Average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Srmc Long Term Care, Llc Dba Pole Creek Estates during CMS and state inspections, most recent first.
Staff did not change gloves between tasks or after contact with contaminated surfaces or residents during meal service, including handling cups, plates, food, and food coverings, leading to potential cross-contamination for all residents in the Memory Care Unit.
A resident was administered psychotropic medications without a clear clinical indication or was given medications that could restrain their ability to function, resulting in a deficiency related to medication management.
A resident experienced a significant decline in functional abilities, increased behavioral symptoms, and became wheelchair-bound, but the facility did not complete a Significant Change in Status Assessment (SCSA) MDS within the required 14-day period after the change was identified, as confirmed by staff interviews and record review.
A resident with severe Alzheimer's and a hand contracture did not receive appropriate care, as staff failed to follow up on therapy referrals, did not document or attempt alternative interventions after the resident refused a washcloth due to pain, and did not include contracture management in the care plan. No OT evaluation or ROM exercises were provided, and staff confirmed no further interventions or monitoring occurred.
A resident diagnosed with dementia did not receive the necessary treatment and services appropriate for their condition, as required by regulatory standards.
The facility failed to dispose of expired food products, maintain proper hand hygiene during food preparation, and ensure food temperatures were at the required levels during meal serving. Expired food items were found in the kitchen, and Cook-G did not consistently perform hand hygiene between tasks. Additionally, meal temperatures for pureed meat and ground cauliflower rice were below the required 135 degrees Fahrenheit.
The facility failed to implement proper hand hygiene practices while passing water pitchers, during medication administration, and dining services. Observations revealed that staff did not consistently perform hand hygiene as required, including a Domestic Aide, a Medication Aide, a Licensed Practical Nurse, and the Activities Director. These lapses had the potential to affect all residents in the facility.
The facility failed to develop and implement comprehensive care plans for two residents, omitting critical medical information such as a history of recurrent UTIs and continuous oxygen use. This led to deficiencies in the care provided to these residents.
The facility failed to provide ongoing care for a resident's lower extremity edema. Despite wearing TED hose, the resident's edema persisted, and there was no documentation of treatment or follow-up actions. Interviews revealed staff were aware of the condition, but the DON was not, and no medications were prescribed to treat the edema.
The facility failed to ensure residents were free from unnecessary antibiotic use. One resident with severe cognitive impairment was on Keflex for UTI prophylaxis without a stop date, despite a pharmacist's recommendation to discontinue. Another resident continued to receive Macrobid for UTI prophylaxis despite a urine culture showing resistance and a lack of follow-up on a provider's reassessment recommendation.
The facility failed to administer medications at the correct time for two residents, resulting in a medication error rate of 8%. A Medication Aide administered levothyroxine while the residents were eating breakfast, contrary to instructions requiring it to be given at least 30 minutes before food. This was confirmed through observations, interviews, and record reviews.
Improper Glove Use During Meal Service
Penalty
Summary
Staff failed to follow proper glove use practices during meal service, as observed in the Memory Care Unit. Nurse aides and a medication aide were seen donning gloves and then performing multiple tasks without changing gloves between tasks or after contact with potentially contaminated surfaces, residents, or items. Specific actions included handling residents' cups, pouring drinks, touching the rims of cups and plates, opening and closing cupboard doors, and handling a towel that had been in contact with a resident's body, all without changing gloves. Staff also touched food and food coverings, such as removing food covers and plastic wrap, and then directly handled residents' food and dessert bowls with the same gloves. Facility policy and CDC guidelines require hand hygiene before and after glove use and mandate changing gloves between tasks and after contact with contaminated surfaces or residents. Interviews with staff and the infection preventionist confirmed that gloves should have been changed to prevent cross-contamination, but this was not done during the observed meal service. These failures had the potential to affect all 15 residents in the Memory Care Unit.
Unnecessary Use of Psychotropic Medications
Penalty
Summary
The facility failed to prevent the use of unnecessary psychotropic medications or the use of medications that may restrain a resident's ability to function. This deficiency indicates that residents were either prescribed psychotropic drugs without a clear clinical indication or were given medications that could limit their functional abilities, contrary to regulatory requirements.
