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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 dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 30, 2026F925Make 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F741Ensure 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F689Ensure 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F657Develop 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F656Develop 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F604Ensure 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F584Honor 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 harmCorrectedJune 14, 2026data.cms.gov
April 30, 2026F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
May 28, 2025F677Provide 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 harmCorrectedJune 16, 2025data.cms.gov
January 23, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F758Implement 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 harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F755Provide 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 harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F656Develop 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 harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2025data.cms.gov
January 23, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 9, 2025data.cms.gov
September 24, 2024F656Develop 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 harmCorrectedOctober 18, 2024data.cms.gov
June 4, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 19, 2024data.cms.gov
January 11, 2024F947Ensure 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F887Educate 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F814Dispose of garbage and refuse properly.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F758Implement 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F756Ensure 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F732Post nurse staffing information every day.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F700Try 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F656Develop 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 harmCorrectedFebruary 25, 2024data.cms.gov
January 11, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2024data.cms.gov
October 30, 2023F580Immediately 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 harmCorrectedNovember 30, 2023data.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.

OrganizationRoleShareSinceSource
The Licking Exempt TrustDirect ownerNot listedMay 24, 2017data.cms.gov
Agh1 LLCOperational or managerial controlNot listedAugust 1, 2017data.cms.gov
Sovereign Healthcare Group LLCOperational or managerial controlNot listedApril 23, 2021data.cms.gov
Agh1 LLCAdditional disclosable partyNot listedApril 14, 2025data.cms.gov
FG LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Forvis Mazars LLPAdditional disclosable partyNot listedAugust 16, 2021data.cms.gov
Mid States IncAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Sovereign Healthcare Group LLCAdditional disclosable partyNot listedApril 6, 2025data.cms.gov
The City of LickingAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
Van De Ven LLCAdditional disclosable partyNot listedAugust 1, 2017data.cms.gov
The Licking Exempt TrustTrusteeNot listedMay 24, 2017data.cms.gov

Also on SpecStream

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.