Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fowler Health Care during CMS and state inspections, most recent first.
Opened beverages and food items were found undated or unlabeled in the nourishment fridge and walk-in refrigerator, including thickened juices, thickened water, tomato juice, tea, and an opened barbecue container. During lunch, staff served residents drinks from opened beverage containers that were not dated. A dietary aide said opened beverages should be dated and labeled but did not know why, and the DM said staff should date and label opened juice cartons to track how long they had been open.
Oxygen therapy not provided according to physician orders. Surveyors observed several residents with nasal cannulas connected to concentrators or portable tanks set at flow rates that did not match the MD orders, including residents ordered oxygen only at bedtime who were receiving oxygen continuously during the day. One resident also lacked an oxygen-related care plan despite having an oxygen order. Staff interviews confirmed the discrepancies and that oxygen was treated as a medication requiring order verification.
Delayed Hearing Aid Follow-Up: A resident with hearing loss, dementia, and moderate cognitive impairment waited months for a hearing aid after an audiology visit recommended one. The SSD filed a PETI cash request but did not follow up when no response was received, and there was no documentation of a physician order for the hearing aid. Staff reported the resident had difficulty hearing during care and was not provided accessories while waiting.
Infection control practices were deficient when a CNA assisted three residents with eating in the dining room without performing hand hygiene between residents. Housekeeping also failed to perform hand hygiene after cleaning a bathroom and after cleaning a resident’s room, and high-touch surfaces such as the bedside table, call light, bed control, and door knobs were not disinfected during the room cleaning.
Opened Beverages and Food Items Were Not Properly Labeled or Dated
Penalty
Summary
The facility failed to store, distribute, and serve food in a sanitary manner in two kitchen refrigerators. During observations in the main kitchen nourishment refrigerator, surveyors found opened nutritional beverages that were not dated or labeled, including thickened apple juice, thickened orange juice, tomato juice, and lemon-flavored thickened water. An opened container of unsweetened black tea also had a use-by date of 8/21/25. In the walk-in refrigerator, an opened sweet baby barbecue container was observed without a date. The same conditions were observed again on a later kitchen tour, with the opened beverages in the nourishment refrigerator still not dated or labeled and the opened sweet baby barbecue container in the walk-in refrigerator still undated. During lunch service in the main dining room, staff were serving residents drinks from a container of ice holding a gallon of milk, tomato juice, and apple juice, and the beverage containers were opened but undated. A dietary aide stated opened beverages should be dated and labeled but did not know why, and the dietary manager stated opened juice cartons should be dated and labeled so staff know how long they have been open to avoid distributing contaminated beverages to residents.
Oxygen therapy not provided according to physician orders
Penalty
Summary
The facility failed to provide respiratory care consistent with physician orders and the resident care plans for four residents receiving oxygen therapy. Surveyors observed that oxygen flow rates were not aligned with the ordered settings for Residents #4, #7, #22, and #2, and one resident did not have an oxygen-related care plan despite having an oxygen order. The report states that oxygen is considered a medication and that the facility policy required verification of physician orders, correct equipment setup, monitoring, documentation, and resident education regarding oxygen administration. Resident #4 had diagnoses including interstitial pulmonary disease and was documented as receiving oxygen therapy. Her physician order was for oxygen via nasal cannula at 1 LPM at bedtime, but survey observations on multiple days showed her nasal cannula connected to a concentrator set at 2 LPM during the day. The resident stated she used oxygen at all times during the day and night and did not know how many liters she was receiving. Staff interviews showed a CNA had not verified the order at the start of the shift, and an RN stated the resident had been on continuous oxygen even though the order specified bedtime use only. Resident #7 had diagnoses including CHF and COPD and was also documented as requiring oxygen therapy. Her physician order was for oxygen at 1 LPM at bedtime via nasal cannula, but surveyors observed her concentrator set at 3 LPM and later 2 LPM, with the resident stating she always used oxygen continuously. Resident #22 had diagnoses including heart disease, kidney failure, diabetes, and asthma; she was observed on a portable tank set at 4 LPM even though her order was for 2 LPM continuous oxygen, and the facility had no oxygen-related care plan for her. Resident #2 had diagnoses including sleep apnea and dementia; her order was for oxygen at 3 LPM at bedtime, but surveyors observed her wearing oxygen at 3 LPM during the day on multiple occasions. Staff interviews confirmed that the residents’ oxygen settings did not match the physician orders and that staff were aware the orders required bedtime-only oxygen for Residents #4, #7, and #2.
