Hickory Manor

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Licking, MO

CMS overall rating

209 Hickory St, Licking, MO 65542-9847 View map

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Hickory Manor accepts Medicare, Medicaid, and private pay.

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Hickory Manor accepts Medicare, Medicaid, and private pay.

Overview of Hickory Manor

Hickory Manor is a skilled nursing facility on Hickory Street in Licking, Missouri, in a moderately walkable residential area. The home is operated by Licking No. 1, LLC, owned by The Licking Exempt Trust and administered by Tina Caudill, who oversees daily operations. It accepts Medicare, Medicaid, and private pay, providing families with multiple ways to cover short-term rehabilitation and longer-term skilled nursing care.

The 60-bed facility has an occupancy rate of 65%. Most residents stay an average of 134 days, which includes post-acute rehabilitation stays and ongoing nursing care. Daily nurse staffing averages 4 hours and 21 minutes per resident to provide consistent hands-on care all day. Registered nurses, nurse aides, and licensed practical nurses work together to meet residents’ clinical needs.

Hickory Manor has 24-hour staffing and rehabilitation services for residents recovering from surgery, injury, or hospital stays. The professional care team manages medications, monitors health changes, and coordinates with physicians.

State inspections addressed areas including care documentation, infection control practices, and medication management. Families touring the home should ask how the facility stays compliant within these important areas and what systems are in place for ongoing staff training.

The facility is in a walkable area, so it is reasonably convenient for family visits and access to nearby services.

Facility Direct Line (573) 674-2111 adm@hickorymanor.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 21m per day

vs avg

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +14% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	32m per day	▲ 14% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	32m per day	▼ 21% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 13m per day	▼ 5% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 48m per day	▼ 8% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 84% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	22m per day	▲ 11% State avg: 20m per day · National avg: 28m per day

Capacity and availability

134 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 50 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

65%

Similar to the Missouri average: 66.6%

Occupied beds

39 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceSeptember 1, 2024

ExpirationAugust 31, 2026

CountyTexas

License Number052101

CMS Certification Number265632

Certification TypeMedicare / Medicaid

Hickory Manor is legally operated by Licking No 1, LLC, and administered by Tina Caudill.

Corporate EntityLICKING NO 1 LLC

Owner NameLicking No 1 LLC

Skilled Nursing Facility

60 units

Total beds

60 units

Rehabilitation Services

24-Hour Staffing

Pets not allowed

Since 2018 · 8 years of data 94 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection May 28, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	94	35	This facility has 169% more total deficiencies than a typical Missouri assisted living residence (94 vs. MO avg 35).↑ 169% worse
Deficiencies per year Average deficiencies per year since 2018.	11.8	4.4	This facility has 168% more deficiencies per year than a typical Missouri assisted living residence (11.8 vs. MO avg 4.4).↑ 168% worse
Deficiencies per inspection Average deficiencies per inspection.	5.5	2.9	This facility has 90% more deficiencies per inspection than a typical Missouri assisted living residence (5.5 vs. MO avg 2.9).↑ 90% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	12	This facility has had 42% more total inspections than the Missouri average (17 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 42% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

May 28, 2025 complaint investigation found failure to provide scheduled showers for one resident, causing minimal harm and inadequate documentation and follow-up.
January 23, 2025 routine inspection cited eight deficiencies including missing staff background checks, incomplete care plans, failure to follow physician orders, medication errors, and infection control lapses.
August 22, 2023 annual inspection found no health deficiencies during the survey.

