For profit - Limited Liability company · 80 certified beds · CMS number 675468
Hico Nursing and Rehabilitation, Hico, TX
CMS records 23 health deficiencies at Hico Nursing and Rehabilitation in Hico, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 3, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $31,552 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 0in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $31,552fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Hico Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hico Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (0 deficiencies)
Standard inspection Dec 3, 2025. CMS counts 0 health deficiencies and 3 fire safety deficiencies in this cycle.
No health deficiencies in this cycle.
Previous cycle: 10 deficiencies (standard inspection Sep 12, 2024)
Standard inspection Sep 12, 2024. CMS counts 10 health deficiencies and 5 fire safety deficiencies in this cycle.
May 14, 2025 · Complaint inspection
1 deficiency, highest D
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
Feb 18, 2025 · Complaint inspection
3 deficiencies, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2025
Sep 12, 2024 · Standard + complaint inspection
6 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 13, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 13, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2024
Earlier cycle: 13 deficiencies (standard inspection Jul 19, 2023)
Standard inspection Jul 19, 2023. CMS counts 13 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 7, 2024 · Complaint inspection
6 deficiencies, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2024
- Found in
- infection control inspection
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 22, 2024
- Found in
- infection control inspection
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
- Found in
- infection control inspection
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 22, 2024
- Found in
- infection control inspection
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 22, 2024
- Found in
- infection control inspection
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2024
- Found in
- infection control inspection
Nov 1, 2023 · Complaint inspection
1 deficiency, highest F
F837 · Governing body and administrator
Requirement cited (CMS): Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 15, 2023
Jul 19, 2023 · Standard inspection
6 deficiencies, highest E
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 24, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 24, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 24, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 24, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 24, 2023
F577 · Seeing inspection results
Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 24, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Hico Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F580 Telling residents and families about changes | 2 | Feb 18, 2025; Mar 7, 2024 |
| F655 Baseline care plan within 48 hours | 2 | Feb 18, 2025; Jul 19, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Mar 7, 2024; Jul 19, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 7, 2024 | Fine | $31,552 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- not reported
- RN hours per resident per day
- not reported
- Weekend nurse staff hours per resident per day
- not reported
- Nursing staff turnover
- not reported
- Administrators who left
- 2
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Hico Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 712 North Railroad Avenue, Hico, TX 76457
- Phone
- (254) 796-2111
- County
- Hamilton
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Coryell County Memorial Hospital Authority
- Certified beds
- 80
- Average residents per day
- 28.9
- In Medicare/Medicaid since
- Mar 29, 1995
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
- Can a resident or their family review the baseline care plan during the first few days? (F655, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
Other nursing homes in Hico and the same chain
- Austin Wellness & Rehabilitation
Austin · 66 deficiencies - Western Hills Healthcare Residence
Comanche · 30 deficiencies - Wesley Woods Health & Rehabilitation
Waco · 29 deficiencies - Crestview Healthcare Residence
Waco · 17 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.