ElderGrade
C

58/100

Average

Hickory Manor

209 Hickory Street, Licking, MO 65542

CMS 3/5 stars #3 of 3 in Texas County (573) 674-2111
Certified beds
60
Occupancy
62%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 79%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 27.5/30 Staffing 16.5/30 Stability 2/15 Outcomes 2/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

27.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -2.5 for 24 total citations against a national median of 17

Staffing

16.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.84 total nurse hours per resident per day (national median 3.77)
  • 0.5 RN hours per resident per day
  • Weekend staffing drops 20% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 79% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.70 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.50 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 78.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 29 citations

Last standard health inspection: January 23, 2025 (1 year ago).

D May 28, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E Jan 23, 2025 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0692

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Jan 23, 2025 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
THE LICKING EXEMPT TRUST Organization DIRECT OWNERSHIP INTEREST
AGH1 LLC Organization OPERATIONAL/MANAGERIAL CONTROL
SOVEREIGN HEALTHCARE GROUP LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BEAIRD, TODD Individual OPERATIONAL/MANAGERIAL CONTROL
BEDELL, DONALD Individual OPERATIONAL/MANAGERIAL CONTROL
BEERS, JONATHAN Individual OPERATIONAL/MANAGERIAL CONTROL
CAUDILL, TINA Individual OPERATIONAL/MANAGERIAL CONTROL
SCHMITT, LINDI Individual OPERATIONAL/MANAGERIAL CONTROL
WARNER, ANGIE Individual OPERATIONAL/MANAGERIAL CONTROL
BEDELL, BRYAN Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
THE LICKING EXEMPT TRUST Organization TRUSTEE OF THE SNF
AGH1 LLC Organization ADP OF THE SNF

What families say

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Common questions about Hickory Manor

What is the ElderGrade for Hickory Manor? +

Hickory Manor holds an ElderGrade of C (58 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hickory Manor? +

Residents receive an average of 3.70 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hickory Manor been cited for harming residents? +

No. None of the 29 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Hickory Manor accept Medicaid? +

Yes, Hickory Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.