Above average — CMS composite of the measures below.
The next survey window likely opens 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 Retirement Ranches Inc. during CMS and state inspections, most recent first.
A resident with multiple chronic conditions and documented preference for showers was placed on transmission-based precautions for COVID-19. After receiving one shower, the resident repeatedly requested additional showers but was told that showers were limited to a specific shower day and that bed baths would be provided during isolation. Over several days, the resident complained of feeling dirty and not being allowed to shower, receiving only partial and complete bed baths until a later date when a shower was finally provided. The DON acknowledged that facility policy is to allow showers upon request even during isolation, and the CNA supervisor stated that if a shower was requested, it should have been provided.
The facility did not obtain, document, or communicate residents' wishes regarding code status, medical interventions, or artificial hydration/nutrition. Several residents with complex medical conditions had blank advanced directive sections in their records, and staff confirmed that such information was only collected at admission and not regularly reviewed or updated.
Surveyors found several open bags of frozen food in the facility's walk-in freezer that were not labeled or dated. A dietary aide confirmed the lack of labeling and dating, acknowledging that this did not meet expectations. This issue was identified as likely to affect 83 residents.
A resident with multiple mental health diagnoses was prescribed several psychotropic medications without documented consent forms in the medical record. The DON confirmed that staff did not obtain the required consent prior to starting these medications, resulting in the resident and/or their representative not being fully informed about the medications, their risks, or benefits.
Certified Medical Assistants administered medications to three residents in a commons area in the presence of other residents, staff, and family members, without offering the option for private administration. The DON confirmed that this area is not private and that medications should be given privately.
Staff provided direct care to multiple residents requiring enhanced barrier precautions (EBP) without using the necessary personal protective equipment (PPE), despite clear signage and facility expectations. PPE carts were not located near resident rooms, and CNAs confirmed in interviews that they did not use PPE while assisting with personal care or vital signs.
A resident with multiple chronic conditions received new physician orders for wound care and foley catheter care, but the care plan was not updated to include these interventions. The DON confirmed the omission during an interview, and the deficiency was identified through record review and staff interview.
A CNA transferred a resident using a mechanical lift without the required assistance from a second staff member, contrary to the resident's care plan. The CNA performed the transfer alone, and this was confirmed through observation, interview, and care plan review, which specified that two staff are needed for such transfers.
The facility did not provide residents with access to their mail on weekends, as confirmed by resident interviews and the Social Services Director, who stated that mail received on Saturdays is not distributed until Monday due to her absence.
A treatment cart near the nurse's station in the 200 hall was observed to be unlocked and unattended, with no staff present in the area. An RN confirmed that the cart should have been locked and secured while not in use, potentially allowing unauthorized access to medical supplies and personal health information for all 34 individuals in that section.
The facility failed to provide and follow menus for all physician-prescribed diets, affecting 80 residents. The Director of Dietary admitted to lacking menus with portion sizes and therapeutic diet plans. Observations showed discrepancies between planned and served meals, with staff making unapproved substitutions. Interviews with staff and residents confirmed inconsistencies in menu adherence, and the Registered Dietitian noted the absence of necessary menu documentation.
A facility failed to secure medication and treatment carts, leaving them unlocked and unattended, contrary to policy. A nurse repeatedly left a medication cart unlocked while attending to residents, with the cart out of view. Observations showed that the carts contained medications and were accessible to staff and potentially residents. Interviews confirmed the expectation that carts should be locked when not in direct view, highlighting a risk of unauthorized access.
Failure to Honor Resident Bathing Preferences During Isolation
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident’s right to choice regarding bathing preferences while on transmission-based precautions for COVID-19. The resident was admitted with multiple diagnoses including type 2 diabetes, a personal history of COVID-19, hypertension, peripheral vascular disease, and chronic pressure ulcers of both heels. The resident’s baseline care plan documented a preference for showers rather than bed baths. The electronic health record showed the resident tested positive for COVID-19 and was placed on isolation precautions. Progress notes indicated the resident received a shower on 01/14/26, then later complained on 01/16/26 about not being able to shower due to being in isolation. The resident again requested a shower on 01/17/26 and was told by staff that the shower day was on Tuesdays. Further record review showed that on 01/19/26 the resident was upset about not being able to shower, stating they felt dirty and needed a shower. On that date, the resident received a partial bed bath in the early morning and a complete bed bath in the afternoon, and did not receive a shower until 01/20/26. The DON stated that residents are informed at the time isolation is initiated that bed baths will be given instead of showers, but also stated that it is policy to allow residents to shower when they ask, even while in isolation, and confirmed that going five days without a shower when a resident is requesting one does not meet her expectations. The CNA supervisor reported not recalling being notified that the resident was upset about not being allowed to shower while in isolation and stated that if the resident requested a shower, the resident should have been showered.
