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 Advanced Rehabilitation And Healthcare Of Wichita during CMS and state inspections, most recent first.
A resident with multiple medical conditions was not readmitted to the facility after a hospital stay, despite a hearing officer's decision reversing the discharge. The facility refused readmission due to non-payment and did not document physician justification or the discharge in the medical record. Staff interviews confirmed lack of awareness of the appeal outcome, and the facility failed to follow its own transfer and discharge policies.
A resident with dementia and schizophrenia was verbally abused by an LVN during an altercation. The resident, who is cognitively intact, was upset after the LVN called them 'fat and ugly' following a derogatory comment made by the resident. Despite attempts by staff to de-escalate the situation, the LVN continued to argue, violating the facility's policy on verbal abuse.
A facility failed to readmit a resident after hospitalization, despite an appeal of a discharge notice being pending. The resident, with multiple medical conditions, was denied readmission due to an outstanding balance and lack of a payor source. The facility's policy requires that residents not be discharged while an appeal is pending unless there is a health or safety risk, which was not applicable in this case.
The facility failed to implement its policies to prevent abuse, neglect, and exploitation by not completing annual criminal background checks for key staff members, including the ADM, DON, ADON, and a CNA. This oversight, acknowledged by the Human Resources Manager, could place residents at risk, as the checks are crucial for ensuring staff do not have histories of abuse or neglect.
A LTC facility experienced a 14% medication error rate due to improper administration practices by an LVN. Errors included incorrect timing of IV medication and failure to prime insulin needles for three residents, leading to potential underdosing. The LVN did not follow the MAR, and the DON acknowledged the errors, emphasizing adherence to proper procedures.
The facility failed to serve meals at appetizing temperatures for three residents who ate in their rooms. Observations showed that food temperatures dropped significantly from the kitchen to delivery, resulting in lukewarm meals. Residents and family members reported frequent issues with cold food, and Resident Council minutes documented ongoing complaints. The Dietary Manager and Dietician acknowledged the problem but lacked documentation of temperature checks, and the facility's policy did not address the issue.
A facility failed to maintain an effective infection control program when an LVN did not adhere to PPE protocols for a resident on contact precautions due to MRSA. Despite clear signage and available PPE, the LVN entered and exited the resident's room without donning PPE, contrary to facility policy and physician orders. Interviews revealed a misunderstanding of PPE requirements, with the DON confirming that PPE should be worn upon room entry.
A resident with severe cognitive impairment and multiple health conditions fell while attempting to transfer from bed to wheelchair without staff assistance. The CNA did not follow the care plan, which required extensive assistance with transfers, leading to the fall.
A resident with severe cognitive impairment fell while attempting to transfer from bed to wheelchair without staff assistance. The CNA did not follow the care plan requiring extensive assistance, assuming the resident could transfer independently. Other CNAs and the DON confirmed the resident's need for assistance, revealing a gap in staff adherence to care plan protocols.
The facility failed to ensure that an LVN's license was current, resulting in the nurse working with a delinquent license for several months. The HRM missed the monthly license check, and the facility's policy did not require annual checks for current standing.
Failure to Readmit Resident After Reversed Discharge Decision
Penalty
Summary
The facility failed to readmit a resident after a hearing officer determined that the discharge was inappropriate and ordered the facility to reverse its decision. Despite the appeal ruling, the facility refused to allow the resident to return from the hospital, where she had been transferred for evaluation and treatment. The facility also did not permit the resident to remain for the full 30 days after issuing a 30-day discharge notice, as required by regulation. There was no documentation from a physician indicating that the resident had needs that could not be met in the facility, nor was there documentation of the transfer or discharge in the resident's medical records. The resident involved was an older adult with multiple medical conditions, including overactive bladder, right leg below knee amputation, stroke, pressure ulcers, hemiplegia, and hemiparesis. She was cognitively intact and required substantial to maximal assistance with most activities of daily living. The resident was transferred to the hospital for evaluation and treatment after a fall, and was ready for discharge back to the facility, but the facility refused to readmit her, citing non-payment and lack of Medicaid paperwork. The family had filed an appeal with the state, which resulted in a decision that the facility must readmit the resident, but the facility did not comply. Interviews with facility staff, including the Business Office Manager and DON, confirmed that the resident was not allowed to return due to non-payment and alleged non-compliance with Medicaid application requirements. The staff were not aware of the appeal decision until informed by the surveyor. The facility's written policy on admission, transfer, and discharge requires compliance with federal regulations, including not discharging residents while an appeal is pending, unless health or safety is endangered. However, the facility failed to follow this policy and did not document the required information in the resident's records.
