Nursing Home Alerts

Hico Nursing and Rehabilitation

712 North Railroad Avenue, Hico, TX 76457

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Hico Nursing and Rehabilitation is a nursing home in Hico, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. CMS update of June 24, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 4.4 to 3.7 hours per resident per day.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  5. Fire safety inspection on December 3, 2025

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on December 17, 2025.

      CMS has cited this home for K0321 2 times since 2024.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on December 17, 2025.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS has cited this home for K0521 3 times since 2023.

    See this home on CMS Care Compare

  6. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 4 of 5.

    • Ownership

      CMS lists this home under a new chain.

  8. Health inspection on May 14, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on May 19, 2025.

    See this home on CMS Care Compare

  9. CMS update of April 30, 2025

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  10. Health inspection on February 18, 2025

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on March 13, 2025.

      CMS has cited this home for F0580 2 times since 2024.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on March 13, 2025.

      CMS has cited this home for F0655 2 times since 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 13, 2025.

    See this home on CMS Care Compare

  11. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  12. Health inspection on September 12, 2024

    6 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 6 citations
    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 13, 2024.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on September 13, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on September 13, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 13, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 13, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 13, 2024.

    See this home on CMS Care Compare

  13. Fire safety inspection on September 12, 2024

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on March 21, 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 21, 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on March 21, 2025.

      CMS has cited this home for K0511 2 times since 2023.

    • Citation K0341. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.

      CMS lists it as corrected on March 21, 2025.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    See this home on CMS Care Compare

  14. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from March 7, 2024 from $48,540 to $31,551.

  15. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  16. CMS update of June 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 1 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  17. Health inspection on March 7, 2024

    6 citations

    CMS lists this as a complaint inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $31,552 on March 7, 2024.

    Show the 6 citations
    • Citation F0600. Severity K: immediate jeopardy, pattern.

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

      CMS lists it as corrected on March 22, 2024.

    • Citation F0607. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on March 22, 2024.

    • Citation F0697. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on March 22, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on March 24, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on March 22, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 27, 2024.

      CMS has cited this home for F0755 2 times since 2023.

    See this home on CMS Care Compare

  18. Health inspection on November 1, 2023

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0837. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 15, 2023.

    See this home on CMS Care Compare

  19. Health inspection on July 19, 2023

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on July 24, 2023.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on July 24, 2023.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on July 24, 2023.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on July 24, 2023.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on July 24, 2023.

    • Citation F0577. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

      CMS lists it as corrected on July 24, 2023.

    See this home on CMS Care Compare

  20. Fire safety inspection on July 19, 2023

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation K0352. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly install and monitor supervisory attachments on automatic sprinkler systems.

      CMS lists it as corrected on July 31, 2023.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on August 31, 2023.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on July 20, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(254) 796-2111
Last standard health inspection
December 3, 2025 (11 months ago)
Certified beds
80
Residents per day, on average
29.2
Ownership type
For profit - Limited Liability company
Legal business name
Coryell County Memorial Hospital Authority
Chain
Coryell County Memorial Hospital Authority
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (23 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Hico Nursing and Rehabilitation last inspected?

CMS lists December 3, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Hico Nursing and Rehabilitation have?

CMS lists 23 health citations since July 19, 2023. CMS also calls these deficiencies.

Has Hico Nursing and Rehabilitation been fined?

CMS lists 1 fine in the past three years, $31,552 in total.

What is the CMS star rating of Hico Nursing and Rehabilitation?

Its CMS overall star rating is 1 of 5.

Is Hico Nursing and Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.