Hico Nursing And Rehabilitation
712 NORTH RAILROAD AVENUE, Hico, TX, 76457
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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Coryell County Memorial Hospital Authority
- Certified beds
- 80 · avg 27 residents/day
- Total nursing staff turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $31,552 total
- Infection control citations
- 6
State licensing & capacity
- License number
- 308544
- Service type
- Medicare/medicaid
- Licensed capacity
- 80 beds
- Bed type breakdown
- 31 Medicare-only · 49 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Coryell County Memorial Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Ticknor Enterprises Hico, Llc
- Administrator
- Leon M Evans
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Coryell County Memorial Hospital Authority chain — 8 facilities. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (5 on record)
- Coryell County Memorial Hospital Authority
Operational/managerial Control · since 2022
- David Byrom
Corporate Director · since 2022
- Gregory Ticknor
Operational/managerial Control · since 2022
- Ronald Ellis
W-2 Managing Employee · since 2022
- Ticknor Enterprises Hico, Llc
Operational/managerial Control · since 2022
Recent change of ownership
April 2022 (4 years ago) · acquired from Hico Nursing And Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- D0805·May 14, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0656·Feb 18, 2025Complaint
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·Feb 18, 2025Complaint
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
- D0580·Feb 18, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0677·Sep 12, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0880·Sep 12, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Sep 12, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0727·Sep 12, 2024
Nursing and Physician Services Deficiencies
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.
Federal penalties
By year
- 20241 fine · $32K
Most recent events
- Mar 7, 2024Fine · $32K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Dec 3, 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 Mar 1, 2026.
About this community
Hico Nursing And Rehabilitation is an 80-bed Medicare- and Medicaid-certified nursing home in Hico, Hamilton County, licensed under Coryell County Memorial Hospital Authority and managed by Ticknor Enterprises Hico, LLC. CMS rates it 3 stars overall, with a 4-star staffing rating but a 2-star health inspection rating and a 5-star quality-measures rating. One CMS fine of $31,552 is on record. The facility is currently running at roughly 34% of licensed capacity — about 27 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars, placing this facility in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 265 minutes of nursing care per day — above the 241-minute threshold for a 4-star staffing rating in Texas. The resident mix here requires fewer hands-on care hours than a typical facility, so the same staffing hours stretch further than the raw minutes suggest.
About 7 in 10 nursing staff left in the past year — well above the Texas 75th-percentile cutoff of 60%, which means most nursing homes in the state have lower turnover than this one. RN turnover runs at the same rate, roughly 7 in 10 per year. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One CMS fine totaling $31,552 is on record. About 30% of Texas nursing homes have no fines at all; $31,552 also exceeds the state median fine amount of $20,699.
This facility is operating at roughly 34% of its 80 licensed beds — about 27 residents on an average day. Paired with the high turnover and the 2-star health inspection rating, that low occupancy sits alongside other signals families will want to weigh.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing despite high turnover
With roughly 7 in 10 nursing staff leaving each year, ask how the facility maintains consistent care assignments and onboards new staff before they work independently.
Health inspection findings
The health inspection rating is 2 stars — ask what the most recent inspection cited and what specific steps have been taken to address those deficiencies.
The $31,552 CMS fine
One federal fine of $31,552 is on record — ask what triggered it, when it was assessed, and what changes followed.
Low current census
With about 27 residents in an 80-bed building, ask whether recent occupancy reflects a deliberate strategy or a trend, and how staffing levels are set relative to resident count.
Management company's role
The facility is licensed under a hospital authority but managed by Ticknor Enterprises Hico — ask how day-to-day decisions are made and who residents and families contact when concerns arise.
Resident Council access
A Resident Council meets here but no Family Council is listed — ask how families raise concerns formally and whether there are plans to establish a Family Council.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.