SNF
HICKORY HOUSE NURSING HOME
CCN: 395436 · HONEY BROOK, PA 19344 · Chester County
Overview
- Address
- 3120 HORSESHOE PIKE, HONEY BROOK, PA 19344
- Phone
- 6102732915
- Certified beds
- 110
- Avg daily residents
- 103 (94% of beds filled)
- Ownership
- For-profit partnership
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1978-12-12
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.94 | 3.79 | 4.01 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.79 | 0.66 | 0.81 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.02 | 0.84 | 1.04 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.12 | 2.29 | 2.16 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.81 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.19 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.54
hrs / resident / day
RN (weekend)
0.43
hrs / resident / day
Total nurse (adjusted, weekend)
3.60
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
50.8%
annual
RN turnover
34.8%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-06 | 4 | 4 | 0 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2024-05-31 | 6 | 5 | 1 | 32 | 1 | 32 |
Total weighted health score
20.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (13)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
13 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-06 | 2025-06-18 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-06-06 | 2025-06-18 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-06 | 2025-06-18 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-06 | 2025-06-18 |
| 0610 | Respond appropriately to all alleged violations. | E | 2024-05-31 | 2024-06-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-05-31 | 2024-06-19 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-31 | 2024-06-19 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-31 | 2024-06-19 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-31 | 2024-06-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-15 | 2023-10-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-06-30 | 2023-07-25 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-30 | 2023-07-25 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-06-30 | 2023-07-25 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 19.6% Medicaid 59.2% Other 21.2%
Operating performance
Operating Margin
-1.1%
Total Margin
-0.6%
Occupancy Rate
90.2%
Cost per Resident Day
$50
Revenue & costs
Net Patient Revenue
$13.9M
Total Costs
$1.8M
Net Income
-$77K
Balance sheet
Total Assets
$3.1M
Total Liabilities
$2.0M
Fund Balance
$1.1M
Current Ratio
1.23
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIFE CARE CENTERS OF AMERICA
- Chain ID
311- Facilities in chain
- 194
- Legal business name
- HONEY BROOK MEDICAL INVESTORS LP
Chain-average star ratings (for peer context)
Overall
3.5
Health
2.9
Staffing
3.3
QM
4.6
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| LIFE CARE AFFILIATES II | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/26/1993 |
| LIFE CARE AFFILIATES II | GENERAL PARTNERSHIP INTEREST | since 09/26/1993 |
| DEVELOPERS INVESTMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | since 09/26/1993 |
| HONEY BROOK MEDICAL INVESTORS LP | OPERATIONAL/MANAGERIAL CONTROL | since 05/04/1988 |
| LIFE CARE AFFILIATES II | OPERATIONAL/MANAGERIAL CONTROL | since 09/26/1993 |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 05/02/1988 |
Owner / manager individuals (14)
| Name | Role | Association |
|---|---|---|
| PRESTON, FORREST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/26/1993 |
| PRESTON, FORREST | LIMITED PARTNERSHIP INTEREST | since 02/01/1988 |
| ADIO, OLAYEMI | OPERATIONAL/MANAGERIAL CONTROL | since 12/27/2023 |
| CAMPBELL, KELLI | OPERATIONAL/MANAGERIAL CONTROL | since 10/26/2022 |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| GRAF, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2023 |
| LONG, ZOFIA | OPERATIONAL/MANAGERIAL CONTROL | since 03/15/2004 |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| CROSS, CINDY | CORPORATE OFFICER | since 04/21/1994 |
| HENRY, TERRY | CORPORATE OFFICER | since 08/16/1999 |
| LAY, LISA | CORPORATE OFFICER | since 02/09/2018 |
| SWANKER, RICHARD | CORPORATE OFFICER | since 04/01/2011 |
| THURMOND, JOAN | CORPORATE OFFICER | since 09/22/2000 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $50 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.23 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 59.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 19.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-77,284 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,865,727 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,101,898 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,816,741 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,113,057 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,988,841 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.03892 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.16431 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.80937 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.01260 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.60098 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 103.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84119 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.28617 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66304 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.79041 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.34084 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 311 | Chain ID |
| Provider Information | Chain Name | LIFE CARE CENTERS OF AMERICA | Chain Name |
| Provider Information | City/Town | HONEY BROOK | City/Town |
| Provider Information | CMS Certification Number (CCN) | 395436 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Chester | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1978-12-12 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.0788 | Latitude |
| Provider Information | Legal Business Name | HONEY BROOK MEDICAL INVESTORS LP | Legal Business Name |
| Provider Information | Location | 3120 HORSESHOE PIKE,HONEY BROOK,PA,19344 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -75.862 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 110 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 194 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.34277 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.97468 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Partnership | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3120 HORSESHOE PIKE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HICKORY HOUSE NURSING HOME | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 210 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 4 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-06 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-31 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 32 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 32 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 6 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.42789 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 34.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.81453 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.01994 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.12478 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.18609 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.79459 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.93931 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | PA | State |
| Provider Information | Telephone Number | 6102732915 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.53521 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 20.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 19344 | ZIP Code |