Below average — CMS composite of the measures below.
The next survey window likely opens around December 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 Beadles Nursing Home during CMS and state inspections, most recent first.
A wheelchair-bound resident, cognitively intact and dependent for positioning, was injured when their wheelchair tipped onto its side in a facility transport vehicle after the driver swerved to avoid another vehicle. The facility’s written policy required driver training in defensive driving, wheelchair securement, resident safety, and annual refreshers, as well as use of locked wheelchair brakes, a four-point tie-down system, and lap/shoulder belts with visual confirmation before movement. However, personnel files for two transporters lacked documentation of training or competency checks, and the DON acknowledged there was no formal annual competency program, with existing drivers informally training new hires. The transporter involved reported receiving training only once many years earlier and believed the securement straps were not tightened enough, leading to the accident and the resident’s rib fracture and spleen injury requiring hospitalization.
A resident with multiple identified care needs, including delirium, dementia, communication impairment, urinary incontinence with an indwelling catheter, fall risk, nutritional and dental concerns, pressure ulcer risk, and psychotropic drug use, did not have a comprehensive person-centered care plan developed within the required timeframe after admission. Observation showed the resident could not hear what was being said, with hearing aids left on the table, and record review confirmed that no care plans were created for the identified care areas. The MDS coordinator later acknowledged that completion of the comprehensive care plan for this resident had been missed.
Failure to Properly Train and Secure Wheelchair-Bound Resident During Transport Resulting in Injury
Penalty
Summary
The deficiency involves the facility’s failure to ensure a wheelchair-bound resident was protected from accidents and injuries during transportation. A quarterly assessment dated 10/27/25 showed Resident #20 had intact cognition with a BIMS score of 13, was dependent for positioning, and was wheelchair bound. The facility’s Transportation and Vehicle Use policy, dated 12/26/25, required all drivers to complete defensive driving, wheelchair and mobility device securement, resident safety and transfer training, facility transportation orientation, and annual refresher training. The policy also required that wheelchair users have wheelchair brakes locked, a four-point tie-down system secured, and lap and shoulder belts applied, with drivers visually confirming securement before moving the vehicle. However, employee files for transporter #1 and transporter #2 did not contain documentation of skills checks or training for properly transporting residents, and the DON stated there was no annual competency or training program for drivers, with current drivers informally training new hires. On 12/30/25, transporter #1 improperly secured Resident #20 in the transport vehicle, resulting in the resident’s wheelchair tipping onto its side when the driver swerved to avoid another vehicle. A state reportable incident documented that the resident sustained a fractured rib and moderate spleen damage requiring admission to a hospital trauma center. A nursing note dated 12/31/25 confirmed a rib fracture and a grade 2 spleen injury. A significant change assessment dated 01/12/26 later showed the resident’s BIMS score had declined to 12, indicating moderate impairment for daily decision making, and continued dependence for positioning and wheelchair use. During interview, the resident reported that while traveling to a doctor’s appointment, the vehicle swerved on the highway and the next thing they knew they were on the floor, after which they were hospitalized for several days and returned to the facility, still experiencing pain and discomfort requiring medication. Transporter #1 stated they had placed the resident facing the front of the van, used the four-point strap system and a seatbelt, but believed the straps were not tight enough, and reported having received training only once, 15 years earlier, with no subsequent training. The DON confirmed transporter #1 did not secure the wheelchair tightly enough and that scheduled defensive driver training for transportation staff had not yet been completed.
Removal Plan
- Stopped resident transport
- Conducted a mandatory in-service and hands-on training for all staff assigned to resident transport
- Trained staff on correct wheelchair orientation in the vehicle
- Trained staff on engaging wheelchair brakes
- Trained staff on proper four-point tie-down attachment to the wheelchair frame
- Trained staff on proper strap tightening until no movement remains
- Trained staff on application of a separate occupant lap and shoulder belt
- Trained staff on performing a final tug test and visual verification before vehicle movement
- Trained staff on the procedure to follow if securement cannot be achieved
- Required each designated transporter to complete a hands-on demonstration on the facility transport vehicle
- Administrator and Director of Nursing completed and signed a competency validation checklist for each transporter
Failure to Complete Comprehensive Care Plan After Admission Assessment
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan with measurable objectives and timeframes for a resident within the required timeframe following admission. The resident, who had documented issues including delirium, cognitive loss/dementia, communication problems, urinary incontinence with an indwelling catheter, falls, nutritional status concerns, dental care needs, pressure ulcer risk, and psychotropic drug use, was admitted on 12/12/25. Observation showed the resident was unable to hear what was being said, with hearing aids observed on their table. Record review revealed that although these care areas were identified in the admission assessment, there was no corresponding comprehensive care plan developed within seven days of completion of the admission assessment in the clinical record. During interview, the MDS coordinator acknowledged that the comprehensive care plan for this resident had been missed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 9 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Alva
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beadles New Beginnings | 1.1 mi | ★★★★★ | 0 | 0 |
| Kiowa Hospital District Manor | 17.9 mi | ★★★★★ | 9 | 1 |
| Fairview Fellowship Home For Senior Citizens, Inc | 37.6 mi | ★★★★★ | 4 | 0 |
| Attica Long Term Care Facility | 38.6 mi | ★★★★★ | 1 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Beadles Nursing Home.
100% money-back within 48 hours.
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.