Hickory Manor in Licking, MO - Medicare and Medicaid Certified Nursing Home

Hickory Manor is a medicare and medicaid certified nursing home in Licking, Missouri. It is located in Texas county at 209 Hickory Street, Licking, Missouri 65542. You can reach out to the office of Hickory Manor via phone at (573) 674-2111. This skilled nursing facility has 60 federally certified beds with average occupancy rate of 61.83%. Its legal business name is Licking No 1 LLC and has the following ownership type - For Profit - Individual.

Hickory Manor (Medicare CCN 265632) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1996 (30 years certified) and the last quality survey was conducted in April, 2026.

Contact Information

	Hickory Manor
	209 Hickory Street, Licking, Missouri 65542
	(573) 674-2111

Map and Direction

Nursing Home Profile

Name	Hickory Manor
Location	209 Hickory Street, Licking, Missouri
Certified By	Medicare and Medicaid
No. of Certified Beds	60
Occupancy Rate	61.83%
Medicare ID (CCN)	265632
Legal Business Name	Licking No 1 LLC
Ownership Type	For Profit - Individual

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Hickory Manor in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number	1912424607
Match	Confirmed listed in Medicare enrollment records
Organization Name	Licking No 1 LLC
Doing Business As	Hickory Manor
Address	209 Hickory St, Licking, MO 65542
Phone Number	573-674-2111

NPI Number	1609996222
Match	Possible same name, address or phone number
Organization Name	Community Care Center of Licking Inc
Doing Business As	Licking Park Manor
Address	209 Hickory St, Licking, MO 65542
Phone Number	573-674-2111

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Hickory Manor are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Hickory Manor give to their patients.

Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Hickory Manor, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing Measure	Provider	National Avg.
Total nurse staff hours per resident per day	3.7	3.86
Registered nurse (RN) hours per resident per day	0.5	0.69
Licensed practical nurse (LPN) hours per resident per day	0.51	0.86
Nurse aide hours per resident per day	2.69	2.32
Total nurse staff hours per resident per day on the weekend	2.97	3.42
RN hours per resident per day on the weekend	0.36	0.48
Physical therapist hours per resident per day	0.01	0.07
Total nursing staff turnover	78.8%	45.8%
Registered nurse turnover	80%	42.9%
Number of administrators who have left the nursing home	0	0.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)	No
Number of Fines	0
Total Amount of Fines in Dollars	$0
Number of Payment Denials	0
Total Number of Penalties	0

Health Inspections:

In its most recent inspection cycle (standard health inspection in April, 2026, plus any complaint inspections), inspectors cited Hickory Manor for 14 health deficiencies (national average: 9.3). The 30 most recent of its 38 citations since 2023 are listed below.

Date	Deficiency	Harm Level	Status
Apr 30, 2026	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	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. F0584, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
Apr 30, 2026	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection	Potential for harm, isolated	Corrected by Jun 14, 2026
May 28, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection	Potential for harm, isolated	Corrected by Jun 16, 2025
Jan 23, 2025	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection	Potential for harm, pattern	Corrected by Mar 9, 2025
Jan 23, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	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. F0758, Pharmacy Service, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Jan 23, 2025	Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection	Potential for harm, isolated	Corrected by Mar 9, 2025
Sep 24, 2024	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection	Potential for harm, isolated	Corrected by Oct 18, 2024
Jun 4, 2024	Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection	Potential for harm, isolated	Corrected by Jul 19, 2024
Jan 11, 2024	Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection	Potential for harm, widespread	Corrected by Feb 25, 2024
Jan 11, 2024	Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Feb 25, 2024
Jan 11, 2024	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Feb 25, 2024
Jan 11, 2024	Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Feb 25, 2024
Jan 11, 2024	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Feb 25, 2024

Quality of Resident Care:

These quality measures of Hickory Manor, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality Measure	Provider	National Avg.
Percentage of long-stay residents whose need for help with daily activities has increased	30.89	13.87
Percentage of long-stay residents who lose too much weight	18.25	5.19
Percentage of long-stay residents with a catheter inserted and left in their bladder	0	0.82
Percentage of long-stay residents with a urinary tract infection	5.26	1.59
Percentage of long-stay residents who have depressive symptoms	9.09	12.8
Percentage of long-stay residents who were physically restrained	0	0.13
Percentage of long-stay residents experiencing one or more falls with major injury	6.67	3.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	74.07	93.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.02	82.04
Percentage of short-stay residents who newly received an antipsychotic medication	0	1.56
Percentage of long-stay residents whose ability to walk independently worsened	26.69	14.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.15	19.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	83.33	95.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.29	79.75
Percentage of long-stay residents with pressure ulcers	7.84	4.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.86	19.01
Percentage of long-stay residents who received an antipsychotic medication	18.82	15.38

Reviews and Comments

Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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