Show Inspection Reports

Inspections since 2022

Total health inspections 7

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

4.14

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

25 of 29 citations resulted from standard inspections; and 4 of 29 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

29 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Quality of Care moderate citation May 28, 2025

Corrected

Abuse/Neglect moderate citation Jan 23, 2025

Corrected

Infection Control moderate citation Jan 23, 2025

Corrected

Pharmacy moderate citation Jan 23, 2025

Corrected

Total staff 54

Employees 46

Contractors 8

Staff to resident ratio 1.46 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,531

Nursing staff breakdown

8.4 hours

9.1 hours

8.8 hours

Contractor staffing

833 contractor hours this quarter

Medical Director: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	13	0	13	4,035	92	100%	8.8
Nurse Aide in Training	11	0	11	2,997	92	100%	9.3
Licensed Practical Nurse	8	0	8	2,071	91	99%	9.1
Registered Nurse	6	0	6	1,524	91	99%	8.4
Medication Aide/Technician	2	0	2	1,466	92	100%	11.8
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Speech Language Pathologist	0	1	1	506	61	66%	8.3
Dietitian	3	0	3	371	35	38%	7.6
Physical Therapy Aide	0	1	1	260	59	64%	4.4
Dental Services Staff	1	0	1	179	25	27%	7.2
Respiratory Therapy Technician	0	1	1	20	28	30%	0.7
Medical Director	0	2	2	18	3	3%	6
Occupational Therapy Assistant	0	1	1	15	3	3%	5
Occupational Therapy Aide	0	1	1	13	3	3%	4.3
Physical Therapy Assistant	0	1	1	1	2	2%	0.7

13 Certified Nursing Assistant

% of Days 100%

11 Nurse Aide in Training

% of Days 100%

8 Licensed Practical Nurse

% of Days 99%

6 Registered Nurse

% of Days 99%

2 Medication Aide/Technician

% of Days 100%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 Speech Language Pathologist

% of Days 66%

3 Dietitian

% of Days 38%

1 Physical Therapy Aide

% of Days 64%

1 Dental Services Staff

% of Days 27%

1 Respiratory Therapy Technician

% of Days 30%

2 Medical Director

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Occupational Therapy Aide

% of Days 3%

1 Physical Therapy Assistant

% of Days 2%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 17.9

64% worse than State average

State average: 10.9

Functional decline score 27.5

41% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 34.9%

77% worse than State average

State average: 19.8%

Walking Ability Worsened 29.4%

43% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 18.0%

In line with State average

State average: 18.1%

Falls with Major Injury 2.3%

42% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 11.4%

126% worse than State average

State average: 5.0%

Urinary Tract Infection 4.8%

78% worse than State average

State average: 2.7%

Lost Too Much Weight 11.5%

107% worse than State average

State average: 5.6%

Depressive Symptoms 8.7%

32% better than State average

State average: 12.8%

Antipsychotic Use 34.0%

54% worse than State average

State average: 22.0%

Pneumococcal Vaccine 41.1%

52% worse than State average

State average: 85.2%

Influenza Vaccine 83.3%

8% worse than State average

State average: 90.9%

Hospitalizations per 1,000 days 0.97

53% better than State average

State average: 2.08

ED visits per 1,000 days 4.37

86% worse than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 47.1%

29% worse than State average

State average: 66.6%

Antipsychotic medication increase 4.5%

102% worse than State average

State average: 2.2%

Influenza Vaccine 39.3%

38% worse than State average

State average: 63.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 41.7%

17% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

55% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 37

Medicare

8.1% of residents

Medicaid

75.7% of residents

Private pay or other

16.2% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Hickory Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 59.5% ↑ 0.4pp vs 2022

