Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Electra Healthcare Center during CMS and state inspections, most recent first.
Incomplete staff training records showed multiple employees lacked required education in Infection Control, Abuse & Neglect, Fall Prevention, HIV, and Restraint Reduction. Record review found that several leaders and direct care staff, including the ADMIN, DON, ADON, LVN, CNA, and others, had missing training entries, while interviews showed staff believed their training was current and that education oversight had been inconsistent.
A resident with COPD, chronic respiratory failure with hypoxia, oxygen dependence, depression, bipolar disorder, pain, and anxiety had MDS assessments that did not code hallucinations, delusions, or behavioral symptoms, even though progress notes and staff interviews confirmed ongoing psychosis-related behaviors. Staff, including an LVN, CNA, Hospice Nurse, DON, and MDS coordinator, acknowledged the resident had hallucinations and delusions, often linked to removing oxygen and becoming confused, but the care plan and MDS did not reflect those findings.
A resident with chronic respiratory failure with hypoxia, O2 dependence, depression, bipolar disorder, pain, and anxiety had documented behaviors, hallucinations, and/or delusions in progress notes, but the MDS assessments did not identify psychosis indicators and the care plan did not include hallucinations or delusions. The DON stated she was responsible for ensuring care plans were complete and accurate and that they were revised in a timely manner.
Insufficient Square Footage in Multiple-Occupancy Rooms: The facility failed to provide the required 80 sq ft per resident in multiple-bed rooms for 27 of 31 rooms reviewed. Record review showed the Administrator's Bed Classification form listed those rooms as double occupancy, and in interview the Administrator stated he wanted to continue the room size waiver for the rooms listed on the form and Notification of Change letter.
The facility failed to maintain food safety standards, with issues such as an overflowing trash can, improper chemical storage, unlabeled food, and freezer-burnt items. Staff did not follow proper handwashing procedures, and food storage areas were unclean. The Dietary Manager acknowledged a lack of training and policy enforcement, contributing to these deficiencies.
The facility failed to include two residents or their representatives in IDT meetings for care planning within 7 days after comprehensive assessments. One resident with dementia and another with major depressive disorder were not invited to participate in care plan meetings, as confirmed by interviews. The DON cited reasons such as lack of family response and holiday delays. This failure risked not identifying and addressing residents' needs, affecting their quality of care.
The facility failed to implement policies to prevent abuse, neglect, and exploitation due to missing annual criminal background checks for key staff, including the DON, DM, and SW. The CSM responsible for these checks was unaware of the requirement, leading to a lapse in compliance with the facility's policy.
The facility failed to complete PASARR Level II screenings for two residents diagnosed with Major Depressive Disorder. Despite having active diagnoses of mental illness, these residents did not receive the necessary evaluations, as required by facility policy. The DON and Social Worker were unaware of the need for updated screenings upon hospital admission, leading to this oversight.
A facility failed to include a resident's hospice status in their care plan, despite physician orders for hospice care. The resident, an elderly female with a history of stroke and dementia, was cognitively intact. The DON admitted to not realizing the necessity of including hospice services in the care plan, which was last revised without this critical information.
A facility failed to provide adequate supervision and assistance devices for a non-weight bearing resident, leading to unsafe transfer practices. The resident, dependent on staff for all ADLs, was transferred using unsafe methods without a proper assessment for lift devices. Staff expressed concerns about using a gait belt due to the resident's cysts and potential for combative behavior, and the facility's policy on safe lifting was not followed.
The facility did not meet the required minimum of 80 square feet per resident in multiple occupancy rooms for 35 out of 36 rooms. The Administrator acknowledged the issue and noted that a waiver had been previously granted for certain rooms, allowing for less square footage than required. The Administrator wished to continue this waiver for all listed rooms.
