Contact Information

HICKORY MANOR
LICKING NO 1 LLC
209 HICKORY STREET
LICKING, MO 65542
(573) 674-2111
For profit - Individual
Medicare certification date2: April 03, 1996
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  33 residents

  60 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 33 residents Missouri Average National Average
Hours by Registered Nurse (RN) per resident per day 37 minutes 28 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 42 minutes 46 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 24 minutes 2 hours, 17 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 4 minutes 5 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • THE LICKING EXEMPT TRUST

DIRECTOR

  • BEDELL, DONALD

MANAGING EMPLOYEE

  • WEAVER, MELISSA

OFFICER

  • BEDELL, DONALD
  • SHIRRELL, CLIFTON

Nursing Home Report

In 2016, HICKORY MANOR charged a total of $1,154,936 for 29 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 28% Alzheimer's n/a
Asthma 38% Cancer 17%
Congestive Heart Failure 66% Kidney Disease 55%
COPD 38% Depression 28%
Diabetes 38% Hyperlipidemia 59%
Hypertension n/a Ischemic Heart Disease n/a
Osteoporosis 28% RA / OA n/a
Schizophrenia 10% Stroke 14%
Demographics
Medicare Beneficiaries 29 Average Age 81
Male n/a Female n/a
White 29
Black 0
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Apr 26, 2018; fire safety inspection: Apr 26, 2018

Health Deficiencies as of 04/26/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 04/26/2018
Emergency Preparedness 1
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also