Total staff
282
Employees
120
Contractors
162
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Hickory House Nursing Home
Nursing Home · Exton, PA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hickory House Nursing Home
Nursing Home · Exton, PA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hickory House Nursing Home accepts Medicare, Medicaid, and private pay.
Hickory House Nursing Home is a compassionate nursing home in Honey Brook, PA, offering rehabilitation and skilled nursing. With its home-like setting, the community ensures older adults can keep their peace of mind. Residents are also guaranteed the utmost comfort and safety, with housekeeping, laundry, a fine dining program, and transportation services. Following a holistic approach to care, the community strives to help residents recover and live comfortably in retirement.
Pet visits, recreational programs, and light exercise help prevent loneliness and encourage residents to stay active. A beauty and barber shop, a library, and beautiful courtyards are also available for residents’ relaxation and wellness. Nestled in the serene residential area of Honey Brook, the community guarantees a stress-free lifestyle. As one of the trusted options for senior living in Pennsylvania, this nursing home ensures older adults can thrive in retirement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 120th out of 203 homes in Pennsylvania. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 120th out of 203 homes in Pennsylvania. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 58m per day
Rank #120 / 203Nurse hours — State benchmarkedThis home is ranked 120th out of 203 homes in Pennsylvania. Shows adjusted nurse hours per resident per day benchmarked to the Pennsylvania average, with a ranking across 203 Pennsylvania SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Pennsylvania avg
-4%
Standout metric
Physical Therapist is +83% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 48m per day | ■ Avg State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 1m per day | ▲ 11% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 7m per day | ▼ 4% State avg: 2h 12m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 25m per day | ▼ 3% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 11m per day | ▲ 83% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 21% State avg: 33m per day · National avg: 29m per day |
Types of Care at Hickory House Nursing Home
Nursing Home
Capacity and availability
This home usually has limited availability
Occupancy rate
90.2%
Rank #54 / 511Occupancy rate — State benchmarkedThis home is ranked 54th out of 511 homes in Pennsylvania. Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 511. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
99 days
Walk Score: 15 / 100 Rank #568 / 668Walk Score — State benchmarkedThis home is ranked 568th out of 668 homes in Pennsylvania. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Pennsylvania SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.71:1
48% better than Pennsylvania average
Avg staff/day
62
Average shift
7.6 hours
0% compared with Pennsylvania average
Total staff hours (quarter)
43,124
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 16 RN Staff are full-time employees. No contractors work on this role.
16
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
68 total: 23 full-time employees and 45 contractors.
68
68 total: 23 full-time employees and 45 contractors.
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
158 total: 43 full-time employees and 115 contractors.
158
158 total: 43 full-time employees and 115 contractors.
158
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11%
4,752 contractor hours this quarter
Certified Nursing Assistant: 115
Licensed Practical Nurse: 45
Other Physician: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 115 | 158 | 17,518 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 23 | 45 | 68 | 8,118 | 92 | 100% | 7.6 |
| Registered Nurse | 16 | 0 | 16 | 5,843 | 92 | 100% | 7.8 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 2,107 | 79 | 86% | 6.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,937 | 68 | 74% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,178 | 87 | 95% | 7.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,010 | 68 | 74% | 7.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,007 | 75 | 82% | 7.5 |
| Qualified Social Worker | 3 | 0 | 3 | 591 | 63 | 68% | 5.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 509 | 63 | 68% | 8.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 456 | 60 | 65% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 414 | 51 | 55% | 8.1 |
| Respiratory Therapist | 1 | 0 | 1 | 387 | 53 | 58% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 386 | 53 | 58% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 336 | 43 | 47% | 7.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 178 | 35 | 38% | 4.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 3 | 3% | 19.8 |
| Other Physician | 0 | 1 | 1 | 44 | 3 | 3% | 14.5 |
158 Certified Nursing Assistant
% of Days
100%
68 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
9 Respiratory Therapy Technician
% of Days
86%
5 Clinical Nurse Specialist
% of Days
74%
3 Other Dietary Services Staff
% of Days
95%
3 Physical Therapy Aide
% of Days
74%
4 Physical Therapy Assistant
% of Days
82%
3 Qualified Social Worker
% of Days
68%
1 Administrator
% of Days
72%
2 Mental Health Service Worker
% of Days
71%
1 Other Social Services Staff
% of Days
68%
1 Occupational Therapy Aide
% of Days
65%
1 RN Director of Nursing
% of Days
55%
1 Respiratory Therapist
% of Days
58%
1 Dental Services Staff
% of Days
58%
1 Nurse Practitioner
% of Days
47%
2 Speech Language Pathologist
% of Days
38%
1 Occupational Therapy Assistant
% of Days
3%
1 Other Physician
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
27% better than Pennsylvania averagePennsylvania average: 11.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
16% better than Pennsylvania averagePennsylvania average: 22.2
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.2%
Percent of long-stay residents whose need for help with daily activities has increased
13.2%
30% better than Pennsylvania averagePennsylvania average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.0%
Percent of long-stay residents whose ability to move independently worsened
12.0%
43% better than Pennsylvania averagePennsylvania average: 21.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.1%
16% worse than Pennsylvania averagePennsylvania average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
63% worse than Pennsylvania averagePennsylvania average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
27% better than Pennsylvania averagePennsylvania average: 5.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
40% better than Pennsylvania averagePennsylvania average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.7%
Percent of long-stay residents who lose too much weight
5.7%
13% better than Pennsylvania averagePennsylvania average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
86% better than Pennsylvania averagePennsylvania average: 5.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.9%
Percent of long-stay residents who received an antipsychotic medication
16.9%
In line with Pennsylvania averagePennsylvania average: 17.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
14% better than Pennsylvania averagePennsylvania average: 86.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
6% better than Pennsylvania averagePennsylvania average: 93.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.47
Number of hospitalizations per 1,000 long-stay resident days.