Incomplete Staff Training Records
Penalty
Summary
The facility failed to maintain an effective training program for multiple existing staff members after record review showed missing required education in several areas, including Infection Control, Abuse and Neglect, Fall Prevention, HIV, and Restraint Reduction. Personnel files reviewed on 3/23/2026 and 3/24/2026 showed that 14 of 16 staff members had incomplete training records in one or more required topics, including the ADMIN, DON, SW, AD, DM, MS, ADON, LVN A, CMA C, CNA E, CNA B, LA F, HK G, and TA D. The record review identified that the ADMIN had not completed Infection Control, Abuse & Neglect, and HIV training; the DON, SW, AD, DM, MS, ADON, CMA C, HK G, and TA D had not completed HIV training; LVN A had not completed Fall Prevention, HIV, and Restraint Reduction training; CNA B had not completed Infection Control, Fall Prevention, and HIV training; CNA E had not completed Restraint Reduction training; and LA F had not completed HIV and Restraint Reduction training. The facility’s 2025 calendar showed monthly education topics assigned for Infection Control, Resident Abuse Prevention, Restraints, HIV Education, and Fall Prevention. During interviews, LVN A stated she thought her trainings were up to date but said the facility used several different computer-based training sites and it was hard to keep up with them. CMA C stated training was done online and she believed she was up to date, and no staff had told her about any recent training that was due. The CCO stated some training courses had not been completed and were out of compliance, that she had just taken over responsibility for ensuring education was current, and that HIV training had not been recognized as a separate requirement. The DON stated there were three staff responsible for education oversight and that HIV education had been overlooked.
MDS Did Not Accurately Reflect Resident’s Hallucinations and Delusions
Penalty
Summary
The facility failed to ensure that Resident #8’s MDS assessments accurately reflected the resident’s behavioral status during the look-back period. The MDS assessments dated [DATE] and [DATE] did not code Potential Indicators of Psychosis for hallucinations, delusions, or behavioral symptoms, and the resident’s care plan dated with an admission date of 1/21/2026 did not include a care plan for hallucinations or delusions. Resident #8’s record showed diagnoses that included COPD, chronic respiratory failure with hypoxia, dependence on supplemental oxygen, atherosclerotic heart disease, depression, bipolar disorder, pain, and anxiety. Progress notes documented that the resident experienced behaviors, hallucinations, and/or delusions on 1/21/2026. Staff interviews confirmed that the resident had hallucinations and delusions since admission, with symptoms becoming more frequent in the last couple of months. LVN H stated the resident would sometimes remove her oxygen, become hypoxic, and then become confused and hallucinate. The Hospice Nurse stated she was aware of the resident’s hallucinations and delusions and that the facility informed her when these occurred. The DON stated she was responsible for verifying the accuracy of MDS assessments and acknowledged that Resident #8 did have hallucinations and delusions and that she was notified when they happened. The MDS coordinator stated she reviewed records to complete assessments but did not remember seeing whether the resident was or was not having these symptoms. The facility policy stated that the resident assessment coordinator is responsible for ensuring an MDS assessment has been completed for each resident and that the assessment is certified as complete.
Care Plan Not Updated for Hallucinations and Delusions
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan that reflected Resident #8’s current condition. Resident #8 was a female resident with diagnoses including chronic respiratory failure with hypoxia, dependence on supplemental oxygen, depression, bipolar disorder, pain, and anxiety. Record review showed that the resident’s MDS assessments did not check potential indicators of psychosis for hallucinations, delusions, or behavioral symptoms, even though progress notes documented behaviors, hallucinations, and/or delusions on 1/21/2026 and 2/08/2026. Review of Resident #8’s care plan, dated with an admission date of 1/21/2026, showed there was no care plan addressing hallucinations or delusions. During interview, the DON stated she was ultimately responsible for ensuring care plans were completed and revised accurately, that it was a group effort to keep up with changes, and that her expectation was for care plans to be complete and accurate in a timely manner. She also stated she was responsible for verifying the accuracy of all care plans.
