Nursing home
Hico Nursing and Rehabilitation
712 Railroad Ave, Hico, TX 76457 · Map
For profit - Limited Liability company · Part of Coryell County Memorial Hospital Authority (8 facilities) · 80 certified beds
Hico Nursing and Rehabilitation is a Medicare-certified nursing home in Hico, Texas. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.42 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 3, 2025 cited 1 deficiencies.
- 1 fine totaling $31,552In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hico Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.42 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 2.97 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.15 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 71.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the May 14, 2025 inspection was corrected by May 19, 2025
Penalties in CMS records: 1 fine totaling $31,552, 1 total penalty.
What inspectors found at Hico Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 18, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Feb 18, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Feb 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 12, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Sep 12, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 12, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 12, 2024 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Sep 12, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 12, 2024 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 7, 2024 · Full report (PDF) - Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 712 Railroad Ave
Hico, TX 76457 - CMS certification #
- 675468
- Ownership
- For profit - Limited Liability company
- Certified beds
- 80
- Avg residents/day
- 27.2
- Provider type
- Medicare and Medicaid
- First certified
- 1995-03-29
- Chain
- Coryell County Memorial Hospital Authority (8 facilities)
- Setting
- Rural
Part of Coryell County Memorial Hospital Authority
Coryell County Memorial Hospital Authority operates 8 nursing facilities across the United States. View all Coryell County Memorial Hospital Authority facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hico Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Texas Health Harris Methodist Hospital Stephenvill, Stephenville. 19.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Stephenville Nursing and Rehabilitation, Stephenville. 19.2 miles away, straight line.
- Nearest home health agency office
- Stephen'S Health Care, Inc., Stephenville. 19.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Best Value Hico Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76457 as rural (rural area).
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 76457.
Community Care Services Hospice, office in Dublin, 19.2 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Copperas Cove. 52.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 1, 2007), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Hico, TX, risk to homes is greater than 91% of communities in Texas and 93% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively high, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Hico Nursing and Rehabilitation a good nursing home?
CMS gives Hico Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hico Nursing and Rehabilitation staffed?
Hico Nursing and Rehabilitation reports 4.42 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Hico Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Hico Nursing and Rehabilitation have?
Hico Nursing and Rehabilitation is certified for 80 beds.