Failure to Complete Timely Significant Change MDS Assessment
Penalty
Summary
The facility failed to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) within 14 days after determining a significant change in a resident's condition, as required by both state licensure and federal guidelines. According to the facility's policy and the Resident Assessment Instrument (RAI) Manual, an SCSA is required when there is a major decline in a resident's status that is not expected to resolve, such as changes in functional abilities, mood, or behavior. In this case, a resident experienced a notable decline in functional abilities, requiring increased assistance with mobility and transfers, and exhibited increased anxiety and behavioral symptoms, including hitting staff. The resident, who was previously ambulatory, became wheelchair-bound and showed worsening behavioral symptoms and mild depression, as documented in progress notes and MDS assessments. Despite these significant changes, the facility did not complete the required SCSA within the mandated timeframe. Interviews with facility staff, including the Social Services Director and Infection Preventionist, confirmed that the resident's decline met the criteria for a significant change and that an SCSA should have been completed according to the RAI Manual. However, the assessment was not performed as required, resulting in noncompliance with both facility policy and regulatory standards.
Failure to Provide Contracture Management and Follow-Up for Resident
Penalty
Summary
The facility failed to provide appropriate care and services for a resident with a hand contracture. The resident, who had severe Alzheimer's dementia with agitation, was noted to have contracted and painful fingers in the left hand. Staff reported the issue and attempted to contact the primary care physician (PCP) for an occupational therapy (OT) order, but the PCP was unavailable and there was no evidence that the secondary provider was contacted or that follow-up occurred. The care plan did not include a focus area for the hand contracture, and although a rolled washcloth was attempted as an intervention, the resident refused due to pain and no alternative interventions were documented. Further review of the resident's records showed no evidence that an OT evaluation was completed, nor were other interventions or monitoring for complications such as skin breakdown attempted. Minimum Data Set (MDS) assessments indicated that no physical therapy, OT, range of motion (ROM) exercises, or splint/bracing assistance were provided in the relevant periods. Staff interviews confirmed the lack of additional interventions and the absence of a facility policy on contracture management. Observations confirmed the resident's hand remained tightly closed.
Failure to Provide Appropriate Dementia Care
Penalty
Summary
A deficiency was identified regarding the provision of appropriate treatment and services to a resident who displays or is diagnosed with dementia. The report indicates that the facility failed to ensure that a resident with dementia received the necessary care and services tailored to their diagnosis and needs. Specific details about the actions or omissions that led to this deficiency are not provided in the report.
Deficiencies in Food Safety and Hand Hygiene Practices
Penalty
Summary
The facility failed to ensure food products were disposed of prior to expiration dates, utilize proper handwashing practices to prevent potential food contamination during food preparation, and maintain food temperatures at the required levels during meal serving. During an initial observation of the kitchen's reach-in refrigerator, expired food items, including an opened container of Heavy Whipped Cream and two opened containers of Hiland's Cottage Cheese, were found. The Certified Dietary Manager confirmed the expiration and disposed of the items. Additionally, multiple observations revealed that Cook-G did not consistently perform hand hygiene between tasks, such as after touching personal body parts, refrigerator handles, or other potentially contaminated surfaces, before handling food items or cooking equipment. This was confirmed by Cook-G during an interview, acknowledging that hand hygiene should be done between each task and after contamination. Furthermore, the final meal temperatures on the steam table for pureed meat and ground cauliflower rice were found to be below the required 135 degrees Fahrenheit, with temperatures recorded at 122 degrees and 120 degrees, respectively. Cook-G confirmed that these temperatures were below the regulatory requirement and should have been maintained at least 145 degrees.
