Average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Attica Long Term Care Facility during CMS and state inspections, most recent first.
A cognitively impaired resident with dementia and a known history of aggression attacked her roommate in a common area, choking her and pulling her hair while staff intervened. The roommate had redness around her neck, and the aggressive resident had a small facial cut. The resident’s care plan did not address resident-to-resident abuse, and the record also lacked information about a prior abuse incident involving the same resident.
A resident with dementia experienced significant unintended weight loss after staff failed to provide adequate nutritional care, did not consistently implement or document nutritional supplements, and did not follow the Registered Dietician's recommendations or notify the physician as required. The resident's meal intake was low, and staff interviews revealed gaps in communication and documentation regarding nutritional interventions.
Staff failed to follow infection control protocols, including proper hand hygiene when delivering clean laundry and during resident care, and did not maintain a sanitary environment in the laundry area. Observations included staff not sanitizing hands before or after entering rooms, using dirty gloves to handle clean briefs, and improper storage of clean and dirty linens, with no facility policy provided for laundry processing.
Several residents with mental health diagnoses were prescribed psychotropic medications, including antianxiety, antidepressant, and antipsychotic agents, without documented informed consent or education about the medications' benefits, risks, and alternatives. Facility staff confirmed that consent was not obtained, citing a misunderstanding of policy requirements.
A resident with dementia and severely impaired cognition experienced significant weight loss over several months, with documented weights declining from 135 to 120 pounds. Despite care plan interventions and facility policy requiring physician notification for significant weight loss, there was no evidence that the physician was informed in a timely manner. The RD noted poor meal intake and recommended an appetite stimulant, but staff interviews revealed confusion about the notification process, and the physician was not notified until much later.
A resident with dementia and physical weakness, who was fully dependent on staff for ADLs, was observed over two days with long, jagged, and dirty fingernails. Staff confirmed the resident relied on them for nail care, which was only performed on shower days, and the facility could not provide a nail care policy.
A resident with dementia and moderately impaired cognition, who was able to ambulate independently, did not receive an ongoing, individualized activity program based on his preferences for reading, music, and religious practices. Documentation showed only two activity events in a month, and staff were unclear about his interests, resulting in a lack of engagement and failure to meet his assessed needs.
Multiple residents with cognitive impairment and mobility needs were not consistently provided with safe wheelchair transport, as staff failed to ensure the use of foot pedals during assisted mobility. One resident with a history of falls did not receive individualized fall prevention interventions after a fall, and another was observed being pushed in a wheelchair without foot pedals. Staff interviews confirmed inconsistent practices and the absence of a facility policy regarding wheelchair positioning and foot pedal use.
The facility did not ensure the laundry folding counter and linen storage closet were maintained in good repair, as evidenced by a patched hole in the counter and broken ceiling tiles with exposed gaps. Staff interviews confirmed that maintenance requests and routine inspections were not effectively carried out, leading to an unsanitary environment.
Resident-to-Resident Abuse Not Prevented
Penalty
Summary
The facility failed to ensure residents remained free from resident-to-resident abuse when a cognitively impaired resident with a known history of aggression toward staff and other residents attacked her roommate in a common area. The resident, who had diagnoses including unspecified dementia and Alzheimer’s disease, had a BIMS score of 4 and assessments documenting hallucinations, wandering into other residents’ rooms, and physical and verbal behaviors directed toward others. Her care plan addressed wandering, irritability, and redirection, but it did not address interventions related to resident-to-resident abuse or aggression. During the incident, the resident approached her roommate, placed her hands around the roommate’s neck, and began choking her while also pulling her hair. Staff heard the altercation and intervened, but the resident continued to resist and attempted to bite staff while being separated. The roommate was assessed and had redness around her neck, while the aggressive resident had a small cut to her face. Video reviewed by the facility showed the resident leaving her shared room, walking directly to the roommate, grabbing the left side of her head and hair with both hands, and then encircling her throat. The resident had a prior resident-to-resident abuse incident documented in the facility’s investigation from an earlier admission period, but her EHR lacked information related to that event. The record also showed she was later placed in a semi-private room with the same roommate before the choking incident occurred. Staff interviews reflected that they understood the general response to resident aggression as separating and redirecting residents and notifying the nurse, but they could not identify documentation showing one-on-one observation was consistently recorded in the EHR. The report states the facility’s failure to ensure residents remained free from abuse placed the roommate in Immediate Jeopardy.