Delayed Hearing Aid Follow-Up
Penalty
Summary
The facility failed to ensure proper treatment and assistive devices to maintain hearing abilities for one resident. Resident #3 had diagnoses including unspecified hearing loss, dementia, and major depressive disorder, and the January 2026 MDS showed moderate cognitive impairment with a BIMS score of 12 out of 15. The resident was independent with eating, required moderate assistance with toileting and personal hygiene, maximum assistance with transfers, and used a wheelchair or walker for locomotion. The MDS also documented minimal hearing difficulty. Resident #3 stated that he developed a hearing deficit after admission to the hospital from the facility and reported the issue to the SSD after returning to the facility. He said he had been waiting for help obtaining a hearing aid for several months and had completed an audiology appointment where a hearing aid was recommended. He also said he became frustrated and angry when he could not hear and that it was difficult to hold conversations unless others spoke louder. He reported that he was not offered any accessories to help him communicate while waiting for the hearing aid. The record showed a speech and communication care plan addressing significant hearing loss in the left ear and including interventions such as speaking distinctly, rephrasing or simplifying language, repeating information, providing a quiet environment, and audiology consults as needed. The February 2026 audiology note documented mild sloping to moderate sensorineural hearing loss and recommended a hearing aid and retesting if concerns changed. However, there was no documentation that the facility obtained a physician order for the hearing aid after the audiology visit. The SSD said a PETI cash request was filed, but she did not follow up when no formal letter was received within a couple of weeks and acknowledged she should have done so. The DON confirmed the resident had a hearing impairment, had been seen by an audiologist, did not have a physician order for a hearing aid, and had not been provided accessories while waiting for the hearing aid.
Infection Control Lapses in Hand Hygiene and Room Cleaning
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because staff did not maintain appropriate hand hygiene and environmental cleaning practices during resident care and room cleaning. In the dining room on 4/13/26, CNA #1 was observed assisting three residents with eating and did not perform hand hygiene between any of the residents. The facility’s Handwashing policy stated that all personnel are trained on the importance of handwashing, that hands should be washed after contact with the resident or the resident’s environment, and that glove use does not replace handwashing or hand hygiene. During interview, CNA #1 stated she should have washed her hands in between helping each resident and before assisting another resident. Housekeeping practices were also deficient. On 4/15/26, the housekeeping director was observed cleaning a resident’s bathroom, removed her gloves, and then began cleaning the resident’s room without performing hand hygiene. After making the bed, gathering trash, and sweeping and mopping the floor, she exited the room without performing hand hygiene. She also did not clean high-touch surfaces in the room, including the bedside table, call light, bed control, and door knobs. The Cleaning And Disinfection Of Environmental Services policy stated that non-critical surfaces will be disinfected with an EPA-registered intermediate hospital disinfectant. During interview, the housekeeping director stated that bedside tables were cleaned by CNAs, that call lights and bed controls were cleaned once a week, and that high-contact areas should be cleaned daily. The DON and NHA both stated that housekeeping staff should disinfect high-contact surfaces in residents’ rooms daily.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fowler
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crowley County Nursing Center | 15.9 mi | ★★★★★ | 0 | 0 |
| Pioneer Health Care Center | 17.3 mi | ★★★★★ | 0 | 0 |
| Bluestem Village | 25.4 mi | — | 0 | 0 |
| Pueblo Heights Nursing And Rehabilitation | 32.3 mi | ★★★★★ | 1 | 1 |
| University Park Care Center | 33.3 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.