Hickory Creek of Athens

51 East 4th Street · The Plains, OH · 45780 · 7407974561

90 certified beds For profit - Corporation Chain: Foundations Health Solutions

  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 94
Staffing 20% 69
Federal penalties 15% 100
Trend 10% 70
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.603.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day3.27≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)none

Inspection citations (24 in the current record)

  • Actual harm · G August 11, 2025

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

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 11, 2025

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

    Corrected August 18, 2025 · Pharmacy Service

  • Potential for harm · D August 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 18, 2025 · Infection Control

  • Potential for harm · D August 5, 2024 · found via complaint

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

    Corrected August 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

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

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

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

    Corrected August 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

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

    Corrected August 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

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

    Corrected August 9, 2024 · Pharmacy Service

  • Potential for harm · E June 6, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 9, 2024 · Infection Control

  • Potential for harm · D June 6, 2024

    Implement a program that monitors antibiotic use.

    Corrected August 9, 2024 · Infection Control

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Resident Rights

  • Potential for harm · D October 4, 2022

    Keep residents' personal and medical records private and confidential.

    Corrected October 19, 2022 · Resident Rights

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D October 4, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · E October 4, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D October 4, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D October 4, 2022

    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 October 19, 2022 · Quality of Life and Care

  • Potential for harm · F October 4, 2022

    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 October 19, 2022 · Nursing and Physician Services

  • Potential for harm · E October 4, 2022

    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 October 19, 2022 · Pharmacy Service

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365589 · certified since October 7, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.