Nursing home · Licking, MO
Hickory Manor
209 Hickory Street, Licking, MO 65542 · 60 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Apr 30, 2026, when they cited 14 problems. The most common area was resident assessment and care planning (5 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Apr 30, 2026) it had 14 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.70 hours per resident per day here, 8% more than the Missouri average (3.43) and 4% less than the U.S. average (3.86). Registered nurses account for 0.50 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 79% over the past year, 23 points higher than Missouri (56%) and 33 points higher than the U.S. (46%).
How Hickory Manor compares
This home's latest CMS figures next to the averages for Salem-area homes (7), Missouri (487) and the U.S. (14,680).
| This home | Salem area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.70 | 3.42 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.50 | 0.48 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.97 | 2.99 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 79% | 57% | 56% | 46% |
| Registered nurse turnover (past year) | 80% | 49% | 48% | 43% |
| Citations at the most recent standard inspection | 14 | 9.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 30, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| 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. Resident rights | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Apr 30, 2026 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| May 28, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 23, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jun 4, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Post nurse staffing information every day. Nursing and physician services | D | Deficient, Provider has date of correction |
| Jan 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. Nursing and physician services | D | Deficient, Provider has date of correction |
| Jan 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. Infection control | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Jan 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| 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. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 11, 2024 | Dispose of garbage and refuse properly. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 30, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Hickory Manor
Answers computed from CMS data for this facility.
What is Hickory Manor's Medicare rating?
Medicare rates Hickory Manor 2 out of 5 stars overall (below average). The average for Salem-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Hickory Manor do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 30, 2026, when they cited 14 problems. The most common area was resident assessment and care planning (5 citations). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Apr 30, 2026) it had 14 citations, compared with an average of 9.6 for Salem-area homes, 11.4 in Missouri and 9.2 nationally.
Has Hickory Manor been fined?
CMS reports no federal fines for this facility in the past three years.
Does Hickory Manor accept Medicaid?
Hickory Manor is certified for both Medicare and Medicaid. Call (573) 674-2111 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.