Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Munday Nursing Center during CMS and state inspections, most recent first.
The facility did not make grievance procedures, forms, or the grievance officer's contact information available to residents, nor did it provide accommodations for anonymous grievance submission. Multiple residents reported being unaware of how to file grievances, and facility staff confirmed that no process or postings were in place to support independent or anonymous grievance filing.
Three residents with significant medical conditions and physician orders for hospice care did not have their care plans updated to include hospice services, despite documentation confirming their hospice status. Care plans either omitted hospice entirely or failed to address the terminal diagnosis, and progress notes sometimes lacked references to hospice involvement. Facility leadership acknowledged that hospice should have been included in the care plans, in accordance with facility policy.
Staff failed to clean food thermometers between uses and served cold food, specifically potato salad, at temperatures above the required 41°F. The Dietary Manager and another staff member acknowledged being trained on proper procedures but did not follow them during meal service, resulting in food being served at unsafe temperatures.
Personal refrigerators in several resident rooms contained perishable foods with missing or illegible expiration dates, lacked temperature monitoring, and were not checked regularly by staff. Housekeeping staff cleaned and discarded expired food only monthly, with no system for ongoing monitoring or temperature checks. The facility's policy did not address temperature control or regular documentation for personal refrigerators, resulting in inadequate oversight of food safety.
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During a kitchen tour, surveyors observed dirty and sticky doors on two freezers and one refrigerator, and multiple undated and unlabeled food items. The Dietary Manager and ADM acknowledged the difficulty in labeling food items and the lack of space in the freezers, despite training staff on labeling and dating food items upon hiring. The facility's policy on food storage was not being followed, placing residents at risk for food-borne diseases.
The facility failed to ensure accurate PASRR Level 1 assessments for four residents with Major Depressive Disorder, resulting in no subsequent PASRR Level 2 evaluations. The residents were prescribed medications for their conditions, but their PASRR Level 1 forms incorrectly indicated no mental illness. The ADM and DON confirmed the inaccuracies and acknowledged the potential for residents to miss necessary services.
The facility failed to develop comprehensive care plans for four residents, leading to potential risks in meeting their medical, nursing, mental, and psychosocial needs. Issues included missing care plans for vision, psychotropic medications, smoking, and advanced directives. Interviews revealed a lack of awareness and responsibility for ensuring complete care plans.
The facility failed to obtain signed informed consent for psychotropic medications for a resident with severe cognitive impairment. The consents on file were incomplete, lacking the name, date, and time of the resident's representative who provided verbal consent. Interviews confirmed that nurses are responsible for obtaining consents when they receive medication orders.
The facility failed to ensure accurate completion of OOH-DNR forms for three residents, with missing or incorrect information on the forms, potentially jeopardizing their end-of-life wishes. Interviews revealed no system in place to monitor the accuracy of these forms.
A CNA failed to change gloves during incontinent care for a resident with multiple diagnoses, including dementia and congestive heart failure. Despite being trained on proper procedures, the CNA did not perform hand hygiene between dirty and clean tasks, which was confirmed by the CNA, Administrator, and DON. This lapse violated the facility's infection control policy.
Failure to Provide Grievance Information and Access to Residents
Penalty
Summary
The facility failed to provide residents and their representatives with information on how to file grievances or concerns, as required by regulation. Six out of eight residents interviewed during a confidential resident council meeting stated they did not know how to file a formal grievance, did not have access to grievance forms, and were unaware of the identity or contact information of the facility's grievance officer. These residents also reported never seeing any postings in the facility regarding grievance procedures and were not aware of the option to file grievances anonymously, despite having resided in the facility for six months or longer. Observations conducted in the facility confirmed that there were no prominent postings with instructions about the grievance procedure, no grievance forms readily available to residents, and no accommodations for submitting grievances anonymously. Interviews with the Assistant Director (AD) and the Administrator (ADM) revealed that the facility did not have a process in place for residents to independently access or submit grievance forms, either formally or anonymously. The AD and ADM both acknowledged that grievances were typically reported verbally to staff and then relayed to the ADM for resolution, with no system for residents to file grievances on their own or anonymously. A review of the facility's Social Services Department Policy and Procedures Manual indicated that while there was a policy stating residents and families have the right to file complaints without fear of reprisal, the actual practice in the facility did not align with these written procedures. The policy assigned responsibility to the social services director for establishing a mechanism for documenting and responding to complaints, but in practice, residents lacked access to the necessary forms, postings, and information required to exercise their grievance rights.
