Hico Nursing and Rehabilitation
712 Railroad Ave · Hico, TX · 76457 · 2547962111
80 certified beds For profit - Limited Liability company Chain: Coryell County Memorial Hospital Authority Hospital-based
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $31,552 |
Inspection citations (23 in the current record)
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Potential for harm · D May 14, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 19, 2025 · Nutrition and Dietary
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Potential for harm · D February 18, 2025 · 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 March 13, 2025 · Resident Rights
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Potential for harm · D February 18, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2025 · 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 March 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · D September 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 13, 2024 · Resident Rights
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Potential for harm · F September 12, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 13, 2024 · Nursing and Physician Services
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Potential for harm · F September 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 13, 2024 · Nutrition and Dietary
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Potential for harm · D September 12, 2024
Provide and implement an infection prevention and control program.
Corrected September 13, 2024 · Infection Control
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Potential for harm · D September 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 13, 2024 · Quality of Life and Care
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Immediate jeopardy · K March 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 7, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 7, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 22, 2024 · Quality of Life and Care
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Potential for harm · D March 7, 2024 · 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 March 24, 2024 · Resident Rights
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Potential for harm · D March 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 27, 2024 · Pharmacy Service
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Potential for harm · F November 1, 2023 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected December 15, 2023 · Administration
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Potential for harm · D July 19, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 19, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 24, 2023 · Pharmacy Service
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Potential for harm · E July 19, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected July 24, 2023 · Pharmacy Service
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Potential for harm · E July 19, 2023
Ensure that residents are free from significant medication errors.
Corrected July 24, 2023 · Pharmacy Service
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Potential for harm · E July 19, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 24, 2023 · Environmental
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No harm found · C July 19, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 24, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 7, 2024 | Fine | $31,552 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675468 · certified since March 29, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.