Failure to Document and Communicate Residents' Advance Directives
Penalty
Summary
The facility failed to ensure that all residents' wishes regarding emergency and lifesaving care, including code status, medical interventions, and artificial hydration/nutrition, were obtained, documented, and communicated to staff. Record reviews for multiple residents revealed that the Advanced Directives sections of their Face Sheets were left blank, and their electronic health records did not contain documentation of their preferences for medical interventions or artificial hydration/nutrition. These residents had significant medical histories, including chronic kidney disease, acute kidney failure, hypertensive heart disease, aphasia, hemiplegia, hemiparesis, Alzheimer's disease, unspecified convulsions, acute respiratory failure, and myocardial infarction. During an interview, the Admissions Director confirmed that the facility did not have records of residents' wishes regarding full code status, medical interventions, or artificial hydration/nutrition for those without an advance directive. The Admissions Director stated that residents are only asked about advanced directives during admission and that there is no regular review or additional documentation for residents who do not already have an advance directive. The only documentation completed is an emergency medical services DNR form for residents with a DNR status, which does not include information about other medical interventions or artificial hydration/nutrition.
Unlabeled and Undated Food Items Found in Freezer
Penalty
Summary
Surveyors observed that the facility failed to store and serve food under sanitary conditions by not ensuring that food items in the walk-in freezer were properly labeled and dated. Specifically, during an inspection, one open bag each of frozen broccoli, frozen pizza, and frozen bacon were found in the freezer without any labels or dates. During an interview, a dietary aide confirmed that these items were not labeled or dated and acknowledged that this did not meet her expectations, stating that all items in the fridge and freezer should be labeled and dated. This deficiency was identified as likely to affect 83 residents listed on the facility's census at the time of the survey.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that a resident and/or their representative were informed in advance about the medications being administered, including the reasons, risks, and benefits associated with those medications. Record review showed that the resident had multiple diagnoses, including major depressive disorder, adjustment disorder with mixed anxiety and depressed mood, generalized anxiety disorder, and unspecified mild dementia with mood disturbance. The resident was prescribed several medications, including buspirone, hydroxyzine, Tylenol PM Extra Strength, and venlafaxine, for these conditions. Despite these prescriptions, the medical record did not contain any consent forms for the use of these psychotropic medications. During an interview, the DON confirmed that staff did not obtain the required psychotropic medication consent forms prior to starting these medications, as expected by facility policy. This lack of documented consent meant the resident and/or their representative were not fully informed about the medications being administered.
Failure to Ensure Privacy During Medication Administration
Penalty
Summary
Staff failed to provide personal privacy for three out of four residents reviewed for privacy during medication administration. Certified Medical Assistants administered medications to these residents in the commons area, which was occupied by other residents, staff, and family members, without offering the residents the option to receive their medications in a private setting. Specifically, medications were given in a public area near the residents' rooms during meal times and other activities, with staff verbally identifying the medications in front of others. The Director of Nursing confirmed that the commons area is not considered private and that medications should be administered privately.
Failure to Implement Enhanced Barrier Precautions During Resident Care
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) for residents requiring this infection control intervention. Personal protective equipment (PPE) carts were observed to be located fifteen to twenty feet away from resident rooms where EBP was required, making immediate access to PPE difficult. Multiple staff members, including certified nurse aides (CNAs), were observed providing direct care to residents with posted EBP requirements without donning the necessary PPE such as gowns, gloves, or masks. In each instance, signage indicating the need for EBP was present at the entrance to the resident's room, but staff entered and provided care without the required protective equipment. Interviews with the involved CNAs confirmed that they assisted residents with personal care or vital signs without utilizing the required PPE, despite being aware of the EBP signage and requirements. The Director of Nursing (DON) also confirmed that staff are expected to use PPE when providing care to residents on EBP. These observations and interviews demonstrate a failure to follow established infection prevention and control protocols for residents identified as needing enhanced barrier precautions.
Care Plan Not Updated for New Wound and Catheter Care Orders
Penalty
Summary
The facility failed to update a resident's care plan to reflect new diagnoses and treatment interventions. Specifically, a resident admitted with multiple complex conditions, including Type II Diabetes Mellitus, chronic heart failure, hypertensive heart disease, a traumatic amputation, and benign prostatic hyperplasia, received new physician orders for wound care and foley catheter care. However, a review of the resident's care plan showed that it had not been revised to include these new interventions. During an interview, the DON confirmed that the care plan was not updated to address the wound care and catheter care needs, acknowledging that this did not meet expectations. The lack of updates to the care plan was identified through record review and staff interview, and no information about the new wound or catheter care interventions was present in the care plan at the time of review.
