CareWitness
Federal record · CMS Care Compare · CCN 265632 · Processed JUN 1 2026
CareWitnessMissouriLickingNursing HomesHickory Manor

Hickory Manor

209 Hickory Street, Licking, MO, 65542

Type
Nursing home
Medicare/Medicaid certified · CCN 265632

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections4 / 5
Staffing1 / 5
Quality measures1 / 5

Facility & Staffing

Ownership
For profit - Individual
Certified beds
60 · avg 42 residents/day
Total nursing staff turnover
80%higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
66.7%higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Medicare certification

CMS Certification Number
265632
Certified beds
60 beds · avg 42 residents/day
Ownership type
For profit - Individual
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Licking No 1 Llc

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Disclosed owners (16 on record)

  • Tina Caudill

    Operational/managerial Control · since 2026

  • Agh1 Llc

    Adp of The Snf · since 2025

  • Sovereign Healthcare Group Llc

    Adp of The Snf · since 2025

  • Jonathan r Beers

    Operational/managerial Control · since 2024

  • Lindi Diana Schmitt

    Operational/managerial Control · since 2023

  • Angie Warner

    Operational/managerial Control · since 2023

+ 10 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.

Federal inspection record

29 health citations on file4 from complaints

Recent health-deficiency citations (most recent 8 of 29)

  • D0677·May 28, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • D0880·Jan 23, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0758·Jan 23, 2025

    Pharmacy Service Deficiencies

    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 li

  • D0755·Jan 23, 2025

    Pharmacy Service Deficiencies

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

  • D0692·Jan 23, 2025

    Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

  • D0658·Jan 23, 2025

    Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

  • D0656·Jan 23, 2025

    Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • D0655·Jan 23, 2025

    Resident Assessment and Care Planning Deficiencies

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

View the full inspection history on CMS Care Compare →

Fire-safety citations

7 Life-Safety-Code citations on file. Most recent: Jan 23, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Hickory Manorinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.