Failure to Provide Adequate Nutrition and Follow RD Recommendations
Penalty
Summary
A resident with dementia and severely impaired cognition experienced significant unintended weight loss of 11.48% over three months due to the facility's failure to provide adequate nutritional care and follow the Registered Dietician's (RD) recommendations. The resident was admitted with a weight of 135 pounds and was on a liberalized geriatric diet, with care plans indicating she made her own food choices and required staff to offer snacks and fluids throughout the day. Despite these interventions being documented, the resident's electronic medical record (EMR) showed a steady decline in weight, with no evidence of additional nutritional orders or consistent documentation of supplement intake. The RD noted limited meal intake, with most meals consumed at less than 26% and staff reporting the resident often preferred to sleep and declined food, stating she was not hungry. The RD recommended a trial of an appetite stimulant and nutritional shakes, but the clinical record lacked evidence that these recommendations were implemented or that the physician was notified of the significant weight loss. Staff interviews confirmed that while attempts were made to offer protein shakes, these were not documented, and there was uncertainty about whether RD recommendations were communicated to the provider or followed up with appropriate orders. Facility policy required staff to notify the physician of significant weight loss and document decisions for supplements, but the record showed these steps were not consistently taken. The resident's weight continued to decline, and staff and consultants acknowledged gaps in communication and documentation regarding nutritional interventions and physician notification. The failure to implement and document appropriate nutritional interventions and to follow RD recommendations contributed directly to the resident's ongoing weight loss.
Infection Control Deficiencies in Hand Hygiene and Laundry Services
Penalty
Summary
Facility staff failed to implement adequate infection control practices, specifically regarding hand hygiene and laundry services. Observations revealed that dietary staff delivering clean laundry to resident rooms did not sanitize their hands before or after each delivery. Additionally, a CNA was observed wiping a resident's buttock with gloved hands and, without changing gloves or performing hand hygiene, proceeded to place a clean brief on the resident. Multiple staff interviews confirmed that hand hygiene was expected before and after entering resident rooms and when handling laundry, but these practices were not consistently followed. The facility's own hand hygiene policy, which aligns with CDC guidelines, was not adhered to during these observed events. Further observations in the laundry area showed improper separation of clean and dirty items, with a dirty linen cart placed against the clean linen folding counter and non-linen items stored on the clean linen processing area. The environment was also found to be unsanitary, with a dusty bar of soap hanging from the ceiling and dirty air conditioning vents blowing towards the clean linen counter. Staff interviews indicated that each department was responsible for cleaning its own area, but there was no facility policy provided regarding laundry processing or maintaining the cleanliness of the laundry area.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were fully informed and provided informed consent regarding the use of psychotropic medications, as required by facility policy. Multiple residents with diagnoses such as PTSD, anxiety, depression, panic disorder, bipolar disorder, and dementia were prescribed various psychotropic medications, including antianxiety agents, antidepressants, and antipsychotics. Despite these prescriptions, the electronic medical records (EMRs) and electronic health records (EHRs) for these residents lacked documentation that informed consent was obtained or that education was provided about the medications' benefits, risks, and alternatives. For example, one resident with PTSD, anxiety, and depression was prescribed lorazepam, mirtazapine, and sertraline, but there was no evidence in the EMR of informed consent for these medications. Another resident with panic disorder, major depressive disorder, and bipolar disorder was prescribed buspirone, desvenlafaxine, lorazepam, and olanzapine, again without documentation of informed consent. Additional residents with depression, adjustment disorder, insomnia, and dementia were also prescribed psychotropic medications such as bupropion, citalopram, and duloxetine, with no evidence that they or their representatives were informed about the medications or provided consent. Interviews with facility staff confirmed that informed consent for psychotropic medications had not been completed for these residents. The administrative nurse indicated a misunderstanding of the facility's policy, believing that consent was only necessary for new medications started at the facility, not for those continued upon admission. The facility's policy, however, clearly required informing residents, families, or representatives of the benefits, risks, and alternatives for each psychotropic medication prior to adding, discontinuing, or changing any such medication.
Failure to Notify Physician of Significant Weight Loss
Penalty
Summary
The facility failed to notify the physician of significant weight changes in a resident with dementia and severely impaired cognition. The resident was admitted with a weight of 135-136 pounds and was noted to have no known weight loss at admission. Over the course of several months, the resident experienced a significant weight loss, dropping to 120 pounds as documented in the quarterly Minimum Data Set. The care plan indicated that the resident made her own food choices, was on a liberalized geriatric diet, and required staff to cue her for meals and encourage fluid and snack intake. Weights were to be recorded weekly, and the facility policy required the nursing director to notify the physician of significant weight loss. Despite these interventions and policies, the electronic medical record showed a progressive decline in the resident's weight, with no evidence that the physician was notified after weights of 127.5 pounds and 119.5 pounds were recorded. The registered dietician documented limited meal intake, with most meals consumed at less than 26% and only 14 meals charted over two weeks. Staff reported the resident often preferred to stay in her room, slept late, and declined meal and snack offers, stating she was not hungry. The dietician recommended considering an appetite stimulant due to the ongoing weight loss and poor intake, but there was no documentation that these recommendations or the significant weight loss were communicated to the physician in a timely manner. Interviews with staff revealed a lack of clarity regarding the process for notifying the physician about weight loss and following up on the dietician's recommendations. The administrative nurse stated that the dietician provided a weekly list of residents with weight loss and that nurses were responsible for discussing recommendations with the physician. However, the consultant physician confirmed she was not notified of the resident's weight loss until much later, at which point she ordered nutritional supplements. The facility's failure to promptly notify the physician of the resident's significant weight loss constituted the identified deficiency.
