Hickory Manor – Licking, MO
This facility was first approved to provide Medicare and Medicaid services on 04/03/1996. It does not belong to a continuing care retirement community. The affiliated entity name is not listed. This facility has a Resident and Family Council.
The overall rating is 2 stars, with a health inspection rating of 3 stars, a quality measures rating of 2 stars, a long-stay QM rating of 2 stars, a short-stay QM rating of 1 stars, and a staffing rating of 1 stars.
The reported total nurse staffing hours per resident per day is 3 hours and 10 minutes, nurse aide staffing hours is 2 hours and 5 minutes, LPN staffing hours is 42 minutes, RN staffing hours is 22 minutes, and licensed staffing hours is 1 hour and 5 minutes. On weekends, total nurse staff hours per resident per day is 2 hours and 26 minutes, and registered nurse hours per resident per day is 15 minutes. Physical therapist staffing hours per resident per day are 0 minutes.
The facility has reported 0 facility-related incidents, 3 substantiated complaints, 0 citations from infection control inspections, and 1 fines, with the total amount of fines in dollars being $3,250. The number of payment denials is 0, and the total number of penalties is 1.
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| Overall Rating | |
| Health Inspection Rating | |
| QM Rating | |
| Long-Stay QM Rating | |
| Short-Stay QM Rating | |
| Staffing Rating |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 45.3 |
| Legal Business Name | Licking No 1 Llc |
| Affiliated Entity Name | |
| Ownership Type | For profit – Individual |
| Provider Type | Medicare and Medicaid |
| Provider Resides in Hospital | No |
| Legal Business Name | LICKING NO 1 LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 4/3/1996 |
| Affiliated Entity Name | |
| Continuing Care Retirement Community | No |
| Most Recent Health Inspection More Than 2 Years Ago | No |
| Provider Changed Ownership in Last 12 Months | No |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Reported Total Nurse Staffing Hours per Resident per Day | 3 hours 10 minutes |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2 hours 5 minutes |
| Reported LPN Staffing Hours per Resident per Day | 42 minutes |
| Reported RN Staffing Hours per Resident per Day | |
| Reported Licensed Staffing Hours per Resident per Day | 1 hour 5 minutes |
| Total number of nurse staff hours per resident per day on the weekend | 2 hours 26 minutes |
| Registered Nurse hours per resident per day on the weekend | 15 minutes |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 26 seconds |
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $3,250 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Provider | Bed Count | Rating | Distance (Miles) |
| Houston House | 96 | 3 | 13.5 |
| Seville Care Center | 90 | 1 | 19.8 |
| Salem Memorial District Hospital | 18 | 5 | 19.8 |
| Salem Care Center | 60 | 3 | 20.9 |
| Kabul Nursing Homes Inc | 99 | 4 | 28.7 |
| Phelps Health | 20 | 5 | 31.8 |
| Aurora Health And Rehabilitation | 116 | 1 | 32.3 |
| Rolla Presbyterian Manor | 30 | 5 | 32.4 |
| Cedar Pointe | 102 | 1 | 32.8 |
| Life Care Center Of Waynesville | 120 | 4 | 29.9 |
Data is based on CMS Nursing homes including rehab services dataset. Processing Date: 11/1/2024.