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Nursing HomeMedicaid

Hico Nursing and Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

712 North Railroad Avenue, Hico, TX 7645780 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 16 Google reviews

5
4
3
2
1
Hico Nursing and Rehabilitation Nursing Home in Hico, TX — Street View
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What this means for your family

This facility provides excellent rehabilitation support and has shown great patience with complex medical needs. However, families should prepare for potential communication hurdles, as several reviewers struggled to reach staff or receive timely updates.

Google Reviews

Google Reviews

16 reviews analyzed
Families can expect high-quality rehabilitation and attentive care for stroke recovery, as noted by those satisfied with the staff's helpfulness. However, significant concerns exist regarding communication, with multiple reviewers reporting difficulty reaching staff by phone or receiving updates on residents.

Quality Themes

Tap a score for details
FoodN/AStaff5.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Effective rehabilitation services
  • Friendly and polite nursing staff
  • Patient care for residents with complex illnesses

Concerns

  • Difficulty communicating with staff and reaching residents (mentioned by 2 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02017(2)5.02018(1)3.42021(5)3.02022(2)4.52023(2)3.72025(3)3.02026(1)

Distribution

5
9
4
1
3
0
2
0
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about your rehabilitation services; could you tell us more about how you support residents during their recovery process?
  • 2Since we want to stay closely connected with our loved one, what is the best way for us to communicate with the nursing team and get regular updates on their well-being?
  • 3How does the facility handle medical emergencies or sudden changes in a resident's health during the night?
  • 4What kind of daily activities or social events are available to help residents stay engaged and active with one another?
  • 5We are looking for a place where the staff is consistently attentive; how do you ensure that every resident's specific care needs are met with a polite and professional approach?
  • 6For residents with more complex medical needs, how does your team coordinate their specialized care and monitoring?

Personalized based on this facility's data


Key Review Excerpts

The entire staff is great. They let me know if my mom needs anything on the days I don't visit. They've been extremely helpful with mom rehab. Staff is always friendly and polite.

Long-term resident's family · 2023★★★★★

I am very pleased with the patience they have shown to my nephew who has been there 3 years now. He’s quite challenging with his many illnesses.

Long-term resident's family · 2023★★★★

Can't get intouch with our family member. Communication is almost impossible. If they do answer the phone some of the staff are very unprofessional .

Family member · 2021☆☆☆☆
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
3.72hrs
91%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
TX
2.5%
Hamilton
29.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
19.4%
TX
14.2%
Hamilton
22.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
19.5%
TX
18.4%
Hamilton
22.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
15.3%
TX
14.9%
Hamilton
8.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility94.7%
Mixed vs Avgs
Here
94.7%
US
93.4%
TX
96.9%
Hamilton
87.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.1%
Worse than Avg
Here
16.1%
US
15.4%
TX
9.4%
Hamilton
12.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.9%
Mixed vs Avgs
Here
76.9%
US
81.8%
TX
89.2%
Hamilton
66.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hamilton
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
1penalties
Well below state avg (9.1)
12 complaint-triggered
$31,552 in fines

Families have filed multiple complaints triggering 12 deficiencies, including serious concerns about resident abuse and neglect that required investigation and reporting failures. The facility shows recurring problems with fire safety systems, medication management, and care planning that persist across multiple surveys from 2023 to 2025. While all violations show correction dates, the pattern of repeated safety and care issues suggests ongoing operational challenges families should carefully evaluate.

Dec 3, 2025Routine
3
0321ModerateCorrected

Smoke Deficiencies

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

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Minor

Services Deficiencies

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

May 14, 2025Complaint
1
0805MinorCorrected

Nutrition and Dietary Deficiencies

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

Feb 18, 2025Complaint
3
0580MinorCorrected

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.

0655MinorCorrected

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

0656MinorCorrected

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.

Sep 12, 2024Routine
10
0727ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0321ModerateCorrected

Smoke Deficiencies

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

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0550MinorCorrected

Resident Rights Deficiencies

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

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0341MinorCorrected

Smoke Deficiencies

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

0521Minor

Services Deficiencies

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

Sep 12, 2024Complaint
1
0677MinorCorrected

Quality of Life and Care Deficiencies

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

Mar 7, 2024Complaint
6
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0697SevereCorrected

Quality of Life and Care Deficiencies

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

0580MinorCorrected

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.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

Federal Penalties

Fine

Mar 7, 2024

$31,552

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

TICKNOR ENTERPRISES HICO, LLC

Administrator

LEON M EVANS

Chain Affiliation

Chain Name

Coryell County Memorial Hospital Authority

Chain Size

9 facilities nationwide

Chain avg rating: 2.5/5 · Rank 2 of 8

Ownership & Management

Key personnel

Ellis, RonaldW-2 Managing EmployeeByrom, DavidOfficer / DirectorCoryell County Memorial Hospital AuthorityManagerTicknor Enterprises Hico, LLCManagerTicknor, GregoryManager
Source: Medicare provider data

Contact

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References & Resources

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