Failure to Provide Nail Care for Dependent Resident
Penalty
Summary
A resident with diagnoses of dementia and weakness, who was assessed as having moderately impaired cognition and being dependent on staff for all activities of daily living (ADLs), did not receive appropriate nail care. The resident's care plan and assessments indicated a need for staff assistance with personal hygiene, including nail care. Despite these documented needs, observations over two consecutive days showed that the resident's fingernails were long, jagged, and dirty. Interviews with certified nurse aides confirmed that the resident was dependent on staff for all ADLs, including fingernail care, and that nail care was typically performed on shower days. An administrative nurse stated that staff were expected to ensure the resident's fingernails were smooth and clean. The facility was unable to provide a policy for nail care.
Failure to Provide Resident-Centered Activity Program
Penalty
Summary
The facility failed to implement an ongoing, resident-centered activity program for a resident diagnosed with dementia and moderately impaired cognition. The resident's medical record and assessments indicated that it was important for him to have access to reading materials, listen to music, participate in religious practices, keep up with the news, and engage in favorite activities. Despite being able to ambulate independently and having no impairment in range of motion, documentation showed only two activity events over a one-month period, with no further evidence of participation in activities. Observations on multiple occasions revealed the resident sitting in a common area with the television on, but not engaging with it or any other activities. Interviews with staff indicated uncertainty about the resident's activity preferences, with some staff only aware that he enjoyed talking or one-to-one activities. The facility's policy required activities to be based on comprehensive assessment and care plans tailored to resident preferences, with documentation of participation. However, the lack of documented activities and staff awareness demonstrated a failure to provide a resident-centered activity program as required.
Failure to Prevent Accident Hazards and Ensure Safe Wheelchair Use
Penalty
Summary
The facility failed to ensure that areas were free from accident hazards and did not provide adequate supervision to prevent accidents for multiple residents. One resident with dementia and weakness, who was dependent on staff for wheelchair mobility and had moderately impaired cognition, was observed being transported in a wheelchair with her feet not consistently on the foot pedals. Staff confirmed that her feet did not always stay on the pedals during transport, and the facility did not have a policy regarding wheelchair positioning or foot pedal use. Another resident with a history of falls, memory impairment, and confusion, who was on hospice services, experienced a fall while attempting to retrieve an item from her bedside table. The care plan for this resident included reminders to use the call light and wait for staff assistance, but lacked further interventions after the fall. Staff interviews indicated that the intervention of re-educating the resident to use the call light was not appropriate given her cognitive status, and that she often got up without waiting for help despite the call light being within reach. A third resident with severe cognitive impairment and peripheral vascular disease was observed being pushed in a wheelchair without foot pedals. Staff acknowledged that foot pedals should be used when assisting residents in wheelchairs, but in this case, the pedals were not available. The facility did not provide a policy for wheelchair positioning, including the use of foot pedals, and staff interviews confirmed inconsistent practices regarding their use.
Failure to Maintain Safe and Sanitary Laundry and Linen Storage Areas
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in the laundry and linen storage areas. Observations revealed that the clean clothes folding counter in the laundry area had a large patched hole, measuring three feet long and six inches wide, covered with plain plywood, and several chipped areas. Additionally, the clean linen storage closet had multiple ceiling tiles with broken areas, creating large gaps, and one tile had a large hole inadequately covered with plastic, leaving gaps exposed. Interviews with housekeeping, maintenance, and administrative staff confirmed that there was a repair request system in place and that maintenance items related to residents were prioritized. However, staff acknowledged that a work order should have been submitted to repair or replace the broken counter and that ceiling tiles should be clean and intact. Facility policies required routine inspections and maintenance of fixtures and equipment, including weekly checks of the laundry area, but these procedures were not effectively implemented, resulting in the observed deficiencies.
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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 Attica
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Anthony Community Care Center | 13.2 mi | ★★★★★ | 0 | 0 |
| Kiowa Hospital District Manor | 20.8 mi | ★★★★★ | 9 | 1 |
| The Wheatlands Health Care Center | 28.9 mi | ★★★★★ | 0 | 0 |
| Hilltop Manor Nursing Center | 29.7 mi | ★★★★★ | 22 | 1 |
| Community Health Center | 30.1 mi | ★★★★★ | 6 | 0 |
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