Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Hickory Woods during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple medical conditions was found to have their call light on the floor, out of reach, contrary to the facility's policy. Staff confirmed that call lights should be within reach, but this was not the case during an observation, leading to a deficiency in accommodating the resident's needs.
The facility failed to report an alleged abuse incident within the required 2-hour timeframe. A resident with no cognitive impairment reported being hit by another resident with severe cognitive impairment. The incident was not reported to the state agency until the following day, exceeding the facility's policy requirements.
A resident admitted to hospice care did not have a Significant Change MDS assessment completed, as required by facility policy and the RAI Manual. Despite severe cognitive impairment and hospice enrollment, the necessary assessment was not performed, and hospice care was not documented in the Quarterly MDS. Interviews with facility staff confirmed the oversight.
The facility failed to update care plans for several residents, leading to deficiencies in care management. A resident's care plan was not updated after discontinuing an antipsychotic medication, and another's was not revised after a Foley catheter was removed. Two residents involved in altercations did not have their care plans updated with necessary interventions. Additionally, a resident's care plan was not revised after a fall, and another's did not include hospice care despite an order for such services.
The facility failed to provide timely incontinence care for six residents, with significant delays in call light responses, especially during meal times. Residents reported waiting up to three hours for assistance, leading to discomfort and hygiene issues. Staff interviews revealed confusion about care priorities during meal service, contributing to the deficiency.
A resident with respiratory conditions did not receive CPAP treatment with oxygen as ordered by the MD on several occasions. The facility's TAR lacked documentation for these treatments, which were supposed to be administered during the dayshift. The DON confirmed the absence of documentation, which is against the facility's policy requiring immediate documentation after treatment.
A resident with multiple health conditions experienced inadequate pain management, as the facility failed to administer prescribed Tramadol and relied on Tylenol, which was insufficient. The resident's severe pain hindered therapy progress, and staff interviews revealed poor communication and coordination regarding pain management needs.
A facility failed to ensure proper pharmaceutical services and medication tracking for a resident. Medications brought in by a family member were not documented or administered as ordered, and there was no procedure for tracking these medications. Interviews revealed a lack of policy for documenting receipt and disposition of such medications, leading to a gap in pharmaceutical services.
A facility failed to maintain a functional resident call system, as required by policy. The call light in a resident's room was found without a cord, making it unusable. An LPN observed the call light on the floor, and a CNA found the cord with exposed wires. The Maintenance Director was unaware of the issue.
Failure to Ensure Call Light Accessibility for Resident
Penalty
Summary
The facility failed to ensure that call lights were within reach for a resident, leading to a deficiency in accommodating the needs and preferences of the resident. The facility's policy, revised on January 4, 2023, mandates that call lights should be positioned within reach of residents while they are in bed or other sleeping accommodations. However, during an observation on August 19, 2024, it was noted that the call light for a resident with severe cognitive impairment and multiple medical conditions, including hemiplegia and hemiparesis, was found on the floor, out of the resident's reach. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed that call lights should be within residents' reach. The resident in question had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive impairment and required supervision to total assistance with activities of daily living. Despite these needs, the call light was not accessible, as confirmed by staff observations and interviews, highlighting a failure to adhere to the facility's policy and ensure resident safety and communication.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report allegations of abuse within the required 2-hour timeframe for two residents involved in an incident. According to the facility's policy, any alleged violations involving abuse, neglect, exploitation, or mistreatment must be reported immediately, but not later than 2 hours after the allegation is made. However, the incident involving Resident #170 and Resident #270 occurred on 8/28/2023 at 4:48 PM, but the facility did not report it to the state agency until 8/29/2023 at 4:27 PM, which is beyond the stipulated timeframe. Resident #170, who had no cognitive impairment, reported that Resident #270 entered her room and hit her, swinging an open hand and scratching her face. Resident #270, who had severe cognitive impairment and was a wanderer, was confused and unable to provide details about the incident. Both residents were assessed with no visible injuries, and Resident #270 was sent for a psychiatric evaluation. Despite the facility's investigation and separation of the residents, the delay in reporting the incident to the state agency constitutes a deficiency in adhering to the facility's policy and regulatory requirements.
