All states › Texas › Hico › Hico Nursing and Rehabilitation
712 North Railroad Avenue Hico, TX 76457 · Hamilton County
CMS certification number 675468 · See this home on Medicare Care Compare
Is Hico Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hico Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
2 administrators left in the past year.
About this nursing home
Paying for care at Hico Nursing and Rehabilitation: Medicare and Medicaid
Hico Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on December 3, 2025 and found 0 deficiencies. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Hico Nursing and Rehabilitation across 6 inspection dates, 12 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 7, 2024 (complaint inspection). The most common areas cited were resident rights (5) and pharmacy service (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, March 7, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 14, 2025 · 1 citation · includes complaint inspection
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
February 18, 2025 · 3 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
September 12, 2024 · 6 citations · includes complaint inspection
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
March 7, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
KProvide safe, appropriate pain management for a resident who requires such services.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
November 1, 2023 · 1 citation · includes complaint inspection
FEstablish 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.
July 19, 2023 · 6 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Questions to ask on a tour of Hico Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on March 7, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 7, 2024. How are staff trained, and how are concerns reported?
- There were 6 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 36% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $31,552 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 7, 2024 | Fine | $31,552 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Hico Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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19.3 mi
Texas Health Harris Methodist Hospital Stephenvill StephenvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 4m for patients treated and sent home
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19.7 mi
Hamilton General Hospital HamiltonEmergency roomMedian ER visit 1h 53m for patients treated and sent home
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24.8 mi
Glen Rose Medical Center Glen RoseEmergency roomMedian ER visit 1h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Coryell County Memorial Hospital Authority nursing homes in Texas
- The Manor Healthcare Residence · Mexia · 5 stars
- Fairview Healthcare Residence · Fairfield · 4 stars
- Crestview Healthcare Residence · Waco · 4 stars
- Hillside Medical Lodge · Gatesville · 3 stars
- Wesley Woods Health & Rehabilitation · Waco · 2 stars
- Western Hills Healthcare Residence · Comanche · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 9 Coryell County Memorial Hospital Authority nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.