection control practices were in place to mitigate and prevent the potential for the spread of the COVID-19). This deficient practice had the potential to effect 33 of 33 residents who resided in the facility. Findings include: On 11/9/23 at 9:00 a.m., upon entrance into the facility, Resident D (who was later discovered to be COVID-19 positive) was observed seated in the main dining room with three other unidentified residents. None of them were wearing masks as the finished their breakfast meals. Several staff member, unidentified at that time, walked in and out of the dining room, past Resident D. He was not encouraged to wear a mask to return to his room. […]

• No harm, potential for more than minimal, patternF726May 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff (RN 4) were properly trained, monitored, and compliant with medication administration and infection control practices for 4 of 6 residents observed for medication administration (Residents B, D, E, and F). Findings include:A complaint during the survey indicated Qualified Medication Aide (QMA) 6 had not administered eye medications to Resident B according to her orders or failed to administer the eye medications but documented she had administered them. QMA 6 also was not placing lidocaine patches (used to relieve localized pain) on residents but documenting she had. […]

• No harm, potential for more than minimal, patternF880May 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff (RN 4) washed his hands per policy before, between, and after medication administration for 5 of 6 residents observed for medication administration (Residents B, D, E, F, and N). Findings include:1. On 5/4/26 at 7:35 a.m., RN 4 was observed taking a preset cup of unidentified medications for Resident N from the top of a medication cart and going to the main dining room where he obtained Resident N's vital signs and then administered her medications. RN 4 was not observed to sanitize his hands before or after administering the resident's medications. 2. […]

• No harm, potential for more than minimal, patternF880Jan 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure hand hygiene was completed according to infection control practices for 5 of 6 residents reviewed for medication administration (Residents E, R, S, T, and U).Findings include, On 1/13/26 at 7:50 a.m., Qualified Medication Aide (QMA) 10 was observed passing medications during breakfast service in the main dining room. QMA 10 handed Resident R a cup of medications, and while she waited for the resident to swallow her medications, she reached to remove a piece of bacon from Resident X's shirt. QMA 10 lifted her long hair from her neck, scratched her head, and ran her fingers through her hair. When Resident R had finished taking her medications, QMA 10 returned to the medication cart. […]