712 Railroad Avenue, Hico, TX 76457
For more information about senior living options: (866) 208-4318
Overall Review of Hico Nursing And Rehabilitation
Pros
The staff is great.- The staff keeps family members informed about their loved ones’ needs when they don’t visit.
- They have been extremely helpful with mom’s rehab.
- The staff is always friendly and polite.
- The reviewer would recommend Hico Nursing to anyone.
- The staff has shown patience with the reviewer’s nephew over the years.
Cons
They tried calling repeatedly and the line hung up on them three times in a row.- It is not a good place for loved ones or to work.
- The management is extremely unprofessional and toxic.
- Residents are not cared for properly.
- There is an unsafe work and living environment for staff and residents.
- The DON and ADON are described as the slumlords of nursing.
- There are unsafe temperatures in resident rooms and halls, with summer temps nearing 90 degrees.
- Employees have to fight for every penny and checks are often incorrect.
- Communication is almost impossible and some staff are very unprofessional.
- Ticknor Enterprises is lacking and does not care about employees or residents; loved ones are just a profit.
Review
Hico Nursing and Rehabilitation is best suited for families seeking solid, hands-on rehabilitation support and daily warmth from frontline staff, especially when a loved one is navigating post-stroke recovery or similar complex rehab needs. The upbeat, patient-facing team shows genuine care in day-to-day interactions, and families report that staff are friendly, polite, and attentive about what a resident requires on days when relatives are not visiting. In practice, this translates to meaningful progress in rehab for residents who respond to steady, personal staff engagement and regular encouragement from caregivers.
However, serious caveats push families to consider alternatives, particularly when leadership and system-wide reliability are non-negotiables. Reviews consistently flag management as a core weakness, describing a toxic environment and questionable accountability at the top levels. Several accounts point to unsafe or unstable conditions for both residents and staff, with complaints about temperature control, insufficient snacks, and a culture that appears more profit-driven than resident-centered. Communication breakdowns compound the concern, with families reporting difficulty reaching their loved ones and inconsistent responsiveness from the facility.
What the facility does well can offset some drawbacks, especially for residents who benefit most from direct rehab supervision and consistent daily contact with staff. The positive experiences center on rehab progress and patience with challenging cases; staff are praised for taking time to address needs and for maintaining a helpful attitude during recovery. For families juggling schedules and travel, the ability of the team to keep relatives informed on non-visit days is a tangible relief, and the adaptability seen in care for residents with multiple illnesses demonstrates a capable acute-care mindset when care and attention are properly directed. These strengths, however, do not erase the risk signals raised about leadership and safety.
The most troubling themes run through several reviews: perceived unprofessionalism, uneven quality of care, and a pattern of communication gaps that leave families uncertain about a loved one’s status. Reports of difficulty contacting residents, staff turnover, and payroll or administrative slippage all point to a fragile operating environment. Temperature fluctuations and the lack of reliable nourishment reveal gaps in daily comfort and safety that should not be tolerated in a memory- or stroke-related rehab setting. Taken together, these cons challenge the facility’s consistency and raise legitimate questions about long-term stability.
For decision-making, the trade-off is clear. If the primary goal is robust rehab progress delivered with warmth and attentiveness, and if family members can tolerate some management fragility, Hico Nursing and Rehabilitation remains a viable choice. Pros offset cons most clearly for residents who respond well to direct caregiver engagement and who benefit from regular, transparent updates from staff. But if the family’s priorities include rock-solid leadership, predictable operations, and unwavering safety standards, alternatives warrant serious consideration.
Practical next steps can tilt the balance with confidence. Schedule a comprehensive tour focused on operations, ask to meet the DON and ADON, and request a candid briefing on staffing ratios, turnover, and how care plans are communicated to families. Inspect room temperatures during a visit, observe how staff interact with residents, and query the kitchen about snack and meal provisions. Verify systems for calling or texting family members, and request recent examples of care plans and progress notes. In short, demand evidence of stable leadership, reliable communication, and consistent safety practices before committing, and compare these findings against other nearby options to determine which environment best matches the family’s tolerance for risk and their loved one’s rehab trajectory.
80 resident community capacity
Skilled Nursing Facility
Air-conditioning
Beauty salon
Cable or satellite TV
Computer center
Dining room
Fitness room
Fully furnished
Gaming room
Garden
Housekeeping services
Kitchenette
Move-in coordination
Outdoor space
Private bathrooms
Restaurant-style dining
Small library
Telephone
Wellness center
Wi-Fi/high-speed internet available
Community operated transportation
12-16 hour nursing
24-hour call system
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Medication management
Mental wellness program
Special dietary restrictions
Concierge services
Planned day trips
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