Insufficient Square Footage in Multiple-Occupancy Rooms
Penalty
Summary
The facility failed to provide the required minimum of 80 square feet of space per resident in multiple occupancy rooms for 27 of 31 rooms reviewed for square footage, including rooms 3, 5, 8, 9, 10, 11, 12, 13, 14, 15, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 33, 34, and 35. Record review showed the facility's Form 3740 Bed Classifications, completed by the Administrator and dated 03/25/2026, listed those rooms as double occupancy rooms in the licensed bed capacity. During interview on 3/24/26 at 9:02 AM, the Administrator stated he wanted to continue the room size waiver for all the rooms listed on the Bed Classification form and Notification of Change letter.
Food Safety Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. The trash can at the handwashing sink was overflowing and emitted a foul odor, with a pan of individually wrapped cookies placed on top. Chemicals for the dishwasher were stored next to resident juices, and the refrigerator contained an unlabeled and undated pitcher of red liquid, identified by staff as fruit punch. Additionally, bags of cheese were left open to air, and the dry storage area had bins with grime and food debris, including a syrup puddle in one bin. Dusty and dented cans were not separated from undented ones, and prepackaged coffee bags were left open to air. The freezer contained freezer-burnt ham and chicken, and open bags of plastic spoons, Styrofoam cups, and lids were left exposed to air. During meal preparation, a staff member inadequately washed hands and touched eating surfaces of plates with gloved hands. Kitchen drawers were found with crumbs, dried liquid splashes, and dust, and staff, including the Dietary Manager (DM), did not have effective hair restraints. The DM acknowledged the issues, stating there was no training on handling freezer-burnt food or serving food from unsanitary surfaces, and admitted that dented cans were not separated as expected. The facility's policy on food receiving and storage, dated November 2022, outlined that non-refrigerated foods and disposable items should be stored in a clean, designated dry storage unit, free from contamination. Foods were not to be stored under sources of contamination or in garbage rooms, and all refrigerated or frozen foods were to be covered, labeled, and dated. The DM admitted to a lack of training and policy enforcement regarding these standards, contributing to the observed deficiencies.
Failure to Include Residents in Care Plan Meetings
Penalty
Summary
The facility failed to include two residents, Resident #8 and Resident #10, or their representatives in the Interdisciplinary Team (IDT) meetings for comprehensive care planning within 7 days after the completion of their comprehensive assessments. Resident #8, who was admitted with a primary diagnosis of unspecified dementia and had a severely impaired BIMS score of 00, did not have a documented care plan meeting since admission. Similarly, Resident #10, who was cognitively intact with a BIMS score of 15 and had a primary diagnosis of infection following a procedure and major depressive disorder, also lacked documentation of a care plan meeting since admission. Both residents were not invited to participate in care plan meetings, as confirmed by their interviews. The Director of Nursing (DON) acknowledged the absence of care plan meetings for these residents, citing reasons such as lack of response from Resident #10's family and holiday activities causing delays. The facility's policy requires the IDT to include the resident or their representative in care planning, and if participation is not practicable, an explanation must be documented in the medical record. The failure to conduct these meetings placed the residents at risk of not having their individual needs identified and addressed, potentially affecting their quality of care and life.
Failure to Conduct Annual Background Checks for Key Staff
Penalty
Summary
The facility failed to develop and implement written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents, as evidenced by the lack of annual criminal background checks for key staff members. Specifically, the Director of Nursing (DON), Dietary Manager (DM), and Social Worker (SW) did not have up-to-date criminal background checks, with the DON's last check dated back to 2012, and no previous checks found for the DM and SW. This oversight was discovered during a survey when the Clinical Staff Member (CSM) responsible for conducting background checks realized they had not been completed. The CSM admitted to not being aware of the requirement for annual background checks for all staff members. The facility's policy, revised in April 2021, mandates conducting employee background checks to protect residents from abuse, neglect, exploitation, or misappropriation of property by facility staff.
