Elder Care Record

Missouri › Texas County › Licking

Hickory Manor

209 Hickory Street, Licking, MO 65542

CCN 265632 · For-profit, individual · 60 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Hickory Manor is a For-profit, individual nursing home in Licking, Missouri, certified for 60 beds and caring for about 37 residents a day.

CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 2 and quality measures 1.

Inspectors recorded 38 health deficiencies across the three most recent survey cycles (14, 10, 14 by cycle, most recent first), none at the actual-harm level. That is 63.3 per 100 beds, more than the state median of 32.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 78.8%.

38health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.4
62%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityTexas Co. medianMissouri medianUS average
Overall star rating2423.0
Health citations, 3 cycles38153128.7
Citations per 100 beds63.315.632.126.8
Total nurse hours per resident day3.73.73.43.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover78.8%47.2%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 210
Cycle 314

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2026, 23 Jan 2025.

Severity mix: D ×36 E ×1 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Apr 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey14 Jun 2026
30 Apr 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey14 Jun 2026
30 Apr 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey14 Jun 2026
30 Apr 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey14 Jun 2026
30 Apr 2026F0637Assess the resident when there is a significant change in conditionDStandard survey14 Jun 2026
30 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey14 Jun 2026
30 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey14 Jun 2026
30 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 Jun 2026
30 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey14 Jun 2026
30 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Jun 2026
30 Apr 2026F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey14 Jun 2026
30 Apr 2026F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DStandard survey14 Jun 2026
30 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey14 Jun 2026
30 Apr 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey14 Jun 2026
28 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation16 Jun 2025
23 Jan 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey9 Mar 2025
23 Jan 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey9 Mar 2025
23 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey9 Mar 2025
23 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey9 Mar 2025
23 Jan 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey9 Mar 2025
23 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey9 Mar 2025
23 Jan 2025F0758Implement 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.DStandard survey9 Mar 2025
23 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey9 Mar 2025
24 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Oct 2024
4 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation19 Jul 2024
11 Jan 2024F0814Dispose of garbage and refuse properly.FStandard survey25 Feb 2024
11 Jan 2024F0641Ensure each resident receives an accurate assessment.DStandard survey25 Feb 2024
11 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Feb 2024
11 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey25 Feb 2024
11 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Feb 2024
11 Jan 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey25 Feb 2024
11 Jan 2024F0732Post nurse staffing information every day.DStandard survey25 Feb 2024
11 Jan 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey25 Feb 2024
11 Jan 2024F0758Implement 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.DStandard survey25 Feb 2024
11 Jan 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey25 Feb 2024
11 Jan 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey25 Feb 2024
11 Jan 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey25 Feb 2024
30 Oct 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation30 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.7 h
Nurse aides2.69 h
LPN0.51 h
RN0.5 h
Weekend total2.97 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 78.8%, RNs 80.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay30.9%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.3%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.7%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.7%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.8%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.8%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual.

OrganisationRole in the CMS recordInterestSince
Agh1 LLCOperational/managerial controlNOT APPLICABLE08/01/2017
Sovereign Healthcare Group LLCOperational/managerial controlNOT APPLICABLE04/23/2021
Agh1 LLCAdp of the snfNOT APPLICABLE04/14/2025
Fg LLCAdp of the snfNOT APPLICABLE08/01/2017
Forvis Mazars LLPAdp of the snfNOT APPLICABLE08/16/2021
Mid States IncAdp of the snfNOT APPLICABLE08/01/2017
Sovereign Healthcare Group LLCAdp of the snfNOT APPLICABLE04/06/2025
The City of LickingAdp of the snfNOT APPLICABLE08/01/2017
Van De Ven LLCAdp of the snfNOT APPLICABLE08/01/2017

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Texas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Kabul Nursing Homes IncCabool995541212.1—14 Aug 2025
Houston HouseHouston964431515.6—2 Apr 2026

All 3 facilities in Texas County

Questions and answers

How many deficiencies has Hickory Manor been cited for?

38 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Hickory Manor been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Hickory Manor compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Hickory Manor?

Ownership type is for-profit, individual. Organisations in the CMS ownership record include Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.

When was Hickory Manor last inspected?

The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 30 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.