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Nursing homeFAID #7248

Hickory Manor

209 HICKORY STREET, LICKING, MO, 65542
(573) 674-2111
60 licensed beds
★★★★★2/5CMS Five-Star overall3/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
State license
053974
CMS facility ID
265632
Care type
Nursing home
Facility name
Hickory Manor
Street address
209 HICKORY STREET
City / state / ZIP
Licking, MO 65542
Phone
(573) 674-2111
State license #
053974

About this facility — Hickory Manor

Hickory Manor is a Medicare/Medicaid-certified skilled nursing facility in Licking, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Licking and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hickory Manor 45 times across 11 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Licking No 1 Llc
Ownership type
For profit - Individual
Administrator
Tina Caudill

Registered owners & officers

Agh1 Llc
Operational control · Additional disclosable party — since 2017
Beaird, Todd
Operational control · Additional disclosable party — since 2022
Bedell, Bryan
Owner of a disclosable party — since 2025
Bedell, Donald
Operational control — since 2017
Beers, Jonathan
Operational control · Additional disclosable party — since 2024
Caudill, Tina
Operational control · Additional disclosable party — since 2026
Fg Llc
Additional disclosable party — since 2017
Forvis Mazars Llp
Additional disclosable party — since 2021
Mid States Inc
Additional disclosable party — since 2017
Schmitt, Lindi
Operational control · Additional disclosable party — since 2023
Sovereign Healthcare Group Llc
Operational control · Additional disclosable party — since 2021
The City of Licking
Additional disclosable party — since 2017
The Licking Exempt Trust
Direct owner · Trustee — since 2017
Van De Ven Llc
Additional disclosable party — since 2017
Warner, Angie
Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
1996-04-03
License expires
2028-08-31
CMS overall rating
2 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-04-30
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$278 per day (≈ $8,450/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 8% Medicare · 20% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
8% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
60
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-04-30Health inspection14 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-06-14
F-0584
D · No harm found
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.
Corrected 2026-06-14
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-06-14
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-06-14
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2026-06-14
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-06-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-14
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-14
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-14
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-06-14
F-0741
D · No harm found
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2026-06-14
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-14
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-06-14
2025-05-28Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-16
8 earlier / fire-safety inspections (30 citations)
2025-01-23Health inspection8 citations
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-03-09
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-03-09
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-09
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-09
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-09
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-09
F-0758
D · No harm found
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 2025-03-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-09
2024-09-24Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-18
2024-06-04Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-19
2024-01-11Health inspection12 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-02-25
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-25
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-25
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-25
F-0700
D · No harm found
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 2024-02-25
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2024-02-25
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-25
F-0758
D · No harm found
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 2024-02-25
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-02-25
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-25
F-0887
D · No harm found
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 2024-02-25
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-02-25
2023-10-30Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-30
2026-04-30Fire-safety inspection3 citations
K-0223
F · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-06-14
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-06-14
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2026-06-14
2025-01-23Fire-safety inspection2 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-09
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-09
2024-01-11Fire-safety inspection2 citations
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-25
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-25
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265632.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered