Life Care Center of Hickory Woods

Name: Life Care Center of Hickory Woods
Address: 4200 MURFREESBORO PIKE, Antioch, TN, 37013, US
Telephone: 6155013500

4200 Murfreesboro Pike, Antioch, TN 37013 · Davidson County · 124 certified beds · avg 119 residents/day · certified since Nov 30, 2011

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

3.72

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 (13)

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
Nov 19, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 19, 2025	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Nov 19, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 23, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Aug 23, 2024	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. · from a complaint
Aug 23, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint
Aug 23, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Aug 23, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 23, 2024	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
Aug 23, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Aug 23, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Aug 23, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Sep 11, 2019	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 3).

Year	Citations	Worst severity that year
2019	1	D
2024	9	D
2025	3	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	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.72	3.62	3.95	top 34% in Tennessee; bottom 48% in the U.S.
Registered Nurse hours	0.65	0.57	0.69	top 28% in Tennessee; top 42% in the U.S.
Weekend total nurse staffing	3.22	3.15	3.50	top 35% in Tennessee; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.39	0.48	top 50% in Tennessee; bottom 41% in the U.S.
Total nursing staff turnover (%)	55.6	48.9	45.8	bottom 30% in Tennessee; bottom 24% in the U.S.
RN turnover (%)	64.3	43.2	42.9	bottom 17% in Tennessee; bottom 16% 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 4.00, RN 0.70, weekend 3.46. 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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Developers Investment Company II, INC	Organization	Direct Ownership Interest	NOT APPLICABLE	07/31/2008
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	10/25/2011
Developers Investment Company II, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/31/2008
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	12/13/2024
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	08/16/1999
Hercules, Jaime	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/25/2023
Hercules, Jaime	Individual	Operational/Managerial Control	NOT APPLICABLE	09/25/2023
Hercules, Jaime	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025
Highland Park Medical Investors, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/25/2011
Highland Park Medical Investors, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/22/2009
King, Stephanie	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/17/2024
King, Stephanie	Individual	Operational/Managerial Control	NOT APPLICABLE	12/17/2024
Lay, Lisa	Individual	Corporate Director	NOT APPLICABLE	04/24/2017
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/21/2011
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/26/2025
Preston, Aubrey	Individual	Operational/Managerial Control	NOT APPLICABLE	12/13/2024
Preston, Forrest	Individual	ADP of the SNF	NOT APPLICABLE	10/25/2011
Sharpe, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2010
Sharpe, Michael	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2025

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you track that every resident's quarterly assessment happens on time?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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	Flags
Antioch TN Opco, LLC	3.6 mi	Antioch, TN	★★☆☆☆	1/5	abuseSFF
Smyrna Care Center	5.7 mi	Smyrna, TN	★☆☆☆☆	1/5
The Waters of Smyrna, LLC	5.9 mi	Smyrna, TN	★☆☆☆☆	1/5
Bethany Center for Rehabilitation and Healing LLC	7.3 mi	Nashville, TN	★☆☆☆☆	2/5
Somerfield at the Heritage	11.3 mi	Brentwood, TN	★★★★★	5/5
Heartland	11.7 mi	Nashville, TN	★★★★★	4/5
Trevecca Center for Rehabilitation and Healing LLC	12.0 mi	Nashville, TN	★★★☆☆	3/5
The McKendree Post Acute & Rehabilitation	12.4 mi	Hermitage, TN	★☆☆☆☆	1/5	abuseSFF
Nashville Center for Rehabilitation and Healing LL	13.0 mi	Nashville, TN	★★☆☆☆	2/5
Cedar Creek Post Acute	13.0 mi	Mount Juliet, TN	★☆☆☆☆	1/5
Woodcrest at Blakeford	13.7 mi	Nashville, TN	★★★★☆	3/5
Green Hills Center for Rehabilitation and Healing	13.9 mi	Nashville, TN	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Antioch →

Facility data as of CMS processing date 2026-08-01. CCN 445507.

The Care File

Visit checklist — Life Care Center of Hickory Woods

4200 Murfreesboro Pike, Antioch, TN 37013 · 6155013500

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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 445507 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)