Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Ayers Nursing Home during CMS and state inspections, most recent first.
The facility did not submit payroll-based staffing information to CMS for the third quarter of 2024. The administrator confirmed that 69 residents were in the facility, and a review of the PBJ Staffing Data Report showed no data submission for this period. The BOM acknowledged the failure to submit the required staffing report.
The facility failed to report diagnoses of serious mental illness for two residents to the OHCA for a Level II PASRR evaluation. One resident's diagnoses of recurrent major depressive disorder and bipolar disorder were not reported, and another resident's diagnoses of major depressive disorder, anxiety disorder, and unspecified psychosis were not included in the PASRR Level I screen. Staff were unaware of the requirement to report these conditions, indicating a lapse in policy adherence.
A facility failed to adequately assess and monitor a resident requiring dialysis and did not maintain ongoing communication with the dialysis center. The resident, with chronic kidney disease and other conditions, had a care plan for shunt monitoring, but the facility lacked a system for consistent communication with the dialysis unit. Vital signs were taken, but no protocol ensured information sharing, leading to a deficiency.
The facility exceeded the acceptable medication error rate of 5% due to two instances where potassium chloride ER tablets were improperly crushed and administered to two residents without physician orders. The medication, which should not be crushed, was mixed with pudding during administration. The RN consultant confirmed the absence of orders to crush the medication.
The facility did not have an evidence-based practice (EBP) infection prevention and control program in place for two residents. The infection control policy lacked guidance on EBP, and staff were unaware of the requirements. During care, staff used PPE but were not informed about EBP protocols.
The facility failed to ensure emergency call systems in community bathrooms were accessible to residents lying on the floor. Nine out of eleven bathrooms had switches near the toilet without pull cords, confirmed by the DON. The facility lacked a policy on emergency call systems, affecting the safety of 69 residents.
Failure to Submit Staffing Data to CMS
Penalty
Summary
The facility failed to submit payroll-based staffing information to CMS for the third quarter of 2024. This deficiency was identified through record review and interview. The facility's administrator confirmed that 69 residents resided in the facility during this period. A review of the PBJ Staffing Data Report for FY Quarter 3 2024 revealed that no data had been submitted for the third quarter. On September 17, 2024, at 11:51 a.m., the Business Office Manager (BOM) stated that the staffing report for the third quarter of 2024 had not been submitted to CMS as required.
Failure to Report Serious Mental Illness for PASRR Evaluation
Penalty
Summary
The facility failed to ensure that diagnoses of serious mental illness were reported to the Oklahoma Health Care Authority (OHCA) for a Level II Pre-Admission Screening and Resident Review (PASRR) evaluation for two residents. The facility's PASRR policy requires designated staff to review diagnoses and medications upon receiving a referral and initiate a Level II PASRR if necessary. However, for one resident, the facility did not contact OHCA when the resident was diagnosed with recurrent major depressive disorder and bipolar disorder, despite these diagnoses being documented in the resident's admission record. Another resident was admitted with diagnoses of recurrent major depressive disorder, anxiety disorder, and unspecified psychosis, but these were not recorded on the Level I PASRR screen. The MDS Coordinator was unaware that major depressive disorder is considered a serious mental illness and should have been included in the PASRR screening. The BOM acknowledged that the diagnosis should have been recorded on the PASRR Level I screen, indicating a lapse in the facility's adherence to its PASRR policy.
Failure in Dialysis Care Coordination
Penalty
Summary
The facility failed to provide adequate assessment and monitoring for a resident requiring dialysis services, as well as maintain ongoing communication with the dialysis center. The resident, who was admitted with chronic kidney disease stage 5, type 2 diabetes mellitus, retention of urine, and edema, had a care plan that included monitoring the shunt in the left forearm and palpating for thrill twice a day. Despite these requirements, the facility did not have a system in place to ensure consistent communication with the dialysis center before and after treatments. Observations and interviews revealed that the resident attended dialysis treatments three times a week, and the dialysis center was responsible for assessing and weighing the resident, as well as drawing labs once a month. However, the facility's RN stated that they did not document or share information with the dialysis unit unless contacted by them. The DON confirmed that while vital signs were taken before and after dialysis, there was no established protocol for ongoing communication with the dialysis center, leading to a deficiency in the resident's care.
Medication Error Rate Exceeds 5% Due to Improper Crushing of Medications
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, as observed during a medication pass involving 31 opportunities, where two errors were identified, resulting in a 6.45% error rate. The errors were related to the administration of potassium chloride ER tablets, which were crushed without physician orders for two residents. The facility's undated document on medications that should not be chewed or crushed included potassium chloride, which is enteric-coated to prevent stomach irritation and ensure proper absorption in the intestines. Resident #23 had a physician order for potassium chloride ER tablet 20 mEq to be taken orally once a day, without an order to crush the medication. During a medication pass, the ACMA crushed the tablet and mixed it with pudding, stating the resident had thickened liquids with their meal. Similarly, Resident #62 had a physician order for the same medication, also without an order to crush. The ACMA administered the crushed tablet mixed with pudding. The RN consultant confirmed that the physician orders did not include instructions to crush the medications for these residents, and acknowledged that potassium chloride should not be crushed.
Inadequate Infection Control Program
Penalty
Summary
The facility failed to implement an evidence-based practice (EBP) infection prevention and control program for two of the three sampled residents. The facility's infection control policy lacked documentation or guidance related to EBP. During a facility tour, no signage or personal protective equipment (PPE) supplies were observed for residents requiring EBP. The consulting RN was unaware of the EBP requirement and confirmed the absence of a policy or process. During wound care for one resident, nursing staff donned PPE appropriately but were unaware of EBP requirements. Another RN providing catheter care for a different resident used gloves and a gown but admitted to not knowing about the EBP requirement.
Inaccessible Emergency Call Systems in Bathrooms
Penalty
Summary
The facility failed to ensure that emergency call systems in community bathrooms were accessible to residents lying on the floor. During an observation on September 18, 2024, it was noted that nine out of eleven community bathrooms had emergency call system switches located on the wall near the toilet, which would not be reachable by a resident on the floor. The Director of Nursing (DON) confirmed that not all community bathrooms had pull cords attached to the emergency call system switches, making them inaccessible in emergencies. The DON was unaware of why the pull cords were removed and mentioned that the maintenance supervisor was on vacation. Additionally, the facility lacked a policy regarding emergency call systems, and the administrator was unsure when the pull cords were removed. This deficiency affected the safety of 69 residents residing 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 Snyder
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| English Village Skilled Nursing And Therapy | 20.4 mi | ★★★★★ | 0 | 0 |
| Magnolia Creek Skilled Nursing And Therapy | 20.7 mi | ★★★★★ | 1 | 0 |
| Montevista Rehabilitation And Skilled Care | 27.2 mi | ★★★★★ | 0 | 0 |
| Willow Park Health Care Center | 27.3 mi | ★★★★★ | 2 | 2 |
| Hobart Nursing & Rehabilitation | 27.4 mi | ★★★★★ | 4 | 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.