Average — CMS composite of the measures below.
A standard survey is most likely before around November 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 F W Huston Medical Center during CMS and state inspections, most recent first.
Surveyors found that the emergency kit in the medication room contained expired medications, including a blood thinner, antibiotic, inhaler, and antinausea patch. A licensed nurse and administrative nurse confirmed the expired items, and it was determined that the pharmacy consultant had not replaced them as required by facility policy.
Surveyors found that dietary staff failed to properly label, date, and store opened food items in sealed containers, and did not consistently perform hand hygiene during meal service. Staff were observed handling food, utensils, and beverages for multiple residents and a visitor without washing hands or changing gloves as required by facility policy.
The facility did not maintain proper documentation of the Medical Director's attendance at QA&A committee meetings, as required by policy. Although the Medical Director reportedly participated via audio-visual conferencing, their signature was missing from the official attendance roster.
Several residents were not offered the pneumococcal PCV20 vaccine, and there was no documentation of consent, informed declination, or physician contraindication in their records. Nursing staff confirmed that the process for identifying and documenting eligible residents was not followed, and administrative staff acknowledged the lack of a system to track vaccination status or refusals.
A cabinet containing hazardous chemicals such as hair coloring kits and hair spray was found unlocked and accessible in the beauty shop area, despite facility policy requiring these materials to be securely stored. An administrative nurse confirmed the cabinet should have been locked, but it was left open and accessible to cognitively impaired, independently mobile residents.
A resident with multiple hospital transfers did not receive complete written notification of transfer or bed hold acknowledgement as required. The facility failed to include necessary appeal information in the notice and did not notify the LTCO of the transfers. Documentation was missing or incomplete for these required notifications.
A resident with hemiplegia and moderate cognitive impairment did not consistently receive scheduled showers, as documented in the EMR and confirmed by staff and the resident's representative. Despite a care plan specifying bathing preferences and a facility policy requiring regular ADL assistance, the resident missed multiple scheduled showers, particularly on weekends.
The facility did not submit complete and accurate staffing data through PBJ, with missing documentation of licensed nursing and RN hours on several days across multiple quarters. Although adequate staff were present, hours worked by salaried staff and agency personnel were not properly recorded, and shift hours crossing midnight were miscalculated, resulting in inaccurate CMS reporting and a one-star PBJ rating.
Expired Medications Found in Emergency Kit
Penalty
Summary
Surveyors observed that the facility failed to properly store and manage medications in accordance with professional standards. During an inspection of the medication room, an emergency kit was found to contain several expired medications, including Coumadin, Cefuroxime, an Albuterol sulfate inhaler, and a scopolamine patch. The expiration dates on these medications were verified by a licensed nurse. Further review and staff interviews confirmed that the pharmacy consultant, responsible for monthly inspections and replacement of expired medications in the emergency kit, had not identified or removed these expired items. The facility's own policy required that discontinued, unused, or outdated medications be returned to the pharmacy, but this was not followed.
Deficient Food Storage and Hand Hygiene Practices Observed
Penalty
Summary
Surveyors observed multiple deficiencies in food storage, labeling, and hand hygiene practices within the facility's dietary services. During a kitchen tour, opened packages of waffles, hashbrowns, pancakes, ham, Parmesan cheese, and hot dogs were found in the freezer and refrigerator without proper labeling, dating, or storage in sealed containers or bags. These practices were not in accordance with the facility's policy, which requires all foods to be labeled and dated upon receipt and stored in a manner that ensures safety and prevents contamination. Additionally, during meal tray pass observations, a dietary staff member was seen repeatedly failing to perform hand hygiene after removing gloves and between resident interactions. The staff member handled food, utensils, and beverages for multiple residents and a visitor without washing hands or changing gloves as required. Other dietary staff interviews indicated awareness of proper procedures, but the observed actions did not align with these standards. The facility's policies direct staff to follow strict hand hygiene and food handling protocols, which were not adhered to during these observations.
QA&A Committee Lacked Required Medical Director Documentation
Penalty
Summary
The facility failed to maintain a Quality Assessment and Assurance (QA&A) Committee with the required membership in attendance, as evidenced by the absence of the Medical Director's signature on the committee attendance roster for meetings held over a one-year period. Although administrative staff reported that the Medical Director participated in the meetings via an audio-visual conferencing device, there was no documented evidence of their attendance on the official roster. The facility's policy requires the Medical Director, along with other key staff and representatives, to be present at these meetings. This deficiency was identified through review of the QA&A committee attendance records and staff interviews.