Failure to Provide Required Two-Person Assistance During Mechanical Lift Transfer
Penalty
Summary
A Certified Nursing Assistant (CNA) transferred a resident using a mechanical lift without the required two-person assistance, as specified in the resident's care plan. During a random observation, the CNA was seen entering the resident's room alone with a mechanical lift and remained inside for approximately 15 minutes before exiting. The CNA later confirmed in an interview that she performed the transfer by herself, believing that the lift could be operated by one person. Review of the resident's care plan indicated that transfers with the maxi lift require assistance from two staff members. The Certified Nursing Assistant Coordinator also confirmed that the care plan mandates two-person assistance for transfers for this resident.
Failure to Deliver Resident Mail on Weekends
Penalty
Summary
The facility failed to ensure that all 83 residents had reasonable access to and privacy in their use of communication methods, specifically regarding the timely delivery of mail on Saturdays. During a Resident's Council Meeting, residents reported that mail was not delivered on Saturdays, and one resident stated he had never received mail on a Saturday, even when expecting a package. The Social Services Director confirmed that mail is not delivered to residents over the weekend because she does not work on Saturdays, resulting in any mail received during that time being held until Monday.
Unattended Unlocked Treatment Cart
Penalty
Summary
A treatment cart located near the nurse's station in the 200 hall was found unlocked and unattended during a random observation. At the time of the observation, no facility employees were present in the area. This situation was confirmed by a registered nurse, who acknowledged that the treatment cart should have been locked and secured while not in use. The unlocked cart had the potential to allow unauthorized access to medical supplies and personal health information for all 34 people residing in the affected side of the facility.
Failure to Follow and Provide Menus for Prescribed Diets
Penalty
Summary
The facility failed to ensure that menus were in place for all physician-prescribed diets and did not follow the menu for all 80 residents. The facility's policy required menus for regular and therapeutic diets to be written and posted in advance, reviewed by a dietitian, and include portion sizes. However, the Director of Dietary (DOD) admitted that the only menu available lacked portion sizes and did not cater to therapeutic or texture-modified diets. During meal observations, it was noted that the menu items served did not match the planned menu, and substitutions were made without proper documentation or approval. The DOD and the cook made decisions on portion sizes and substitutions without consulting the dietitian or having a structured plan. Interviews with staff and residents revealed inconsistencies in menu adherence and a lack of available alternatives when menu items were missing. The Registered Dietitian (RD) confirmed that there should have been a binder with detailed menus and portion sizes for different diets, which was not available. The Director of Nursing (DON) acknowledged that the menu should have been followed and that missing items could have been procured. Resident interviews and council meeting minutes further highlighted the issue of menus not being consistently followed, with residents often receiving repetitive meals. The facility had a variety of diet orders, but there was no planned menu to accommodate these specific dietary needs.
Medication and Treatment Carts Left Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that medication and treatment carts were securely locked when unattended, as observed during a survey. Specifically, one out of six medication carts and one out of two treatment carts were found unlocked and unattended on multiple occasions. The facility's policy requires that medication carts be locked when not in use or out of the nurse's view to prevent unauthorized access. However, observations revealed that a Registered Nurse (RN1) repeatedly left the medication cart unlocked while attending to residents in their rooms, with the cart out of her view. During the survey, it was noted that RN1 left the medication cart unlocked on several occasions while she was inside residents' rooms with the doors closed, making the cart not visible to her. This occurred on different halls within the facility, including the 100, 200, and 300 halls. The surveyor was able to open the drawers of the unattended carts, confirming the presence of medications inside. Additionally, other staff members, including Certified Nursing Assistants (CNAs), were observed walking by the unlocked carts, further highlighting the risk of unauthorized access. Interviews with RN1 and the Director of Nursing (DON) confirmed the expectation that medication carts should be locked when not in direct view of the nurse. RN1 acknowledged that she should have locked the cart when it was out of her view, especially when moving between different pods within the facility. The DON emphasized the importance of securing the carts to prevent residents, particularly those with dementia, from accessing medications or creams that could be harmful if ingested.
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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 Clovis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Anthony Healthcare And Rehabilitation Center | 0.6 mi | ★★★★★ | 37 | 0 |
| Clovis Healthcare And Rehabilitation Center | 3 mi | ★★★★★ | 23 | 0 |
| Farwell Care And Rehabilitation Center | 11.1 mi | ★★★★★ | 21 | 0 |
| Coronado Care Center | 18.6 mi | ★★★★★ | 0 | 0 |
| Park View Nursing Care Center | 31.1 mi | ★★★★★ | 24 | 2 |
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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.