Hickory Manor

209 Hickory Street · Licking, MO · 65542 · 5736742111

60 certified beds For profit - Individual

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

80% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 53
Federal penalties 15% 100
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day2.79≈ weekday level
Nursing turnover / year80%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D May 28, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 16, 2025 · Quality of Life and Care

  • Potential for harm · E January 23, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected March 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 23, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 9, 2025 · Quality of Life and Care

  • Potential for harm · D January 23, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 9, 2025 · Pharmacy Service

  • Potential for harm · D January 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.

    Corrected March 9, 2025 · Pharmacy Service

  • Potential for harm · D January 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 9, 2025 · Infection Control

  • Potential for harm · D September 24, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 4, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

    Ensure each resident receives an accurate assessment.

    Corrected February 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 25, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    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.

    Corrected February 25, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    Post nurse staffing information every day.

    Corrected February 25, 2024 · Nursing and Physician Services

  • Potential for harm · D January 11, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 25, 2024 · Pharmacy Service

  • Potential for harm · D January 11, 2024

    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.

    Corrected February 25, 2024 · Pharmacy Service

  • Potential for harm · F January 11, 2024

    Dispose of garbage and refuse properly.

    Corrected February 25, 2024 · Nutrition and Dietary

  • Potential for harm · D January 11, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 25, 2024 · Infection Control

  • Potential for harm · D January 11, 2024

    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.

    Corrected February 25, 2024 · Infection Control

  • Potential for harm · D January 11, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected February 25, 2024 · Nursing and Physician Services

  • Potential for harm · D October 30, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 30, 2023 · Resident Rights

  • Potential for harm · D March 3, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 15, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265632 · certified since April 3, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.