Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LIFE CARE CENTER OF HICKORY WOODS
ANTIOCH, TN · 124 certified beds · Last Life Safety survey November 19, 2025
CMS Certification Number 445507 · first certified November 2011
Ownership
Operated by LIFE CARE CENTERS OF AMERICA · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within TN
14 citations — more than 77% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was November 2025. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
4 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 14 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 11, 2019 | 1 |
| August 23, 2024 | 10 |
| November 19, 2025 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | 2 | 2025-11-19 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 2 | 2025-11-19 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2024-08-23 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2024-08-23 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2024-08-23 |
| K-0906 | Ensure gas cylinders are properly stored. | 1 | 2019-09-11 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2024-08-23 |
| K-0781 | Have restrictions on the use of portable space heaters. | 1 | 2025-11-19 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 6
- Emergency Preparedness Deficiencies 4
- Miscellaneous Deficiencies 2
- Smoke Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 6 |
| Emergency Preparedness Deficiencies | 4 |
| Miscellaneous Deficiencies | 2 |
| Smoke Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 19, 2025 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (December 12, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (December 12, 2025) |
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Deficient, Provider has date of correction (December 12, 2025) |
August 23, 2024 — 10 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (September 30, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (September 30, 2024) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (September 30, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 30, 2024) |
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Deficient, Provider has date of correction (September 30, 2024) |
September 11, 2019 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0906 | Ensure gas cylinders are properly stored. | Deficient, Provider has date of correction (September 30, 2019) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.