Net Patient Income -$726 ↑ ~$68.0K vs 2022

Payroll Costs $1.2M ↑ ~$129.0K vs 2022

Operating Margin 0.0% ↑ 2.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2018	2019	2020	2021	2022	2023
Occupancy %	89.8%	87.9%	80.0%	70.1%	61.4%	59.5%	57.9%	55.4%	53.8%	50.2%	59.1%	59.5%
Beds	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$312,173	$128,577	-$136,053	-$127,145	-$370,620	-$454,411	-$314,257	-$293,257	$465,697	-$24,397	-$38,603	$16,217
Gross Revenue	$17,359,416	$17,074,325	$15,579,541	$13,637,966	$11,945,027	$11,572,454	$2,775,091	$2,580,021	$2,429,953	$2,753,306	$3,217,428	$3,618,008
Operating Expenses	$2,735,980	$2,917,936	$2,980,044	$2,713,607	$2,659,258	$2,623,388	$2,715,645	$2,544,942	$2,586,589	$2,437,934	$2,640,745	$2,954,008
Net Patient Income	$290,913	$112,671	-$147,609	-$129,770	-$377,835	-$457,362	-$321,858	-$295,923	-$263,369	-$171,491	-$68,712	-$726
Net Patient Revenue	$3,026,893	$3,030,607	$2,832,435	$2,583,837	$2,281,423	$2,166,026	$2,393,787	$2,249,019	$2,323,220	$2,266,443	$2,572,033	$2,953,282
Payroll Costs	$1,334,261	$1,398,662	$1,451,294	$1,420,387	$1,445,830	$1,438,645	$1,312,691	$1,284,625	$1,191,336	$961,607	$1,106,839	$1,235,807
Operating Margin %	9.6%	3.7%	-5.2%	-5.0%	-16.6%	-21.1%	-13.5%	-13.2%	-11.3%	-7.6%	-2.7%	0.0%
Medicare %	8.6%	5.6%	7.9%	8.8%	10.0%	9.1%	13.9%	8.6%	12.0%	11.4%	8.4%	8.3%
Medicaid %	61.4%	63.0%	65.9%	71.2%	64.8%	63.7%	55.5%	47.2%	64.5%	69.8%	69.6%	71.7%
Private %	30.0%	31.4%	26.2%	20.0%	25.2%	27.3%	30.6%	44.2%	23.4%	18.8%	22.0%	20.1%
Net Patient Revenue/Day	$154	$157	$162	$168	$170	$166	$189	$186	$197	$206	$199	$227
Cost/Day	$139	$151	$170	$177	$198	$201	$214	$210	$219	$222	$204	$227
Avg Length of Stay	265.8 days	260.9 days	196.7 days	199.4 days	151.1 days	172.0 days	123.1 days	109.2 days	119.3 days	122.2 days	168.0 days	134.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.0M

Net patient income

-$726

For-profit Individual

Net patient revenue

$3.0M

Net patient income

-$726

Other income

$16.9K

Payroll costs

$1.2M 41.8% of net patient revenue

Other operating costs

$1.7M

Total costs

$3.0M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 29%

Private pay 55%

Medicaid 16%

Coverage residents most often leave under.

Medicare 24%

Private pay 54%

Medicaid 23%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Hickory Manor?

Hickory Manor is legally operated by Licking No 1, LLC, and administered by Tina Caudill.

Is Hickory Manor in a walkable area?

Hickory Manor has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Hickory Manor?

According to MO state health department records, Hickory Manor's license number is 052101.

When does Hickory Manor's license expire?

According to MO state health department records, Hickory Manor's license expires on August 31, 2026.

What is the occupancy rate at Hickory Manor?

Hickory Manor's occupancy is 65%.

Are pets allowed at Hickory Manor?

No, Hickory Manor has a no-pet policy.

Does Hickory Manor operate as a for-profit or non-profit?

Hickory Manor is registered as a for-profit in MO.

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Hickory Manor

Overview of Hickory Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Hickory Manor

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

13 Certified Nursing Assistant

11 Nurse Aide in Training

8 Licensed Practical Nurse

6 Registered Nurse

2 Medication Aide/Technician

1 Administrator

1 Nurse Practitioner

1 Speech Language Pathologist

3 Dietitian

1 Physical Therapy Aide

1 Dental Services Staff

1 Respiratory Therapy Technician

2 Medical Director

1 Occupational Therapy Assistant

1 Occupational Therapy Aide

1 Physical Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Hickory Manor

Calculate Travel Distance to Hickory Manor

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