Failure to Offer and Document Pneumococcal Vaccination
Penalty
Summary
The facility failed to offer, obtain informed declination, or secure physician-documented contraindications for the pneumococcal PCV20 vaccination for several residents, as required by the latest CDC guidance. Record reviews for five sampled residents revealed that none had been offered or received the pneumococcal PCV20 vaccine since admission, nor was there evidence of signed consent or informed declination forms in their medical records. Interviews with nursing staff confirmed that the process for identifying eligible residents and documenting vaccination status or refusals was not consistently followed, resulting in missed opportunities for immunization. Further review of the facility's policy indicated that all residents should be given the opportunity to receive flu and pneumonia vaccines, with documentation of consent or denial required. However, both the clinical records and staff interviews verified that there was no system in place to identify eligible residents for pneumococcal vaccination, and denial forms were absent from the records. This deficiency was observed in a sample of residents and acknowledged by both nursing and administrative staff during the survey.
Unsecured Hazardous Chemicals in Beauty Shop Area
Penalty
Summary
Surveyors observed that a cabinet in the beauty shop area, which contained three hair coloring kits, three cans of hair spray, and one box of hair curling permanent kit, was found unlocked and accessible through an open door. The cabinet was supposed to have a magnetic lock and remain secured at all times, as confirmed by an administrative nurse. Facility policy required hazardous materials to be stored in a locked and secure manner to prevent injury to patients, visitors, and staff. The failure to keep the cabinet locked resulted in hazardous chemicals being accessible to cognitively impaired, independently mobile residents.
Failure to Provide Complete Transfer Notification and Bed Hold Information
Penalty
Summary
The facility failed to provide required written notifications of transfer and bed hold acknowledgements for a resident who experienced multiple hospital transfers. Specifically, the facility was unable to produce documentation of written notification of transfer and bed hold acknowledgement for one of the resident's hospital transfers, and the notification provided for another transfer was incomplete. The written notice did not include information on how to file an appeal, who could assist with the appeal, or the correct agency and contact information for filing an appeal. Additionally, the facility did not provide documentation that the State Long Term Care Ombudsman (LTCO) was notified of the resident's transfers as required. The resident involved had a history of hypertension, hyperlipidemia, a cardiac pacemaker, and atherosclerotic heart disease, with documented intact cognition and a need for assistance with self-care and mobility. The facility's own policy required that written information about the state's bed hold duration and payment amount be provided before transfer, and that the bed hold policy be given to the resident, their representative, and the LTCO on the first business day following an emergency transfer. However, the facility did not consistently follow these procedures, as evidenced by missing or incomplete documentation and lack of LTCO notification.
Failure to Provide Consistent Bathing Assistance
Penalty
Summary
The facility failed to provide consistent bathing assistance to a resident with hemiplegia and hemiparesis following a stroke, who required partial to moderate assistance with activities of daily living, including bathing. Documentation showed that out of 44 scheduled bathing days, the resident received a shower on only 25 days, did not receive one on 18 days, and refused on one day. The resident's care plan indicated a preference for showers three times a week after getting up, but this was not consistently followed. The resident and their representative both reported issues with missed showers, particularly on weekends. Staff interviews confirmed that CNAs were responsible for bathing and that missed showers were documented as "none provided" in the Point of Care system. The system was set to alert nursing staff if a resident did not receive bathing for five days. Despite these procedures, the resident did not consistently receive scheduled showers, as confirmed by both documentation and staff statements. The facility's policy required assistance with ADLs, including bathing, every shift as appropriate, but this was not adhered to in the resident's case.
Failure to Accurately Report Staffing Data in PBJ Submissions
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information through the Payroll-Based Journal (PBJ) system as required by CMS. Specifically, PBJ reports for multiple fiscal quarters indicated missing licensed nursing coverage for several days, including a lack of Registered Nurse (RN) hours and incomplete documentation of licensed nursing staff coverage. Upon review, it was found that the facility did have adequate licensed nursing staff and RN coverage on the days in question, but these hours were not properly recorded or reported. The deficiency was attributed to several factors, including the failure of salaried staff such as the Director of Nursing (DON) and Assistant Director of Nursing (ADON) to document their worked hours, incorrect calculation of hours for staff working shifts that crossed midnight, and inconsistent accounting for hours worked by agency staff from three different agencies. The facility's own PBJ policy requires accurate and timely submission of staffing and census data, including hours worked and paid for each staff member. However, the audit and interviews revealed that the facility's reporting practices did not align with these requirements, resulting in incomplete and inaccurate data being submitted to CMS. This led to the facility being assigned a one-star rating in the PBJ report and placed residents at risk for unidentified and ongoing inadequate nurse staffing, as the reported data did not reflect the actual staffing levels present in the facility.
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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 Winchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nortonville Health Care Center | 6.8 mi | ★★★★★ | 49 | 4 |
| Heritage Gardens Health And Rehabilitation Center | 8 mi | ★★★★★ | 0 | 0 |
| Easton Health Care Center | 8.1 mi | ★★★★★ | 14 | 0 |
| Valley Health Care Center | 10 mi | ★★★★★ | 0 | 0 |
| Dooley Center | 17.5 mi | ★★★★★ | 9 | 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.