Federal inspection record · CMS data as of October 1, 2026
Life Care Center Of Hickory Woods
4200 Murfreesboro Pike, Antioch, TN · (615) 501-3500
- CMS high-performer trophy
- Certified beds
- 124
- Residents per day
- 114
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 30, 2011
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 Tennessee.
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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 Tennessee homes
Life Care Center Of Hickory Woods carries 21 inspection points. That is fewer than 57% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: 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★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee 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
13 health citations on record since 2019. 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
Resident Assessment and Care Planning3D
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-11-19
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-08-23
9 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-09-11
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 14 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 65% 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 days1.1 pts worse | 2.7 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 92.8% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse | 92.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.9 pts better | 6.0% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5 pts worse | 11.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11 pts better | 20.7% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.8 pts better | 3.2% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.5 pts better | 8.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better | 12.7% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 27.4% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 4.4% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 82.6% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 10.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.2% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts worse | 75.4% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse | 23.6% | 22.6% | 23.4% |
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Who owns and runs it
26 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 |
|---|---|---|---|
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Developers Investment Company Ii, Inc | Direct Ownership Interest · Organization | 0% | 18 facilities |
| Developers Investment Company Ii, Inc | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Hercules, Jaime | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hercules, Jaime | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hercules, Jaime | Adp Of The SNF · Individual | 0% | 1 facilities |
| Highland Park Medical Investors, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Highland Park Medical Investors, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| King, Stephanie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| King, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lay, Lisa | Corporate Director · Individual | 0% | 166 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 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 |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Adp Of The SNF · Individual | 0% | 170 facilities |
| Sharpe, Michael | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Sharpe, Michael | Adp Of The SNF · Individual | 0% | 4 facilities |
| Solomon, Jennifer | Managing Control - Governing Body · Individual | 0% | 29 facilities |
| Solomon, Jennifer | Operational/Managerial Control · Individual | 0% | 29 facilities |
| Swanker, Richard | Corporate Director · Individual | 0% | 168 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
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6D
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D
Ensure gas cylinders are properly stored.
Emergency Preparedness4D
- D
Address subsistence needs for staff and patients.
- D
Create arrangements with other facilities to receive patients.
- D
Provide emergency officials' contact information.
- D
Establish staff and initial training requirements.
Miscellaneous2D
- D
Have restrictions on the use of portable space heaters.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke1D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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