Data / Nursing homes / Missouri / Hickory Manor
Hickory Manor, Licking, MO: 2 star rating, no fines
Hickory Manor in Licking, MO is owned by The Licking Exempt Trust, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on April 30, 2026, and none of them found actual harm or immediate jeopardy.
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- Address
- 209 Hickory Street, Licking, MO 65542
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 1 of 5
- Certified beds
- 60
- Residents per day
- 41 on average
- Ownership type
- For profit, individual
- Fines
- $0 across 0 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 38, of which 0 with actual harm or immediate jeopardy
- Latest survey
- April 30, 2026
- CMS Certification Number
- 265632
- On Care Compare
- Medicare Care Compare
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| April 30, 2026 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F637 | Assess the resident when there is a significant change in condition | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F584 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| April 30, 2026 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2026 | data.cms.gov |
| May 28, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 16, 2025 | data.cms.gov |
| January 23, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| January 23, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 9, 2025 | data.cms.gov |
| September 24, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 18, 2024 | data.cms.gov |
| June 4, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 19, 2024 | data.cms.gov |
| January 11, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F887 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F814 | Dispose of garbage and refuse properly. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F758 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F732 | Post nurse staffing information every day. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F700 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| January 11, 2024 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2024 | data.cms.gov |
| October 30, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 30, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (6 managers, 1 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| The Licking Exempt Trust | Direct owner | Not listed | May 24, 2017 | data.cms.gov |
| Agh1 LLC | Operational or managerial control | Not listed | August 1, 2017 | data.cms.gov |
| Sovereign Healthcare Group LLC | Operational or managerial control | Not listed | April 23, 2021 | data.cms.gov |
| Agh1 LLC | Additional disclosable party | Not listed | April 14, 2025 | data.cms.gov |
| FG LLC | Additional disclosable party | Not listed | August 1, 2017 | data.cms.gov |
| Forvis Mazars LLP | Additional disclosable party | Not listed | August 16, 2021 | data.cms.gov |
| Mid States Inc | Additional disclosable party | Not listed | August 1, 2017 | data.cms.gov |
| Sovereign Healthcare Group LLC | Additional disclosable party | Not listed | April 6, 2025 | data.cms.gov |
| The City of Licking | Additional disclosable party | Not listed | August 1, 2017 | data.cms.gov |
| Van De Ven LLC | Additional disclosable party | Not listed | August 1, 2017 | data.cms.gov |
| The Licking Exempt Trust | Trustee | Not listed | May 24, 2017 | data.cms.gov |
Also on SpecStream
- All nursing homes in Missouri
- Every nursing home Agh1 LLC owns or manages
- Every nursing home Sovereign Healthcare Group LLC owns or manages
- Every nursing home Forvis Mazars LLP owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.