Verbal Abuse Incident Involving LVN and Resident
Penalty
Summary
The facility failed to protect a resident from verbal abuse, as evidenced by an incident involving a Licensed Vocational Nurse (LVN) and a resident. The resident, who has a history of dementia, schizophrenia, and anxiety, was involved in a verbal altercation with LVN A. The altercation began when the resident made a derogatory comment about LVN A's weight, to which LVN A responded by calling the resident 'fat and ugly.' Despite attempts by other staff members to de-escalate the situation, LVN A continued to argue with the resident, causing further distress. The resident, who is cognitively intact with a BIMS score of 15, was visibly upset by the exchange. The resident's care plan includes interventions such as using a calm voice and redirecting when the resident becomes agitated, which were not followed by LVN A during the incident. Witnesses, including RN B and CNA C, confirmed that LVN A continued to engage in the argument despite being asked to stop multiple times, exacerbating the resident's agitation. The facility's policy on abuse, neglect, and exploitation defines verbal abuse as the use of disparaging and derogatory terms towards residents. LVN A's actions were in direct violation of this policy, as well as the facility's expectations for staff to maintain professionalism and respect towards residents. The incident was reported to the Administrator, who confirmed that LVN A's behavior was unacceptable and constituted verbal abuse.
Failure to Readmit Resident During Pending Discharge Appeal
Penalty
Summary
The facility failed to comply with regulations regarding the transfer and discharge of a resident, specifically by not allowing the resident to remain in the facility while an appeal of a discharge notice was pending. The resident, a cognitively intact female with multiple medical conditions including diabetes, major depressive disorder, and a history of stroke, was admitted to the hospital following a fall. Although the hospital determined she was ready for discharge back to the facility, the facility refused to readmit her due to an outstanding balance and lack of a payor source. The resident's insurance coverage had expired, and her application for Medicaid was denied due to asset ownership issues. Despite being informed of the appeal process, the facility issued a 30-day discharge notice and refused readmission, citing financial reasons. The facility's policy states that residents should not be discharged while an appeal is pending unless their presence endangers health or safety, which was not the case here. This failure placed the resident at risk of not receiving necessary care and services.
Failure to Conduct Annual Background Checks
Penalty
Summary
The facility failed to implement its policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents, as well as the misappropriation of resident property. This deficiency was identified for four staff members, including the Administrator (ADM), Director of Nursing (DON), Assistant Director of Nursing (ADON), and a Certified Nursing Assistant (CNA B), who were reviewed for adherence to the abuse protocol. The facility did not complete the required annual criminal background checks for these staff members for the year 2024, which is a critical component of the facility's abuse prohibition plan. The lack of these checks could potentially place residents at risk for abuse, neglect, and exploitation. Interviews revealed that the ADM was unaware that the annual background checks had not been conducted by the Human Resources Manager, who admitted to not having the checks on file and being unsure of the adverse outcomes of this oversight. The facility's policy mandates that criminal background checks be conducted annually in January and before hiring any staff. The failure to adhere to this policy indicates a lapse in the facility's oversight and supervision of staff, as outlined in their abuse prohibition plan. This oversight could lead to the employment of staff with criminal histories, thereby increasing the risk to residents.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, resulting in a 14% error rate. This was observed during a survey where four medication errors occurred out of 28 opportunities, involving four residents. The errors included incorrect administration timing and improper insulin administration techniques. Specifically, LVN A administered Micafungin Sodium IV to a resident at an incorrect time, deviating from the physician's order. Additionally, LVN A failed to prime the insulin needle before administering insulin via a Flex Pen to three residents. This failure to prime the needle could prevent the residents from receiving the full dose of insulin as prescribed. The LVN was unable to explain the correct procedure for priming the needle, indicating a lack of understanding of proper medication administration techniques. Interviews with LVN A and the DON revealed that the LVN did not check the medication administration record (MAR) before administering the IV medication, leading to the timing error. The DON acknowledged the errors and emphasized the importance of following the MAR and proper medication administration procedures. The facility's policy and procedure guides were reviewed, highlighting the need for verification of medication orders and proper insulin administration techniques.
Failure to Serve Meals at Appetizing Temperatures
Penalty
Summary
The facility failed to provide meals at an appetizing temperature for three residents who were served their meals in their rooms. Observations and interviews revealed that the food temperatures were not maintained at a palatable level by the time they reached the residents. On the 2nd floor, the turkey entree and carrots were initially held at temperatures of 169.2°F and 174.1°F, respectively, but by the time the food was delivered, the temperatures had dropped to 100°F and 104°F, and the food was described as lukewarm. Similarly, on the 1st floor, the turkey entree and carrots were initially held at 167.2°F and 158.6°F, but were served at 132°F and 131°F, respectively, and were described as warm. Residents and their family members reported that the food was often cold, which was corroborated by the Resident Council meeting minutes that documented complaints about cold food over several months. The Dietary Manager and Dietician acknowledged receiving reports of cold food from the Resident Council and stated that they had been checking food temperatures monthly, although there was no documentation of these checks. The facility's policy, "Food Safety and Sanitation Plan," did not address the issue of residents receiving cold food. The Administrator confirmed that cold food was the number one complaint from residents and that the facility had been attempting to address the issue without success. The lack of a specific policy to ensure food is served at an appetizing temperature contributed to the ongoing problem.
