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Hickory House Nursing Home

3120 Horseshoe Pike, Honey Brook, PA 19344 · Chester County · (610) 273-2915

110 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1978

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395436 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 14, 2026, inspectors cited 5 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 16 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.66 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.

48.7% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Life Care Centers of America, an affiliated group of 194 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
3E
0F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection · 5 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on review of clinical records and interview with staff, it was determined that the facility failed to notify the office of the state long term care ombudsman of emergency transfers for seven out of seven residents reviewed (Resident 2, Resident 3, Resident 6, Resident 21, Resident 101, resident 108, and Resident 106,).
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on review of facility policy, clinical records, facility documentation, and staff interview, it was determined that the facility failed to timely notify the resident's representative and medical provider of significant changes in physical condition resulting in hospitalization for two out of seven residents reviewed (Resident 6 and Resident 101).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that resident assessments accurately reflect the residents' status for one of 22 residents reviewed. (Resident 79).
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interviews, it was determined that the facility failed to appropriately assess a wound for one of four residents reviewed (Resident 1) and failed to ensure that medications ordered by physicians were available for one of 22 residents reviewed (Resident 52).
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to provide appropriate care to prevent urinary tract infections for one of four residents reviewed (Resident 103) who had an indwelling urinary catheter.
April 14, 2026Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on a review of resident clinical records, select facility policies, and staff interview, it was revealed the facility failed to ensure that one of the five residents sampled was free of a significant medication error (Resident 1).
June 6, 2025Standard inspection · 4 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased upon review of facility policy and procedure and review of facility documentation, it was determined the facility failed to report an allegation of abuse for one of one resident reviewed (Resident 101).
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased upon review of facility policy and procedure and review of facility documentation, it was determined the facility failed to investigate an allegation of abuse for one of one resident reviewed (Resident 101).
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure physician's orders were followed for three of three residents reviewed. (Resident 40, Resident 42 and Resident 50).
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on clinical record review, observations, and resident interview, it was determined the facility failed to follow a physician's order for oxygen therapy for one of four residents reviewed (Resident 50).
May 31, 2024Standard inspection · 5 citations
  1. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on facility policy and procedure review, clinical record review, and staff interviews, it was determined the facility failed to thoroughly investigate incidents for three of 32 residents reviewed. (Residents 2, 95, and 155)
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to follow the physician's orders and notify the physician of missed medications for three of the 24 residents reviewed (Residents 9, 51, and 95).
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on clinical records review, facility documentation review, and staff interviews, it was determined that the facility failed to provide appropriate assessment and supervision to prevent a fall for one of the 24 residents reviewed (Resident 35).
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on a review of the facility's policy, observation, clinical records review, and resident and staff interview, it was determined that the facility failed to ensure a physician order for Oxygen use was in place for one of the residents reviewed (Resident 205).
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on facility policy and procedure review, clinical record review and staff interview it was determined the facility failed to ensure residents did not receive unnecessary medications for one of six residents reviewed. (Resident 79) Findings Include: Review of facility policy and procedure titled Definition of Infections for Surveillance Activities, last reviewed May 16, 2024 revealed Identification of infection should not be based on a single piece of evidence but should always consider the clinical presentation and any microbiologic (lab studies) or radiologic (X-rays, CT scan etc.) information that is available. Microbiologic and radiologic findings should not be the sole criteria for defining an event as an infection. [...]
September 15, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician orders were followed and insulin administration was given timely for three of four residents reviewed (Residents R2 R3, and Resident R4). Findings Include: Review of Resident R2's clinical record revealed diagnoses including but not limited to Diabetes Mellitus (impaired ability of the body to produce or respond to insulin and thereby maintain proper levels of sugar (glucose) in the blood). Review of Resident R2's clinical record revealed a physician's order for Lantus (long acting insulin) SoloStar Solution Pen-Injector 100 UNIT/ML (mililiter) with instruction to Inject 10 unit subcutaneously (under the skin) one time a day for diabetic, give 8 am. [...]

Fire safety inspections

15 fire safety citations on file: 4 on May 14, 2026, 3 on June 6, 2025, 8 on May 31, 2024.