2.47
47% worse than Pennsylvania averagePennsylvania average: 1.68
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.68
43% better than Pennsylvania averagePennsylvania average: 1.20
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
24% better than Pennsylvania averagePennsylvania average: 68.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
18% better than Pennsylvania averagePennsylvania average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.0%
11% better than Pennsylvania averagePennsylvania average: 68.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.3%
5% worse than Pennsylvania averagePennsylvania average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
5% better than Pennsylvania averagePennsylvania average: 9.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
61% better than Pennsylvania averagePennsylvania average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
71.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
71.0%
32% better than Pennsylvania averagePennsylvania average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
64.6%
Rate of successful return to home or community from a skilled nursing facility.
64.6%
28% better than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
69% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
17% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
104
Medicare
28
26.9% of residents
Medicaid
51
49% of residents
Private pay or other
25
24% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Hickory House Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
90.2%
↑ 17.5pp vs 2022
Net Income
-$77.3K
↑ ~$155.1K vs 2022
Total Payroll
$9.6M
↑ ~$1.7M vs 2022
Profit Margin
-0.3%
↑ 1.0pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$22.9M
Operating loss
-$77.3K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$22.9M Rank #104 / 205Revenue — State benchmarkedThis home is ranked 104th out of 205 homes in Pennsylvania. Shows this facility's annual revenue compared to the Pennsylvania SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$77.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #110 / 205Payroll — State benchmarkedThis home is ranked 110th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #110 / 205Payroll — State benchmarkedThis home is ranked 110th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.0M
What does this home offer?
Pets Allowed
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Hickory House Nursing Home
2.8 miles from city center
Estimated distance in miles from Honey Brook's city center to Hickory House Nursing Home's address, calculated via Google Maps.
Calculate Travel Distance to Hickory House Nursing Home
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Financial Assistance for
Nursing Home in Pennsylvania
Hickory House Nursing Home is located in Honey Brook, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Compare Nursing Home around Exton
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
Filter by care type
| Hickory House Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Honey Brook | 110 | - | - | 3.97 | -52% | -4% | $0 | 13 | 3.3 | - | 104 | 15 | Timothy Bonjo | $22.9M | $9.6M | 41.9% | 395436 | ||||
| Exton Post Acute |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Exton | 120 | - | - | 3.64 | +66% | -12% | $24.2k | 29 | 3.2 | 6 | 71 | 39 | - | $26.9M | $12.6M | 46.7% | 396144 |
Frequently Asked Questions about Hickory House Nursing Home
What neighborhood is Hickory House Nursing Home in?
Hickory House Nursing Home is in the Honey Brook neighborhood.
Is Hickory House Nursing Home in a walkable area?
Hickory House Nursing Home has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Hickory House Nursing Home?
Yes — there are 7 photos of Hickory House Nursing Home in the photo gallery on this page.
What is the address of Hickory House Nursing Home?
Hickory House Nursing Home is located at 3120 Horseshoe Pike, Honey Brook, PA 19344.
What is the phone number of Hickory House Nursing Home?
(610) 273-2915 will put you in contact with the team at Hickory House Nursing Home.
Is Hickory House Nursing Home Medicare or Medicaid certified?
Yes — Hickory House Nursing Home is a CMS-certified provider of Medicare and Medicaid.
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