Quick answers
- Where is Hickory Manor?
- 209 Hickory Street, Licking, MO 65542, in Texas County, Missouri.
- What is the phone number of Hickory Manor?
- (573) 674-2111, as listed by Medicare (CMS).
- What is the Medicare star rating of Hickory Manor?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Hickory Manor been fined?
- Medicare lists no fines for Hickory Manor.
- What did inspectors find at Hickory Manor?
- In its last three inspection cycles (October 30, 2023 to April 30, 2026), Medicare lists 38 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 30, 2023 to April 30, 2026), Hickory Manor had 38 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.35 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 30, 2026 — 14 health citations
Inspections in this cycle: April 30, 2026 (standard health inspection).
Show 14 citations (levels A to F, no actual harm)
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0584 Level D
“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.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0741 Level D
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
Previous cycle: January 23, 2025 — 9 health citations
Inspections in this cycle: January 23, 2025 (standard health inspection); May 28, 2025 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0758 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: January 11, 2024 — 15 health citations
Inspections in this cycle: October 30, 2023 (complaint investigation); January 11, 2024 (standard health inspection); June 4, 2024 (complaint investigation); September 24, 2024 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0814 Level F
“Dispose of garbage and refuse properly.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0700 Level D
“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.”
F0732 Level D
“Post nurse staffing information every day.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level D
“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.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“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.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (7)
K0223 Level F
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0753 Level D
“Have restrictions on the use of highly flammable decorations.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.54 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.53 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.27 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.35 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.55 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.38 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 82.6% | 56.9% | 45.3% |
| RN turnover (per year) | 83.3% | 50.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Licking No 1 LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| The Licking Exempt Trust | Direct owner | NOT APPLICABLE | May 24, 2017 |
| AGH1 LLC | Management company (operational or managerial control) | NOT APPLICABLE | August 1, 2017 |
| Sovereign Healthcare Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 23, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 40.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – individual |
| Legal business name | Licking No 1 LLC |
| First approved by Medicare/Medicaid | 1996-04-03 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Data Not Available |
| Changed ownership in the last 12 months | No |
| Address | 209 Hickory Street, Licking, MO 65542 |
| County | Texas County |
| State | Missouri |
| Phone | (573) 674‑2111 |
| CMS Certification Number | 265632 |
| Name in Medicare records | HICKORY MANOR |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Houston House14 mi · Houston, MO · 4 of 5 stars
- Salem Memorial District Hospital20 mi · Salem, MO · 3 of 5 stars
- Seville Care Center20 mi · Salem, MO · 1 of 5 stars
- Salem Care Center21 mi · Salem, MO · 1 of 5 stars
- Kabul Nursing Homes Inc29 mi · Cabool, MO · 5 of 5 stars
Nearest hospital emergency rooms
- Texas County Memorial Hospital13 mi · Houston, MO · Acute Care Hospital
- Salem Memorial District Hospital21 mi · Salem, MO · Critical Access Hospital
- General Leonard Wood ACH (FT Leonard Wood)22 mi · Fort Leonard Wood, MO · Military Hospital (Department of Defense)
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13