Failure to Complete PASARR Level II Screening for Residents with Mental Illness
Penalty
Summary
The facility failed to ensure that all residents diagnosed with mental illness received the necessary PASARR Level II (PE) Screening. Specifically, two residents with a diagnosis of Major Depressive Disorder did not have the required PASARR Level II screening completed. Resident #10, admitted with a primary diagnosis of infection following a procedure and Major Depressive Disorder, had a PASARR Level I screening indicating no evidence of mental illness, but no subsequent Level II screening was found. Similarly, Resident #15, admitted with Parkinson's Disease, Major Depressive Disorder, and an anxiety disorder, also lacked a PASARR Level II screening despite having active diagnoses of anxiety and depression. The Director of Nursing (DON) and the Social Worker were interviewed regarding the oversight. The DON acknowledged that the Social Worker was responsible for updating PASARRs and was unaware that a PASARR needed updating when residents came from the hospital. The Social Worker admitted responsibility for PASARRs and was not aware of the residents' mental illness diagnoses, which led to the failure to complete the necessary screenings. The facility's policy requires all new admissions to be screened for mental disorders, intellectual disabilities, or related disorders, and if indicated, referred for a Level II evaluation, which was not adhered to in these cases.
Failure to Include Hospice Status in Resident's Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident, which included measurable objectives and time frames to meet the resident's highest practicable physical, mental, and psychosocial well-being. Specifically, the care plan for a resident did not include their hospice status, despite the resident being admitted to hospice care as per physician orders. This oversight was identified during a review of the resident's care plan, which was last revised on December 16, 2024, and did not reflect the hospice services that were ordered on July 31, 2024. The resident in question was an elderly female with a history of stroke, non-Alzheimer's dementia, seizure disorder, and malnutrition, and was cognitively intact with a BIMS score of 15 out of 15. The Director of Nursing (DON) acknowledged the omission, stating she was unaware that hospice services needed to be included in the care plan. The facility's policy on comprehensive, person-centered care plans requires that the care plan describe the services necessary to attain or maintain the resident's highest practicable well-being, which was not adhered to in this case.
Inadequate Supervision and Transfer Assistance for Non-Weight Bearing Resident
Penalty
Summary
The facility failed to ensure adequate supervision and use of assistance devices for a resident who was non-weight bearing and required assistance during transfers. The resident, who had severely impaired decision-making skills and signs of delirium, was completely dependent on staff for all activities of daily living, including transfers. Despite being non-weight bearing, the facility did not assess the resident for the use of a lift device. Instead, staff performed one-person lifts by hugging the resident or hooking their arms under his shoulders, which could place the resident at risk for pain and injury. Interviews and observations revealed that staff were using unsafe transfer methods, such as hugging the resident to lift him, without the use of a gait belt or mechanical lift. The facility's policy on safe lifting and movement of residents emphasized the elimination of manual lifting when feasible and required ongoing assessment of residents' needs for transfer assistance. However, the resident's care plan did not reflect an appropriate assessment or intervention for safe transfers, and staff expressed concerns about using a gait belt due to the resident's cysts and potential for combative behavior. The Director of Nursing acknowledged that alternatives to one-person transfers, such as a slide-board or mechanical lift, could be used but were not implemented in this case.
Deficiency in Room Space Requirements
Penalty
Summary
The facility failed to provide the required minimum of 80 square feet of space per resident in multiple occupancy rooms for 35 out of 36 rooms reviewed. This deficiency was identified during a record review and interviews, where it was noted that the rooms did not meet the necessary space requirements. The Administrator acknowledged the issue and mentioned that a room waiver had been granted previously, which allowed for less square footage than required. The waiver was granted for specific rooms, and the Administrator expressed a desire to continue this waiver for all the rooms listed in the past documentation.
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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 Electra
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Iowa Park Healthcare Center | 14.8 mi | — | 0 | 0 |
| Avir At Burkburnett | 20.8 mi | ★★★★★ | 2 | 0 |
| Sheridan Medical Lodge | 21.3 mi | ★★★★★ | 2 | 0 |
| University Park Nursing And Rehabilitation | 23.6 mi | ★★★★★ | 0 | 0 |
| Texhoma Christian Care Center Inc | 23.6 mi | ★★★★★ | 1 | 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.