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Nursing homeFAID #14121

Hico Nursing and Rehabilitation

712 North Railroad Avenue, HICO, TX, 76457

(254) 796-2111

80 licensed beds

CMS rates Hico Nursing and Rehabilitation 1 out of 5 overall. Federal inspectors issued 34 citations across 12 inspections in the last three years, with $31,552 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

712 North Railroad Avenue

Hico, TX 76457

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Public record summary

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Bed capacity

CMS facility ID

675468

Care type

Nursing home

County

Hamilton

Facility name

Hico Nursing and Rehabilitation

Street address

712 North Railroad Avenue

City / state / ZIP

Hico, TX 76457

Phone

(254) 796-2111

About this facility — Hico Nursing and Rehabilitation

Hico Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Hico, Texas. It is licensed for 80 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Hico and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hico Nursing and Rehabilitation 34 times across 12 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $31,552 in fines. 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 November 6, 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

Parent company

Coryell County Memorial Hospital Authority

Ownership type

For profit - Limited Liability company

Registered owners & officers

Byrom, David

Director — since 2022

Coryell County Memorial Hospital Authority

Operational control — since 2022

Ellis, Ronald

Managing employee — since 2022

Ticknor Enterprises Hico, Llc

Operational control — since 2022

Ticknor, Gregory

Operational control — since 2022

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1995-03-29

CMS overall rating

1 of 5 stars

Health deficiencies

0 at the last standard inspection

Federal fines

$31,552 total

Last standard inspection

2025-12-03

Cost & payer profile (FY2023 cost report)

Average billed charges

$201 per day (≈ $6,110/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 4% Medicare · 37% private/other

Occupancy

48% (fiscal year 2023)

Vs. state median

27% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-11-06. 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 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-05-14Health inspectionComplaint-triggered1 citation

F-0805

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-05-19

2025-02-18Health inspectionComplaint-triggered3 citations

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 2025-03-13

F-0655

D · No harm foundFrom a complaint

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

Corrected 2025-03-13

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 2025-03-13

7 earlier / fire-safety inspections (30 citations)

2024-09-12Health inspectionComplaint-triggered6 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-13

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-13

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 2024-09-13

F-0727

F · No harm found

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 2024-09-13

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-13

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-13

2024-03-07Health inspectionComplaint-triggeredInfection control6 citations

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 2024-03-24

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-22

F-0607

K · Immediate jeopardyFrom a complaint

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

Corrected 2024-03-22

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-22

F-0697

K · Immediate jeopardyFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-22

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-03-27

2023-11-01Health inspectionComplaint-triggered1 citation

F-0837

F · No harm foundFrom a 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 2023-12-15

2023-07-19Health inspection6 citations

F-0577

C · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-07-24

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 2023-07-24

F-0755

E · No harm found

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

Corrected 2023-07-24

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-24

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-07-24

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-07-24

2025-12-03Fire-safety inspection3 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-12-17

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-12-17

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-09-12Fire-safety inspection5 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-21

K-0341

D · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-03-21

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-21

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-21

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2023-07-19Fire-safety inspection3 citations

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-07-31

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-31

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-20

Federal penalties

2024-03-07Fine$31,552

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 675468.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 50% of nursing homes in the state

State median: 33

Federal fines, 3 years

$31,552

More than 67% of nursing homes in the state

State median: $15,642

Resident outcomes

On 18 federal quality measures, this facility does better than the Texas average on 9 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	12.7%	15.8%	13.5%	Better than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	3.9%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	98.1%	96.4%	93.7%	Near state average
Ability to walk independently worsened	5.7%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	26.7%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	7.4%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	12.1%	12.5%	18.3%	Near state average
Received an antipsychotic medication	16.1%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.77	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.38	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	90.0%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	5.6%	1.4%	1.5%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
F-0580 2 inspections. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-0655 2 inspections. Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
K-0511 2 inspections. Have properly installed electrical wiring and gas equipment.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Texas Health Harris Methodist Hospital Stephenvill, about 19 miles. CMS rating 4 of 5.
Hamilton General Hospital, about 20 miles.
Glen Rose Medical Center, about 25 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Stephenville Nursing and Rehabilitation, Stephenville, about 19 miles. CMS rating 5 of 5.
Lone Star Rehabilitation & Wellness Center, Stephenville, about 20 miles. CMS rating 4 of 5.
Focused Care At Hamilton, Hamilton, about 20 miles. CMS rating 5 of 5.
Pecan Creek Healthcare Center, Hamilton, about 20 miles. CMS rating 4 of 5.
Avir At Stephenville, Stephenville, about 20 miles. CMS rating 1 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 34 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

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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 2026-11-06

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