Hickory Manor
Nursing Home · Licking, MO
Contact & location
209 Hickory StreetLicking, MO 65542
Texas County
- Phone
- (573) 674-2111
- ZIP code
- 65542 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 37.1 (62% occupied)
- Ownership
- For profit - Individual
- Legal name
- Licking No 1 LLC
- Medicare certified since
- April 3, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.70 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.50 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.51 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.69 (state 2.29 · U.S. 2.32)
- Weekend total
- 2.97 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 78.8 (state 56.0 · U.S. 45.8)%
- RN turnover
- 80.0 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 30, 2026
- Health deficiencies (last cycle)
- 14.0 (state 11.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 38 health · 7 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-30 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2026-04-30 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-14 |
| 2025-05-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-16 |
| 2025-01-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2025-01-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-09 |
| 2024-09-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-18 |
| 2024-06-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-01-11 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Try 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. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Educate 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2024-01-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-25 |
| 2023-10-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-30 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Agh1 LLC (organization) | Administrator · NOT APPLICABLE | |
| Beaird, Todd (individual) | Administrator · NOT APPLICABLE | |
| Beers, Jonathan (individual) | Administrator · NOT APPLICABLE | |
| Caudill, Tina (individual) | Administrator · NOT APPLICABLE | |
| FG LLC (organization) | Administrator · NOT APPLICABLE | |
| Forvis Mazars LLP (organization) | Administrator · NOT APPLICABLE | |
| Mid States INC (organization) | Administrator · NOT APPLICABLE | |
| Schmitt, Lindi (individual) | Administrator · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Administrator · NOT APPLICABLE | |
| The City of Licking (organization) | Administrator · NOT APPLICABLE | |
| Van De Ven LLC (organization) | Administrator · NOT APPLICABLE | |
| Warner, Angie (individual) | Administrator · NOT APPLICABLE | |
| The Licking Exempt Trust (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Bedell, Bryan (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Agh1 LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Beaird, Todd (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bedell, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Beers, Jonathan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Caudill, Tina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Schmitt, Lindi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sovereign Healthcare Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Warner, Angie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| The Licking Exempt Trust (organization) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hickory Manor?
Hickory Manor has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Hickory Manor have?
It has 60 certified beds and cares for about 37 residents per day.
Has Hickory Manor been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Hickory Manor?
(573) 674-2111. The facility is located at 209 Hickory Street, Licking, MO 65542.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.