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Life Care Center of Hickory Woods

4200 Murfreesboro Pike, Antioch, TN 37013 · Davidson County · (615) 501-3500

124 certified beds, about 119 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2011

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 445507 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 19, 2025, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 13 health citations since September 2019 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 4.00 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

55.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
0F
Potential for minimal harm
0A
0B
0C
November 19, 2025Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to maintain a clean and sanitary environment when food debris was found on top of and inside the deep fryer, oil was observed dripping from the fryer onto the floor, a black, dried liquid substance was observed on the floor behind and around the stove, oven, deep fryer, ice machine, along the base boards and in the corners of the kitchen and when carbon build up and food debris was observed on the stovetop. The facility's census was 112 and 111 residents received meal trays from the kitchen.
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, policy review, medical record review, and interview, the facility failed to ensure assessments were signed to reflect timely submission and failed to complete quarterly assessments timely, using the Centers for Medicare & Medicaid Services-specified RAI process within the regulatory time frames for 3 of 23 (Resident #5, #92, and #148) sampled residents reviewed.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2025
    Inspectors wroteBased on the Centers for Disease Control and Prevention (CDC) guideline review, policy review, medical record review, observation, and interview, the facility failed to ensure infection control practices to prevent the spread of communicable diseases when 3 of 3 staff (Certified Nursing Assistant (CNA) A, CNA B, and CNA C) failed to don personal protective equipment (PPE) and properly perform urinary catheter care for 2 of 2 (Resident #135 and #158) sampled residents reviewed for enhanced barrier precautions and catheter care.
August 23, 2024Standard inspection, Complaint inspection · 9 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure call lights were within reach for 1 of 118 (Resident #82) sampled residents reviewed for access to call lights.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, Facility Reported Investigation (FRI) review, and interview, the facility failed to report allegations of abuse within 2 hours for 2 of 3 (Residents #170 and #270) sampled residents reviewed for abuse.
  3. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on facility policy review, Resident Assessment Instrument (RAI) Version 3.0 Manual review, medical record review, and interview, the facility failed to complete a Significant Change Minimum Data Set (MDS) assessment for 1 of 4 residents (Resident #273) reviewed.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, document review, and interview the facility failed to revise care plans for 2 of 5 (Residents #170 and #270) sampled residents reviewed for resident-to-resident physical altercations, 1 of 6 (Resident #175) sampled residents reviewed for fall interventions, 1 of 3 (Resident #111) sampled residents with urinary catheters, 1 of 5 (Resident #18) sampled residents reviewed for changes to antipsychotic medication, and 1 of 4 (Resident #273) sampled residents reviewed for hospice services.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · 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) September 30, 2024
    Inspectors wroteBased on facility policy review, facility documentation, and interview, the facility failed to provide incontinence care for 6 of 31 (Residents #6, #40, #55, #99, #103, and #108) sampled residents reviewed for incontinence care.
  6. 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) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to follow Medical Doctor's (MD) orders for 1 of 9 (Resident #275) sampled residents reviewed.
  7. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility documentation, and interview, the facility failed to implement an effective pain management regimen for 1 of 6 (Resident #111) sampled residents reviewed for pain management.
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · 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) September 30, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility document review, and interview the facility failed to provide pharmaceutical services policies and procedures that ensured the dispensing and disposition (possession or control of medication) of physician ordered medications to meet the needs of each resident in 1 of 1 (Resident #275) sampled resident reviewed for taking medications brought in from home by a family member.
  9. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on facility policy, observation, and interview the facility failed to maintain a resident call system to allow a resident or resident representative to call for staff assistance through a communication system which relays the call directly to a centralized staff work area for 1 of 31 (Resident #105) sampled residents reviewed.
September 11, 2019Standard inspection · 1 citation
  1. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2019
    Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to provide a duration for the use of a PRN (as needed) psychotropic (chemical substance that alters perception, mood, consciousness, cognition or behavior) medication for 1 (#14) of 16 residents reviewed for unnecessary medications.

Fire safety inspections

14 fire safety citations on file: 3 on November 19, 2025, 10 on August 23, 2024, 1 on September 11, 2019.

