Hickory House Nursing Home

3120 Horseshoe Pike, Honey Brook, PA 19344 (opens Google Maps) · Chester County · (610) 273-2915· 110 certified beds · avg 100 residents/day · certified since Dec 12, 1978 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5

Health inspection rating (on-site)

inspected May 14, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

May 14, 2026E · Potential for more than minimal harm, pattern
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). F-0628
May 14, 2026D · Potential for more than minimal harm, isolated
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. F-0580
May 14, 2026D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

View all 16 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 14, 2026	E · Potential for more than minimal harm, pattern	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). · F-0628
May 14, 2026	D · Potential for more than minimal harm, isolated	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. · F-0580
May 14, 2026	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 14, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 14, 2026	D · Potential for more than minimal harm, isolated	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. · F-0690
Apr 14, 2026	D · Potential for more than minimal harm, isolated	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 · F-0760
Jun 6, 2025	D · Potential for more than minimal harm, isolated	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. · F-0609
Jun 6, 2025	D · Potential for more than minimal harm, isolated	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. · F-0610
Jun 6, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jun 6, 2025	D · Potential for more than minimal harm, isolated	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. · F-0695
May 31, 2024	E · Potential for more than minimal harm, pattern	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. · F-0610
May 31, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 31, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 31, 2024	D · Potential for more than minimal harm, isolated	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. · F-0695
May 31, 2024	D · Potential for more than minimal harm, isolated	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. · F-0757
Sep 15, 2023	D · Potential for more than minimal harm, isolated	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 · F-0684

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityPennsylvania averageU.S. average

Total nurse staffing (hours per resident per day)

3.55

3.94

3.95

Registered Nurse hours

0.84

0.80

0.69

Weekend total nurse staffing

3.25

3.58

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Hickory House Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Life Care Centers of America — 194 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Cherry Hill Manor — Johnston, RI · overall 5/5
Evergreen House Health Center — East Providence, RI · overall 4/5
Life Care Center of Charleston — N Charleston, SC · overall 3/5
Life Care Center of Columbia — Columbia, SC · overall 2/5
Life Care Center of Hilton Head — Hilton Head Island, SC · overall 1/5abuse
Life Care Center of Athens — Athens, TN · overall 2/5abuse
Life Care Center of Blount County — Louisville, TN · overall 3/5
Life Care Center of Bruceton-Hollow Rock — Bruceton, TN · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 193 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Pennsylvania midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 36 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 →

Other facilities in the same county

CMS records place this facility in Chester, PA — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Kendal at Longwood — Kennett Square, PA · overall 5/5
Manatawny Center for Rehabilitation and Nursing — Pottstown, PA · overall 3/5
Oxford Health Center — Oxford, PA · overall 4/5
Phoenix Center for Rehabilitation and Nursing,the — Phoenixville, PA · overall 2/5
Pocopson Home — West Chester, PA · overall 5/5
Preston Residence — West Grove, PA · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Honey Brook →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Hickory House Nursing Home

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

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?"
☐ "Your weekend nurse staffing is reported below the Pennsylvania midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)