Failure to Complete Significant Change MDS Assessment for Hospice Admission
Penalty
Summary
The facility failed to complete a Significant Change Minimum Data Set (MDS) assessment for a resident who was admitted to hospice care. According to the facility's policy and the Resident Assessment Instrument (RAI) Version 3.0 Manual, a Significant Change in Status Assessment (SCSA) must be completed when a resident experiences a significant change in condition, such as enrolling in hospice care. However, the medical record review revealed that no such assessment was completed for the resident, who was admitted to hospice care and had severe cognitive impairment as indicated by a Brief Interview of Mental Status (BIMS) score of 3. Interviews with the facility's MDS Licensed Practical Nurse (LPN) and MDS Registered Nurse (RN) confirmed that a Significant Change MDS assessment should have been performed and submitted when the resident was placed on hospice services. Despite this requirement, the assessment was not completed, and hospice care was not documented in the Quarterly MDS assessment. The hospice agency's Clinical Director also confirmed that the resident received hospice services at the facility, further highlighting the oversight in completing the necessary assessment.
Failure to Revise Care Plans for Residents
Penalty
Summary
The facility failed to revise care plans for several residents, leading to deficiencies in care management. For Resident #18, the care plan was not updated to reflect the discontinuation of an antipsychotic medication, Quetiapine Fumarate, which was initially prescribed for depressive disorder. The Minimum Data Set (MDS) Coordinator acknowledged that the care plan should have been updated to reflect this change. Resident #111's care plan was not revised after the discontinuation of a Foley catheter, which was initially used for urine retention. The MDS Coordinator confirmed that the care plan should have been updated to reflect the removal of the catheter. Additionally, Residents #170 and #270 were involved in physical altercations, but their care plans were not updated to include interventions related to these incidents. The MDS Registered Nurse (RN) confirmed that the care plans should have been revised to reflect the altercations. Resident #175 experienced a fall, but the care plan was not updated to address this incident. The MDS Coordinator stated that ideally, an intervention should have been added to prevent further falls. Furthermore, Resident #273's care plan did not include a focus on hospice care, despite an order for hospice services being initiated. The MDS Licensed Practical Nurse (LPN) confirmed that the care plan did not address hospice services, indicating a failure to update the care plan accordingly.
Inadequate Incontinence Care During Meal Times
Penalty
Summary
The facility failed to provide adequate incontinence care for six residents, as evidenced by delayed response times to call lights, particularly during meal times. Residents reported waiting for extended periods, sometimes up to three hours, to receive assistance with toileting and incontinence care. This delay in care was corroborated by multiple residents who used clocks and personal devices to time the response intervals. The facility's policy mandates that residents receive necessary assistance with activities of daily living, including toileting, to maintain personal hygiene and dignity. Interviews with residents revealed that call light response times were notably poor during breakfast, lunch, and dinner, with some residents left in soiled conditions for prolonged periods. Residents expressed frustration and discomfort, with one resident describing an incident where they were left wet and dirty for three hours. Another resident recounted an experience of struggling to manage their incontinence care independently due to a lack of timely assistance, exacerbating their respiratory condition. Staff interviews indicated a misunderstanding or miscommunication regarding the prioritization of resident care during meal service. Some CNAs believed they were not allowed to change residents during meal tray delivery due to concerns about cross-contamination, while others stated they would seek help from colleagues. The facility's administrator acknowledged awareness of issues related to bathing but emphasized that residents should receive necessary care regardless of meal service activities.
