Nursing homes › Missouri › Hickory Manor
209 Hickory Street, Licking, MO 65542 · 5736742111 · 60 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.
Total nurse staffing: 3.70 (Missouri median: 3.36). RN hours: 0.50. Weekend total: 2.97. Nursing staff turnover: 79%.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-06-16 |
| 2025-01-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | 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 | D | Health | 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. | D | Health | corrected 2025-03-09 |
| 2025-01-23 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-03-09 |
| 2025-01-23 | Provide enough food/fluids to maintain a resident's health. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-03-09 |
| 2025-01-23 | Provide and implement an infection prevention and control program. | D | Health | 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. | D | complaint | corrected 2024-10-18 |
| 2024-06-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-07-19 |
| 2024-01-11 | Dispose of garbage and refuse properly. | F | Health | corrected 2024-02-25 |
| 2024-01-11 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2024-02-25 |
| 2024-01-11 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-02-25 |
| 2024-01-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | Health | corrected 2024-02-25 |
| 2024-01-11 | Post nurse staffing information every day. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-02-25 |
| 2024-01-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | complaint | corrected 2023-11-30 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THE LICKING EXEMPT TRUST | Direct Ownership Interest | Organization | NOT APPLICABLE | since 05/24/2017 |
| AGH1 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2017 |
| SOVEREIGN HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEAIRD, TODD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/24/2017 |
| BEERS, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
| CAUDILL, TINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/15/2026 |
| SCHMITT, LINDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/27/2023 |
| WARNER, ANGIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/16/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265632. Corrections: data@carerecords.org.