Every fire safety citation15 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 14, 2026 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 14, 2026 · Corrected (the home has a date of correction)
  3. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 14, 2026 · Corrected (the home has a date of correction)
  4. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 14, 2026 · Corrected (the home has a date of correction)
  5. E
    Install a two-hour-resistant firewall separation.
    K 133 · June 6, 2025 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 6, 2025 · Corrected (the home has a date of correction)
  7. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 6, 2025 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 31, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 31, 2024 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 31, 2024 · Corrected (the home has a date of correction)
  11. D
    Have power receptacles that are properly grounded.
    K 912 · May 31, 2024 · Corrected (the home has a date of correction)
  12. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · May 31, 2024 · Corrected (the home has a date of correction)
  13. C
    Conduct risk assessment and an All-Hazards approach.
    E 6 · May 31, 2024 · Corrected (the home has a date of correction)
  14. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 31, 2024 · Corrected (the home has a date of correction)
  15. C
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · May 31, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.663.893.86
Registered nurses0.860.790.69
All nursing staff on weekends3.363.533.42
Nurse aides1.94
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)48.7%44.5%45.8%
Registered nurse turnover46.2%39.9%42.9%
Administrators who left0

CMS expects 3.96 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.79 on weekdays and 3.36 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.66 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.660.863.793.36 19.7%0 of 90100
Oct to Dec 20253.700.883.903.18 13.6%0 of 92100
Jul to Sep 20253.940.794.103.54 25.1%0 of 92103
Apr to Jun 20253.900.804.093.42 29.4%0 of 91104
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Hickory House Nursing Home. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.616.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.13.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.217.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.417.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.122.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.89.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hickory House Nursing Home's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

64.6% this home

Better than the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 469 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Pennsylvania: 3 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 465 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Pennsylvania: 7 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 312 eligible stays.

Self-care and mobility at discharge

77.1% this home

Median of homes: Pennsylvania54.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 253 residents counted.

Falls with major injury

0.6% this home

Median of homes: Pennsylvania0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 316 residents counted.

New or worsened pressure ulcers

1.7% this home

Median of homes: Pennsylvania2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 316 residents counted.

Medication list given at discharge

99.5% this home

Median of homes: Pennsylvania100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 206 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HONEY BROOK MEDICAL INVESTORS LP. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Developers Investment Company IncIndirect ownership interestOrganization09/26/1993
Adio, OlayemiManaging control - governing bodyIndividual12/27/2023
Campbell, KelliManaging control - governing bodyIndividual10/26/2022
Long, ZofiaManaging control - governing bodyIndividual03/15/2004
Cross, CindyCorporate officerIndividual04/21/1994
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/09/2018
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Developers Investment Company IncOperational/managerial controlOrganization09/26/1993
Honey Brook Medical Investors LPOperational/managerial controlOrganization05/04/1988
Life Care Affiliates IIOperational/managerial controlOrganization09/26/1993
Life Care Centers of America, Inc.Operational/managerial controlOrganization05/02/1988
Adio, OlayemiOperational/managerial controlIndividual12/27/2023
Campbell, KelliOperational/managerial controlIndividual10/26/2022
Fletcher, ToddOperational/managerial controlIndividual12/13/2024
Graf, AndrewOperational/managerial controlIndividual10/01/2023
Long, ZofiaOperational/managerial controlIndividual03/15/2004
Preston, AubreyOperational/managerial controlIndividual12/13/2024
Ziegler, JamesOperational/managerial controlIndividual12/13/2024
Life Care Affiliates IIGeneral partnership interestOrganization09/26/1993
Preston, ForrestLimited partnership interestIndividual02/01/1988
Honey Brook Medical Investors LPAdp of the SNFOrganization10/10/2003
Life Care Affiliates IIAdp of the SNFOrganization10/10/2003
Life Care Centers of America, Inc.Adp of the SNFOrganization04/03/2025
Campbell, KelliAdp of the SNFIndividual04/03/2025
Graf, AndrewAdp of the SNFIndividual04/03/2025
Preston, ForrestAdp of the SNFIndividual10/10/2003

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on May 14, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 6, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 14, 2026: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.36 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hickory House Nursing Home's Medicare star rating?
CMS rates Hickory House Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hickory House Nursing Home get at its last inspection?
5 health deficiencies at the standard inspection on May 14, 2026. The Pennsylvania average is 10.
Has Hickory House Nursing Home been fined?
CMS lists no fines in the last three years.
Does Hickory House Nursing Home accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hickory House Nursing Home?
CMS lists 28 owners and managers, and links the home to Life Care Centers of America. Legal business name: HONEY BROOK MEDICAL INVESTORS LP.

Sources

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