Failure to Administer and Document CPAP Treatment
Penalty
Summary
The facility failed to follow the Medical Doctor's orders for a resident, leading to a deficiency in care. The resident, who was admitted with multiple diagnoses including Acute Respiratory Failure, Pneumonia, and Chronic Obstructive Pulmonary Disease, was prescribed the use of a CPAP device with oxygen while sleeping or napping. However, the Treatment Administration Record (TAR) showed no documentation of the administration of oxygen with CPAP on several specific dates for the dayshift. This lack of documentation indicates that the prescribed treatment was not administered as ordered. The facility's policy on medication administration requires that medications and treatments be documented immediately after administration. During an interview, the Director of Nursing confirmed the absence of documentation for the specified dates, acknowledging that the expectation is for nursing staff to sign off on treatments immediately after they are given. This failure to document and potentially administer the prescribed treatment represents a deviation from the facility's policies and the physician's orders, impacting the resident's care.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to implement an effective pain management regimen for a resident, identified as Resident #111, who was admitted with multiple diagnoses including Congestive Heart Failure, Type 2 Diabetes Mellitus, and Chronic Kidney Disease. The facility's policy required pain assessments upon admission, quarterly, and with any change in condition, ensuring pain management consistent with professional standards and the resident's goals and preferences. Despite this, Resident #111 experienced significant pain that interfered with functional activities and sleep, as noted in both Occupational Therapy (OT) and Physical Therapy (PT) evaluations. Resident #111's comprehensive care plan included opioid therapy for pain management, yet the Medication Administration Record (MAR) indicated that Tramadol, prescribed for moderate to severe pain, was not administered since admission. Instead, the resident received Tylenol on only two occasions, despite reporting severe pain levels. Interviews with the resident and staff revealed that the resident frequently experienced pain, particularly during movement and therapy sessions, which hindered his progress. The resident expressed that Tylenol was insufficient for pain relief, and therapy staff noted that pain management was not effectively communicated or coordinated with nursing staff. Interviews with facility staff, including a CNA, PT, LPN, and the Director of Nursing (DON), highlighted a lack of communication and coordination regarding the resident's pain management needs. The PT reported ongoing issues with pain management affecting therapy sessions and noted that pain medication was only given when requested by the resident. The DON and LPN acknowledged the need for better pain management and communication, with the LPN unaware of the resident's pain concerns raised during a care plan meeting. The facility's administrator expected therapists to escalate pain management issues if not addressed by nursing staff.
Deficiency in Pharmaceutical Services and Medication Tracking
Penalty
Summary
The facility failed to provide adequate pharmaceutical services policies and procedures to ensure the proper dispensing and disposition of physician-ordered medications for a resident. The facility's policy required that medications brought in by a resident or responsible party must be verified by a nurse and meet specific guidelines. However, there was no documentation of receipt, verification, or disposition of medications brought in by a family member for a resident who was admitted with multiple diagnoses, including cirrhosis and acute kidney failure. The resident's medical records and medication administration records showed that the medication rifaximin was ordered but not administered as per the physician's order. Additionally, there was no documentation of the medication being returned to the pharmacy or disposed of properly after the resident was discharged to the hospital. Interviews with nursing staff revealed that there was no procedure or form to document the receipt or disposition of medications brought from home, and the pharmacy representative confirmed that personal medications not dispensed by the pharmacy would be returned to the facility without a chain of custody. Family members reported bringing the medication to the facility as requested but were unable to retrieve it after the resident's discharge. The facility administrator and medical director acknowledged the lack of a policy or procedure for tracking medications brought into the facility by family members, indicating a gap in the facility's pharmaceutical services and documentation processes.
Deficiency in Resident Call System Maintenance
Penalty
Summary
The facility failed to maintain a functional resident call system for a resident, as required by their policy. The policy, revised on January 4, 2023, mandates that the call system should be accessible to residents from their beds or other sleeping accommodations and that any malfunctions should be reported immediately to the Director of Maintenance. During an observation on August 20, 2024, it was found that the call light in the resident's room was missing a cord, rendering it unusable. A Licensed Practical Nurse (LPN) noted the call light was on the floor and possibly broken. A Certified Nursing Assistant (CNA) later discovered the call light cord on the floor with exposed wires. The Maintenance Director, upon being informed, stated they were unaware of the broken call light.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 56 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Antioch
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Antioch Tn Opco, Llc | 3.6 mi | — | 3 | 3 |
| Smyrna Care Center | 5.7 mi | — | 1 | 1 |
| The Waters Of Smyrna, Llc | 5.9 mi | — | 0 | 0 |
| Bethany Center For Rehabilitation And Healing Llc | 7.3 mi | — | 0 | 0 |
| Somerfield At The Heritage | 11.3 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Life Care Center Of Hickory Woods.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.