Failure to Implement Proper Hand Hygiene Practices
Penalty
Summary
The facility failed to implement proper hand hygiene practices while passing water pitchers to resident rooms, during medication administration, and during dining room services. Observations revealed that a Domestic Aide (DA) did not consistently perform hand hygiene before taking clean water pitchers into residents' rooms after handling soiled pitchers. This was confirmed during an interview with the DA, who acknowledged not routinely performing hand hygiene as required. The facility's policy on hand hygiene, dated 4/18/24, mandates hand hygiene after each resident contact and after handling contaminated objects, which was not adhered to in this case. Further observations showed that a Medication Aide (MA) and a Licensed Practical Nurse (LPN) did not wash their hands with soap and water for the required 20 seconds after completing medication passes. The MA washed hands for 15 seconds, and the LPN for 11 seconds, both of whom were aware of the 20-second requirement. This was confirmed through interviews with both staff members. The facility's hand hygiene policy, last reviewed on 4/18/2024, specifies that hand hygiene with soap should be completed for at least 20 seconds. Additionally, the Activities Director (AD) was observed touching their hair and then delivering a food plate to a resident without performing hand hygiene. The AD confirmed in an interview that hand hygiene should be completed after touching any contaminated object. The facility's infection prevention and control policy, last reviewed on 1/19/2024, emphasizes avoiding unnecessary touching of surfaces to prevent contamination and transmission of pathogens. These lapses in hand hygiene practices had the potential to affect all residents in the facility, which had a census of 43 at the time of the survey.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for two residents, leading to deficiencies in their care. For Resident 29, the facility did not include the resident's history of recurrent urinary tract infections (UTIs) or the prophylactic use of antibiotics in the care plan. Despite multiple medication orders for Macrobid, an antibiotic, to treat and prevent UTIs, the care plan dated 5/3/23 did not reflect these critical aspects of the resident's medical history and ongoing treatment. The MDS Coordinator confirmed that prophylactic drugs were not included in care plans because they were not used to treat acute conditions, which led to the omission in Resident 29's care plan. For Resident 30, the facility failed to address the resident's continuous oxygen use in the care plan. Resident 30, who had severe cognitive impairment and a diagnosis of hypoxemia, required continuous oxygen. However, the care plan did not include any focus area addressing this critical need. The Director of Nursing confirmed that the care plan should have included the resident's oxygen use, indicating a lapse in the facility's adherence to its own care planning policies.
Failure to Address Resident's Lower Extremity Edema
Penalty
Summary
The facility failed to provide ongoing care and services to address a resident's lower extremity edema. The resident, who had severe cognitive impairment and a diagnosis of non-Alzheimer's dementia, was observed multiple times with edema in both lower legs. Despite wearing TED hose, the resident's edema persisted, and there was no documentation of treatment or follow-up actions to address the condition. The resident had a significant weight gain over a short period, which was noted in the progress notes, but no further assessments or treatments were documented. Interviews with staff revealed that the resident had been wearing TED hose for about a month, but the Director of Nursing (DON) was unaware of the ongoing edema. The resident's electronic health record showed no diagnoses related to edema and no medications prescribed to treat it. The lack of awareness and follow-up by the facility staff contributed to the deficiency in providing appropriate care for the resident's condition.
Failure to Ensure Residents Were Free from Unnecessary Antibiotic Use
Penalty
Summary
The facility failed to ensure residents were free from unnecessary antibiotic use, specifically for two residents who were administered antibiotics for urinary tract infection (UTI) prophylaxis. Resident 1, who had severe cognitive impairment, was admitted on 7/1/2019 and had been taking Keflex for UTI prophylaxis since 1/29/2024 without a stop date. Despite a pharmacist's recommendation to discontinue the antibiotic and switch to a conjugated estrogen, the physician had not responded as of 5/29/2024. The Director of Nursing (DON) confirmed the use of Keflex for prophylactic purposes and acknowledged awareness of the CDC's recommendation against such use for UTIs. Resident 29, who had a history of UTIs and occasional bladder incontinence, had been prescribed Macrobid for UTI prophylaxis over several months. Despite a urine culture showing resistance to Macrobid, the resident continued to receive the antibiotic. A pharmacist had identified a medication irregularity and recommended clarifying the duration of the prophylactic use, but the provider's response to reassess the medication in 30 days was not followed up. The DON confirmed the lack of follow-up and the continued use of an ineffective antibiotic for UTI prophylaxis.
Medication Administration Timing Errors
Penalty
Summary
The facility failed to administer medications at the correct time for two residents, resulting in a medication error rate of 8%, which exceeds the acceptable threshold of 5%. Specifically, Medication Aide (MA) - E administered levothyroxine to two residents while they were eating breakfast, contrary to the administration instructions that required the medication to be given at least 30 minutes before food. This was observed during a survey, and the errors were confirmed through interviews and record reviews. The facility's Medication Administration policy was last reviewed on 2/15/2024, but it was not followed correctly in these instances.
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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 Sidney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Garden County Hospital & Nursing Home | 36.5 mi | ★★★★★ | 6 | 0 |
| Devonshire Care Center | 36.6 mi | ★★★★★ | 23 | 0 |
| Sedgwick County Memorial Nursing Home | 36.8 mi | ★★★★★ | 7 | 0 |
| Kimball County Manor | 37 mi | ★★★★★ | 1 | 0 |
| Cascades At Skyview | 37.8 mi | ★★★★★ | 12 | 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.