HICKORY MANOR
209 HICKORY STREET, LICKING, MO 65542 · CCN 265632
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 60
- Avg residents/day
- 39.3
- Phone
- 5736742111
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 9 | 11.9 | 9.5 | -2.9 better |
| 2 | 2024-01-11 | 14 | 13.0 | 9.8 | +1.0 worse |
| 3 | 2022-03-03 | 6 | 11.0 | 9.3 | -5.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.21 | 80.4% |
| RN staffing (reported) | 0.57 | 40.0% |
| Total nurse staffing (adjusted) | 3.76 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (29)
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-28 · Health · corrected 2025-06-16
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0758Implement 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.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-03-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-24 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-04 · Health · corrected 2024-07-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0700Try 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.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0758Implement 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.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0887Educate 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.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-11 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-30 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-03 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-03-03 · Health · corrected 2022-04-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-03 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-03 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-03-03 · Health · corrected 2022-04-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AGH1 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-01 |
| SOVEREIGN HEALTHCARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-23 |
| BEAIRD, TODD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 |
| BEDELL, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-05-24 |
| BEERS, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| CAUDILL, TINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2026-01-15 |
| SCHMITT, LINDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-27 |
| WARNER, ANGIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-16 |
Other facilities in LICKING
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.