Hickory Creek at Madison
Strong Medicare quality ratings; families often praise warm, attentive nursing staff. Still worth an in-person visit.
based on 50 Google reviews
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What this means for your family
Hickory Creek has a long-standing reputation for compassionate, family-oriented care and strong communication. However, because a recent review raised serious concerns about facility maintenance and management professionalism, I recommend scheduling an unannounced tour to observe the current cleanliness and staff morale firsthand.
Google Reviews
Google Reviews
50 reviews on Google“Hickory Creek at Madison is highly regarded by many families for its compassionate, attentive nursing staff and warm, homelike environment. While the vast majority of reviews are glowing, a recent critical review highlights serious concerns regarding facility maintenance, food quality, and professional conduct among management. Families should weigh the consistent praise for staff dedication against these recent reports of potential operational decline.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing staff
- Homelike, welcoming environment
- Strong communication with families
- Effective rehabilitation and therapy services
Concerns
- Understaffing and overworked employees (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 55 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It's wonderful to see such a warm and welcoming environment here; what kind of daily activities or social outings do you organize to keep the residents engaged?
- 2We've noticed how much you value communication with families through your responses to feedback; how can we best stay updated on our loved one's daily well-being?
- 3With such a small, intimate capacity of 36 residents, how do you ensure that every person receives personalized attention during busy shifts?
- 4What is your protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 5We are looking for a place with strong therapy support; could you tell us more about how your rehabilitation services help residents regain their independence?
- 6How do you support your nursing team to ensure they have the time and resources needed to maintain the high standard of care your residents deserve?
Personalized based on this facility's data
Key Review Excerpts
“The staff is caring, the food is good, and the care is exceptional. Management communicates frequently and lets me know whenever there are changes in care or if they want to try something different.”
“I wish I had found them sooner. My mother was a resident in 2019. We moved her from another local facility that looked much fancier but didn't truly provide the quality of care that she needed and deserved.”
“Excellent staff but they are overworked and if they were paid well, they wouldn’t be understaffed!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
10
measures
2
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Hickory Creek at Madison has 10 federal deficiencies across multiple surveys, with families filing at least one complaint about treatment and care quality. The most frequent issues involve quality of life and care (including dementia care and respiratory services), safety concerns like hallway obstructions and window installations, and medication management problems. While all deficiencies show correction dates, the pattern of recurring safety and care issues across different survey periods suggests ongoing operational challenges.
Sep 18, 2025Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 25, 2024Routine2
Smoke Deficiencies
Install properly constructed windows in hallway walls or doors.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 15, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 15, 2023Routine4
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Nursing and Physician Services Deficiencies
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.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Ownership & Operations
Who Operates This Facility
Hickory Creek at Madison
for profit
Chain Affiliation
American Senior Communities
91 facilities nationwide
Chain avg rating: 3.8/5 · Rank 44 of 91
Ownership & Management
Owners
Henry County Memorial Hospital
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
50 reviews from families & visitors
Official Website
Visit asccare.com
Medicare data downloads
Original nursing home datasets
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