Hickory House Nursing Home

Name: Hickory House Nursing Home
Address: 3120 HORSESHOE PIKE, Honey Brook, PA, 19344, US
Telephone: 6102732915

3120 Horseshoe Pike, Honey Brook, PA 19344 · Chester County · 110 certified beds · avg 100 residents/day · certified since Dec 12, 1978

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.55

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 14, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
May 14, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jun 6, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 31, 2024	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
May 31, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 31, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 31, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 31, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2023	1	D
2024	5	E
2025	4	D
2026	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.55	3.94	3.95	bottom 46% in Pennsylvania; bottom 39% in the U.S.
Registered Nurse hours	0.84	0.80	0.69	top 32% in Pennsylvania; top 25% in the U.S.
Weekend total nurse staffing	3.25	3.58	3.50	bottom 45% in Pennsylvania; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.53	0.56	0.48	top 37% in Pennsylvania; top 29% in the U.S.
Total nursing staff turnover (%)	48.7	44.5	45.8	bottom 38% in Pennsylvania; bottom 40% in the U.S.
RN turnover (%)	46.2	39.9	42.9	bottom 35% in Pennsylvania; bottom 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.86, weekend 3.36. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Developers Investment Company INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	09/26/1993
Adio, Olayemi	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/27/2023
Adio, Olayemi	Individual	Operational/Managerial Control	NOT APPLICABLE	12/27/2023
Campbell, Kelli	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/26/2022
Campbell, Kelli	Individual	Operational/Managerial Control	NOT APPLICABLE	10/26/2022
Campbell, Kelli	Individual	ADP of the SNF	NOT APPLICABLE	04/03/2025
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	04/21/1994
Developers Investment Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/26/1993
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	12/13/2024
Graf, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2023
Graf, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	04/03/2025
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	08/16/1999
Honey Brook Medical Investors LP	Organization	Operational/Managerial Control	NOT APPLICABLE	05/04/1988
Honey Brook Medical Investors LP	Organization	ADP of the SNF	NOT APPLICABLE	10/10/2003
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Affiliates II	Organization	Operational/Managerial Control	NOT APPLICABLE	09/26/1993
Life Care Affiliates II	Organization	General Partnership Interest	NOT APPLICABLE	09/26/1993
Life Care Affiliates II	Organization	ADP of the SNF	NOT APPLICABLE	10/10/2003
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	05/02/1988
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	04/03/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Tel Hai Retirement Community	1.7 mi	Honey Brook, PA	★★★★★	5/5
Inn at Freedom Village,the	5.9 mi	West Brandywine, PA	★★★★★	4/5
Zerbe Sisters Nursing Center,	7.7 mi	Narvon, PA	★★★★★	5/5
St Martha Center for Rehabilitation & Healthcare	9.0 mi	Downingtown, PA	★★★★★	4/5
Newport Meadows Health and Rehabilitation Center	10.8 mi	Christiana, PA	★★★☆☆	3/5
Garden Spot Village	11.4 mi	New Holland, PA	★★★★★	4/5
Kadima Rehabilitation & Nursing at Pottstown	11.5 mi	Pottstown, PA	★☆☆☆☆	1/5
Exton Post Acute	11.7 mi	Exton, PA	★★★☆☆	2/5
Complete Care at Berkshire LLC	15.2 mi	Reading, PA	★★★★☆	3/5
Park Lane Post Acute LLC	15.2 mi	West Chester, PA	★★★★★	4/5
Barclay Friends	15.5 mi	West Chester, PA	★★★★☆	4/5
Twin Pines Health Care Center	15.6 mi	West Grove, PA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Honey Brook →

Facility data as of CMS processing date 2026-08-01. CCN 395436.

The Care File

Visit checklist — Hickory House Nursing Home

3120 Horseshoe Pike, Honey Brook, PA 19344 · 6102732915

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395436 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)