Failure to Adhere to Contact Precautions for Resident with MRSA
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of LVN A, who did not adhere to the required Personal Protective Equipment (PPE) protocols for a resident on contact precautions. Resident #39, a female with a history of osteomyelitis, hypertension, diabetes, and chronic obstructive pulmonary disease, was on contact precautions due to a MRSA infection. Despite clear signage and available PPE supplies outside the resident's room, LVN A entered and exited the room without donning the necessary PPE, contrary to the facility's policy and the physician's orders. Interviews with LVN A, ADON B, and the DON revealed a misunderstanding or miscommunication regarding the PPE requirements for residents on contact precautions. LVN A and ADON B believed PPE was only necessary when in direct contact with the resident's wound, while the DON confirmed that the expectation was for staff to wear PPE upon entering the room. The facility's policy clearly stated that healthcare personnel should wear a gown and gloves for all interactions that may involve contact with the resident or potentially contaminated areas in the resident's environment.
Failure to Implement ADL Transfer Interventions
Penalty
Summary
The facility failed to implement ADL transfer interventions for a resident as care planned. The resident, who had severe cognitive impairment and required extensive assistance with transfers, fell while attempting to transfer from her bed to a wheelchair without staff assistance. The CNA involved did not follow the care plan, which specified that the resident required extensive assistance with transfers, leading to the resident's fall and potential injury. The resident had a history of hypertension, diabetes, difficulty walking, and dementia. Despite these conditions, the CNA allowed the resident to stand and attempt the transfer independently. The CNA admitted to not reviewing the care plan and assumed the resident could transfer independently based on previous observations. This lack of adherence to the care plan directly contributed to the resident's fall. Interviews with other CNAs and the DON confirmed that the resident required assistance with transfers and that staff were expected to review and follow individualized care plans. The facility's policy, guided by the CMS RAI Manual, mandates the development of comprehensive care plans to meet residents' needs, which was not followed in this instance.
Failure to Implement Transfer Assistance Leads to Resident Fall
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents for a resident who required assistance with transfers. The resident, who had severe cognitive impairment and was at risk for further decline due to dementia, fell while attempting to transfer from her bed to a wheelchair without staff assistance. The CNA involved did not follow the resident's care plan, which specified that the resident required extensive assistance from one staff member for transfers. Instead, the CNA assumed the resident could transfer independently based on previous observations and did not review the care plan, leading to the resident's fall and potential injury. Interviews with other CNAs revealed that the resident had a history of attempting to transfer independently despite being instructed to call for assistance. Staff had placed a sign in the resident's room to remind her to seek help, but the resident often ignored this and transferred by herself. The CNAs acknowledged that they knew how to access care plans but did not consistently review them, resulting in a lack of adherence to the specified transfer assistance requirements. The Director of Nursing confirmed that the resident required assistance with transfers and emphasized the expectation that all staff review individualized care plans to meet residents' needs. The facility's policy on care plans, guided by the CMS RAI Manual, mandates the development of comprehensive care plans to address residents' medical, nursing, and psychosocial needs. The failure to implement the care plan for the resident's transfer needs directly contributed to the incident, highlighting a gap in staff adherence to care plan protocols.
Failure to Ensure Professional Staff Licensure
Penalty
Summary
The facility failed to ensure that professional staff were licensed in accordance with state laws, specifically for one Licensed Vocational Nurse (LVN), referred to as Staff A. Staff A's LVN license had expired, and she continued to work with a delinquent license for several months. The Human Resources Manager (HRM) was responsible for checking the nurses' licenses monthly but missed this one. The Director of Nursing (DON) and the Administrator confirmed that the HRM was responsible for monitoring licensure status. Despite the delinquency, the DON believed that Staff A was competent in her nursing duties. The facility's policy did not specify that professional licenses should be checked annually for current standing. Record reviews indicated that Staff A's license expired on a specific date, and she had been working without a valid license for several months. Daily assignment sheets showed that Staff A was one of four nurses present on the floor during this period. Interviews with the HRM, DON, and Administrator revealed that the oversight was due to a lapse in the monthly license-checking process. Staff A could not be reached for an interview to provide her perspective on the situation.
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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 Wichita Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| University Park Nursing And Rehabilitation | 1.8 mi | ★★★★★ | 0 | 0 |
| Rolling Meadows | 2 mi | — | 0 | 0 |
| Midwestern Healthcare Center | 3.4 mi | ★★★★★ | 19 | 0 |
| Senior Care Health & Rehabilitation Center - Wichi | 3.4 mi | ★★★★★ | 0 | 0 |
| Swan Health At Wichita Falls | 3.9 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.