Federal inspection record · CMS data as of October 1, 2026
Hickory House Nursing Home
3120 Horseshoe Pike, Honey Brook, PA · (610) 273-2915
- CMS high-performer trophy
- Certified beds
- 110
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 12, 1978
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Hickory House Nursing Home carries 25 inspection points. That is fewer than 72% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Respond appropriately to all alleged violations.
Resident Rights2E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Inspection history
2026-05-14
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-06-06
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-05-31
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
3 h 42 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.2 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 93.5% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 92.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.3 pts better | 1.5% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 4.6% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 18.9% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 17.2% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better | 12.0% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better | 10.1% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse | 31.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 3.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.8 pts better | 91.6% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 8.2% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.8 pts better | 87.7% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 20.7% | 22.0% | 23.4% |
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Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adio, Olayemi | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Adio, Olayemi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campbell, Kelli | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Campbell, Kelli | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campbell, Kelli | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Developers Investment Company Inc | Indirect Ownership Interest · Organization | 0% | 71 facilities |
| Developers Investment Company Inc | Operational/Managerial Control · Organization | 0% | 71 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Graf, Andrew | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Graf, Andrew | Adp Of The SNF · Individual | 0% | 9 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Honey Brook Medical Investors LP | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Honey Brook Medical Investors LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Life Care Affiliates Ii | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Life Care Affiliates Ii | General Partnership Interest · Organization | 0% | 16 facilities |
| Life Care Affiliates Ii | Adp Of The SNF · Organization | 0% | 16 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Long, Zofia | Managing Control - Governing Body · Individual | 0% | 23 facilities |
| Long, Zofia | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Limited Partnership Interest · Individual | 0% | 170 facilities |
| Preston, Forrest | Adp Of The SNF · Individual | 0% | 170 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- C
Properly provide smoke detection systems in areas open to corridors.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems2D
- C
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have power receptacles that are properly grounded.
Emergency Preparedness2C
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Conduct risk assessment and an All-Hazards approach.
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1E
- E
Install a two-hour-resistant firewall separation.
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Inn At Freedom Village,the
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