Above 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 Washita Valley Living Center during CMS and state inspections, most recent first.
The facility did not ensure that the dietary supervisor had completed the required dietary manager certification, as the supervisor only held a ServeSafe certification and had not attended the necessary training. The supervisor had worked in dietary for many years and intermittently served in the supervisory role, but lacked the appropriate credentials, and the facility could not provide a dietary manager policy.
Staff failed to use required gowns during high-contact care activities for two residents on enhanced barrier precautions, including catheter care for a resident with a recent UTI and feeding tube care for a resident with severe cognitive impairment. An LPN performed these tasks using gloves only, despite facility policy requiring both gown and gloves, and later acknowledged the error. The DON confirmed that enhanced barrier precautions were not properly followed.
A resident with a cervical neck fracture and multiple comorbidities did not have a physician-ordered neurology follow-up appointment scheduled. The DON confirmed that the appointment was missed, citing staff changes and holiday timing, but acknowledged the order should have been followed.
A dietary cook was observed preparing pureed food without following proper hand hygiene after using a dirty dish rag and handling equipment, then proceeded to touch the inside of the food processor and add cake for pureeing. The dietary supervisor confirmed that hand washing should have occurred before continuing food preparation.
Failure to Ensure Dietary Supervisor Certification
Penalty
Summary
The facility failed to ensure that the individual designated as the dietary supervisor had completed the required certification for dietary management. Record review showed that the dietary supervisor only possessed a ServeSafe certification with a completion date in the future and lacked documentation of dietary manager certification. During interviews, the dietary supervisor confirmed not having completed the dietary manager certification training and was uncertain about the length of time served in the supervisory role, despite having worked in dietary for many years. The administrator confirmed the dietary supervisor's long-term employment and intermittent service in the supervisory position, and stated that the supervisor had not been sent for dietary manager training due to unreliable transportation. Additionally, the facility was unable to provide a dietary manager policy.
Failure to Use Required PPE During Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure proper use of personal protective equipment (PPE) during high-contact care activities for residents requiring enhanced barrier precautions. In one instance, a resident with an indwelling catheter and a recent urinary tract infection was observed receiving catheter care from an LPN who wore gloves but did not don a gown, despite the facility's policy requiring both gown and gloves for such care. The resident's care plan indicated catheter care was to be performed every shift, and the resident was cognitively intact. The Director of Nursing later confirmed that enhanced barrier precautions, including gown and gloves, should have been used for this resident. In another case, a resident with a feeding tube and severe cognitive impairment was observed during feeding tube site care and medication administration. The LPN performed these tasks wearing gloves but did not use a gown, contrary to the facility's enhanced barrier precautions policy, which specifies gown and glove use for care involving feeding tubes. The LPN initially stated the resident was not on enhanced barrier precautions but later acknowledged that a gown should have been worn. The Director of Nursing confirmed that the resident should have been on enhanced barrier precautions and that staff needed retraining on the policy.
Failure to Schedule Ordered Neurology Follow-Up Appointment
Penalty
Summary
The facility failed to follow a physician's order to schedule a follow-up neurology appointment for a resident who had been admitted after a hospitalization for an anterior displaced type 2 dens fracture (cervical neck fracture). The physician's order, dated 12/06/24, specified that the resident was to have a neurology follow-up in two weeks, and this was also reflected in the resident's care plan. However, a review of the clinical record revealed no documentation that the appointment was scheduled as ordered. The resident had multiple diagnoses, including chronic obstructive pulmonary disease, congestive heart failure, osteoarthritis, peripheral vascular disease, muscle wasting and atrophy, anxiety, depression, and heart disease. The Director of Nursing confirmed that the appointment was not scheduled, noting that the timing coincided with the holidays and that there was new social services staff, but acknowledged that the appointment should have been arranged according to the physician's order.
Unsanitary Pureed Food Preparation by Dietary Staff
Penalty
Summary
A deficiency was identified when a dietary cook was observed preparing pureed food in an unsanitary manner. The cook washed the food processor bowl and blade, then placed them on the work station. The cook was then seen dipping a dish rag into a pail of disinfecting solution with a bare hand, wiping the food processor and work station with the rag, and returning the dirty rag to the pail. Without performing hand hygiene, the cook touched the inside of the food processor bowl and inserted the blade attachment, then proceeded to put pieces of cake into the food processor using a spatula. The facility's policy required pureed food to be prepared in a manner that conserves nutritive value, palatable flavor, and attractive appearance, but the observed actions did not meet sanitary standards. The dietary supervisor confirmed that hand washing should have occurred after using the dish rag and before continuing food preparation.
What surveyors are citing around you — mapped
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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 30 citations issued within 25 miles in the last 12 months — 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 Pauls Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pauls Valley Care Center | 1.2 mi | ★★★★★ | 13 | 0 |
| Burford Manor | 17.5 mi | ★★★★★ | 0 | 0 |
| Callaway Nursing Home | 19.1 mi | ★★★★★ | 1 | 0 |
| Lexington Nursing Home, Inc. | 19.7 mi | ★★★★★ | 2 | 0 |
| Broadway Living Center | 20.2 mi | ★★★★★ | 0 | 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.