Every fire safety citation14 citations
  1. D
    Have restrictions on the use of portable space heaters.
    K 781 · November 19, 2025 · Corrected (the home has a date of correction)
  2. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 19, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · November 19, 2025 · Corrected (the home has a date of correction)
  4. D
    Address subsistence needs for staff and patients.
    E 15 · August 23, 2024 · Corrected (the home has a date of correction)
  5. D
    Create arrangements with other facilities to receive patients.
    E 25 · August 23, 2024 · Corrected (the home has a date of correction)
  6. D
    Provide emergency officials' contact information.
    E 31 · August 23, 2024 · Corrected (the home has a date of correction)
  7. D
    Establish staff and initial training requirements.
    E 37 · August 23, 2024 · Corrected (the home has a date of correction)
  8. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 23, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 23, 2024 · Corrected (the home has a date of correction)
  10. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 23, 2024 · Corrected (the home has a date of correction)
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 23, 2024 · Corrected (the home has a date of correction)
  12. D
    Have proper medical gas storage and administration areas.
    K 923 · August 23, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · August 23, 2024 · Corrected (the home has a date of correction)
  14. D
    Ensure gas cylinders are properly stored.
    K 906 · September 11, 2019 · 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 homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.003.803.86
Registered nurses0.700.600.69
All nursing staff on weekends3.463.313.42
Nurse aides2.03
Licensed practical nurses1.26
Nursing staff turnover (share who left in a year)55.6%48.9%45.8%
Registered nurse turnover64.3%43.2%42.9%
Administrators who left0

CMS expects 4.12 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 4.21 on weekdays and 3.46 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 4.00 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.000.704.213.46 0.0%0 of 90119
Oct to Dec 20254.270.754.513.67 0.0%0 of 92109
Jul to Sep 20254.150.734.393.53 0.0%0 of 92113
Apr to Jun 20254.260.764.513.64 0.0%0 of 91112
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% 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.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
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.

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 homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.514.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.717.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.55.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.316.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.211.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Life Care Center of Hickory Woods's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.1% 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

64.1% this home

Better than the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 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. 316 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 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. 296 eligible stays.

Infections that led to a hospital stay

8.1% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 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. 197 eligible stays.

Self-care and mobility at discharge

91.7% this home

Median of homes: Tennessee58.3% · 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. 133 residents counted.

Falls with major injury

0.8% this home

Median of homes: Tennessee0.8% · 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. 259 residents counted.

New or worsened pressure ulcers

0.4% this home

Median of homes: Tennessee1.6% · 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. 259 residents counted.

Medication list given at discharge

93.0% this home

Median of homes: Tennessee98.7% · 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. 158 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: HIGHLAND PARK MEDICAL INVESTORS, LLC. 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 II, IncDirect ownership interestOrganization07/31/2008
Hercules, JaimeManaging control - governing bodyIndividual09/25/2023
King, StephanieManaging control - governing bodyIndividual12/17/2024
Solomon, JenniferManaging control - governing bodyIndividual05/01/2019
Lay, LisaCorporate directorIndividual04/24/2017
Swanker, RichardCorporate directorIndividual01/01/2022
Cross, CindyCorporate officerIndividual10/25/2011
Henry, TerryCorporate officerIndividual08/16/1999
Lay, LisaCorporate officerIndividual02/09/2018
Swanker, RichardCorporate officerIndividual04/01/2011
Thurmond, JoanCorporate officerIndividual09/22/2000
Developers Investment Company II, IncOperational/managerial controlOrganization07/31/2008
Highland Park Medical Investors, LLCOperational/managerial controlOrganization10/25/2011
Life Care Centers of America, Inc.Operational/managerial controlOrganization01/21/2011
Fletcher, ToddOperational/managerial controlIndividual12/13/2024
Hercules, JaimeOperational/managerial controlIndividual09/25/2023
King, StephanieOperational/managerial controlIndividual12/17/2024
Preston, AubreyOperational/managerial controlIndividual12/13/2024
Sharpe, MichaelOperational/managerial controlIndividual10/01/2010
Solomon, JenniferOperational/managerial controlIndividual05/01/2019
Ziegler, JamesOperational/managerial controlIndividual12/13/2024
Highland Park Medical Investors, LLCAdp of the SNFOrganization12/22/2009
Life Care Centers of America, Inc.Adp of the SNFOrganization02/26/2025
Hercules, JaimeAdp of the SNFIndividual02/27/2025
Preston, ForrestAdp of the SNFIndividual10/25/2011
Sharpe, MichaelAdp of the SNFIndividual02/27/2025

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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 19, 2025: "Assure that each resident’s assessment is updated at least once every 3 months."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 23, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 23, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 19, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

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

Common questions

What is Life Care Center of Hickory Woods's Medicare star rating?
CMS rates Life Care Center of Hickory Woods 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 Life Care Center of Hickory Woods get at its last inspection?
3 health deficiencies at the standard inspection on November 19, 2025. The Tennessee average is 4.4.
Has Life Care Center of Hickory Woods been fined?
CMS lists no fines in the last three years.
Does Life Care Center of Hickory Woods 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 Life Care Center of Hickory Woods?
CMS lists 26 owners and managers, and links the home to Life Care Centers of America. Legal business name: HIGHLAND PARK MEDICAL INVESTORS, LLC.

Sources

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