Hickory Manor

Nursing Home · Licking, MO

CMS overall rating 2/5 For profit - Individual

CMS certification number265632

Contact & location

209 Hickory Street
Licking, MO 65542
Texas County
Phone
(573) 674-2111
ZIP code
65542 – all care providers

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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

Overall★★★★★ 2/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 2.2
Quality measures★★★★★ 1/5
State avg 2.7
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

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
DateCitationSeverityStatus
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

NameRoleSince
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.