Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Advanced Rehabilitation And Healthcare Of Bowie during CMS and state inspections, most recent first.
The facility failed to provide resident council members with clear verbal or written responses to grievances raised in council meetings about nursing, dietary, housekeeping, laundry, and other resident care concerns. Although grievance logs reflected issues such as delayed call light response, dirty bathrooms, missing clothing, cold food, and an unmet inhaler request, 9 of 11 residents stated they had not received follow-up on their concerns and believed some problems continued. Interviews with the ADs, ADM, and SW showed the facility tracked the grievances, but staff were unsure whether the outcomes were actually relayed back to the council.
Kitchen food storage and sanitation practices were deficient. An open package of spaghetti noodles was left exposed and undated in dry storage, the milk refrigerator lacked an interior thermometer, and multiple surfaces and equipment were soiled, including floors, shelves, deep fryers, and the grill area. Cleaning schedules were posted, but one monthly schedule had no tasks initialed as completed, and staff stated cleaning was done when time allowed.
The facility failed to adhere to professional standards for food safety and sanitation, with issues such as unswept floors, unclean shelves, and improper food storage. Observations revealed undated and improperly sealed food items, and a dishwasher sanitizer level below the required standard. The Dietary Manager acknowledged these deficiencies, which were not in compliance with the facility's cleaning and sanitization policies.
A facility failed to maintain proper infection control practices during incontinence care for a resident. CNA A did not perform hand hygiene or change gloves appropriately, despite the resident's medical history and facility protocols. The DON acknowledged awareness of infection control concerns and emphasized the importance of following protocols.
Resident Council Grievances Not Properly Addressed
Penalty
Summary
The facility failed to consider the views of the resident council and to provide a verbal or written response to grievances raised in resident council meetings over multiple months. The report states that grievances were brought forward concerning nursing services, dietary services, housekeeping services, laundry, smoking area concerns, therapy access to resident belongings, and other issues affecting resident care and life in the facility. The deficiency was identified for 9 of 11 confidential residents reviewed for meeting grievances. Record review showed resident council grievances were documented from April 2025 through February 2026. The concerns included leaking faucets and toilets, dirty floors and bathrooms, delayed response to call lights, CNAs being late for smoke breaks, residents receiving clothes that did not belong to them, missing socks and missing clothes, food being cold or unappetizing, trays sitting too long, staff being rude, a roommate’s television being too loud, lack of toilet paper and paper towels, and a resident not receiving an inhaler at night. In several entries, the grievance logs reflected that resolution notification was checked as yes or that one-to-one discussion occurred, but the residents interviewed stated they had not gotten back with them about their grievances in the past. During a confidential group interview, 9 of 11 residents said they attended Resident Council meetings regularly and stated that no one had responded to their grievances. They reported that some issues continued and that they wanted to be notified about what the facility was doing to resolve them. Facility interviews showed the ADs and ADM were aware of the grievances through meeting minutes, grievance forms, and morning stand-up discussions, but they did not know whether the information was relayed back to resident council members. The ADM stated she assumed concerns were relayed to the council after she spoke with residents on the halls, and the SW stated residents may not feel heard if not told the resolutions of a grievance filed.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
Food service sanitation and storage practices were not maintained in the kitchen during the initial tour. An open package of spaghetti noodles in the dry storage room was left exposed to the air, was not placed in a resealable bag or airtight container, and was not labeled or dated when opened. The Culinary Services Director removed the package and stated it would be thrown away, and said chicken spaghetti had been served the night before and the noodles were probably opened the day before. Multiple kitchen surfaces and equipment were observed to be soiled. The floor was dirty beneath the small reach-in refrigerator used for supplement beverages, and a bread knife was stuck to the floor beneath that unit. The milk refrigerator did not have an interior thermometer, although the outside thermometer read 35.5 degrees F. There were dried food crumbs on the stainless-steel shelf beneath the counter with the bread toaster. The two deep fryer units had dark-colored oil and interior surfaces soiled with dried fried food and breadcrumbs. The floor behind the deep fryers, grill, and ovens was soiled with dark burned food, crumbs, dust, and grease, and the exterior side of the utensil cabinet used as a base for the grill had a thick grease buildup. The backsplash behind the grill was also soiled with grease buildup. The shelf under the food preparation counter was covered with shelf liner paper that was soiled with cornmeal and granulated sugar, and four bulk storage containers with flour, granulated sugar, food thickener, and cornmeal were placed on top of it. The Culinary Services Manager stated a dietary staff member had placed the liner there because she thought it would look nice, and then removed it and dumped the spilled cornmeal and sugar onto the floor. Cleaning schedules were posted, but the February 2026 monthly cleaning schedule had no tasks initialed as completed for Week 4. The Assistant Dietary Manager and Dietary Aide D stated cleaning tasks were done when time allowed, and the Culinary Services Director stated staff were expected to sweep and mop after every shift and clean and sanitize food service areas.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to maintain food storage, preparation, distribution, and service in accordance with professional standards for food service safety. During an observation of the kitchen, several issues were noted, including unswept floors with dirt and food crumbs, unclean bottom shelves, and a dishwasher sanitizer that did not meet the required level for proper sanitization. Additionally, food items were found open to air and not sealed, and some were not dated when opened. These deficiencies were observed in various areas, such as the dry storage area, refrigerators, beverage station, and main kitchen/serving area. Specific observations included an opened bottle of vanilla not dated, open cracker packets, and trash on the floor in the dry storage area. In the refrigerators, crumbs and unknown substances were found, along with undated food items. The beverage station had dried substances and crumbs, and the main kitchen had dirty prep stations and undated lemon juice. The dishwasher's chlorine sanitizer level was tested and found to be below the required level, which the Dietary Manager acknowledged could lead to sickness. The facility's policies on equipment cleaning and ware washing were not adhered to, as evidenced by the lack of routine cleaning and proper sanitization practices.
Inadequate Infection Control Practices During Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of CNA A during incontinence care for Resident #10. CNA A did not perform proper hand hygiene or change gloves appropriately while providing care. Specifically, CNA A did not wash her hands before donning gloves, used the same soiled wipes multiple times, and failed to change gloves before applying skin protector and handling a clean brief. This lapse in infection control practices was observed during care for Resident #10, who is an 82-year-old female with a history of Covid-19, cutaneous abscess of the perineum, and Alzheimer's disease, among other conditions. The Director of Nursing (DON), who is responsible for infection prevention training, acknowledged awareness of infection control concerns and stated that staff are expected to follow facility protocols, including hand washing and glove changes. Despite receiving infection control training, CNA A admitted to not following standard precautions due to nervousness. The facility's hand hygiene policy outlines the necessity of proper hand hygiene to prevent infection spread, yet these guidelines were not adhered to during the observed incident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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Illustrative
What surveyors actually found near you
We read the 12 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bowie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grace Care Center Of Nocona | 17.2 mi | ★★★★★ | 7 | 0 |
| Bridgeport Medical Lodge | 24.8 mi | ★★★★★ | 5 | 1 |
| Grace Care Center Of Henrietta | 25.5 mi | ★★★★★ | 2 | 0 |
| Heritage Place Of Decatur | 27.7 mi | ★★★★★ | 10 | 0 |
| Avir At Jacksboro | 28.4 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.