Failure to Include Hospice Services in Resident Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for three residents who were receiving hospice services. Record reviews revealed that these residents had significant medical conditions, including various forms of dementia, heart failure, and schizoaffective disorder, and had been admitted to hospice care as ordered by their physicians. Despite these admissions, their care plans did not include focus areas or interventions related to hospice services, and in some cases, progress notes did not reflect hospice involvement. For one resident, the care plan was last reviewed after the initiation of hospice services but did not address hospice care needs. Another resident's care plan included interventions for mood problems and overall decline but did not specifically address the terminal diagnosis or hospice admission, even though physician orders and MDS assessments indicated hospice care was in place. The third resident's care plan, initiated prior to hospice admission, was not updated to reflect the new hospice status, despite documentation in progress notes and physician orders confirming hospice enrollment. Interviews with facility leadership, including the DON and Administrator, confirmed that hospice services should have been included in the care plans and that care plan meetings with hospice were standard practice. The DON acknowledged the omission and was unaware of how these residents were missed. The facility's own policy requires comprehensive, person-centered care plans with measurable objectives and timetables, developed by the interdisciplinary team and revised as residents' conditions change, which was not followed in these cases.
Failure to Maintain Food Safety Standards in Kitchen Operations
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in the kitchen, specifically regarding the cleaning of food thermometers and the serving of cold foods at proper temperatures. During observation, the Dietary Manager (DM) was seen placing a dial food thermometer into different food items, including puree macaroni salad and a puree sandwich, without cleaning the probe between uses. The DM acknowledged being trained to clean the thermometer before each use but attributed the lapse to being nervous and frustrated during the meal service. The facility administrator confirmed the expectation that thermometer probes be cleaned with alcohol prep pads before each use. Additionally, the facility did not ensure that cold foods were served at the required temperature. Potato salad, intended to be served cold, was observed at various temperatures above the required 41°F, including 97.4°F and 70°F in the center of the container. Despite being advised not to serve the potato salad until it was properly cooled, a staff member served it to residents while it was still above the safe temperature threshold. Both the DM and the staff member involved stated they were aware of the proper temperature requirements and acknowledged the risk of foodborne illness from serving food at improper temperatures. Record review of the facility's policy confirmed that all potentially hazardous foods must be brought to safe internal temperatures before serving, and that thermometers must be cleaned, sanitized, and calibrated before use. The policy also specified that cold foods should be held at 41°F or below. The observed practices did not align with these established procedures, resulting in a deficiency related to food safety and handling.
Failure to Monitor and Maintain Safe Storage of Perishable Foods in Resident Refrigerators
Penalty
Summary
The facility failed to ensure safe and sanitary storage of residents' food items in personal refrigerators for all seven resident rooms reviewed. Observations revealed that personal refrigerators in these rooms contained perishable food items such as ice cream, jams, jellies, iced tea, guacamole, yogurt, fruit cups, fresh fruit, tarter sauce, supplement drinks, cheese, condiments, and beverages. Many of these items were undated or had illegible expiration dates, and some refrigerators had significant frost build-up. None of the refrigerators had thermometers or temperature logs, and there was no evidence of daily temperature monitoring. Interviews with the Administrator (ADM) and Housekeeping Supervisor (HKS) confirmed that housekeeping staff were responsible for cleaning residents' personal refrigerators only once a month and for discarding expired food at that time. However, there was no policy requiring temperature checks or logs for these refrigerators, and staff were not trained or expected to monitor refrigerator temperatures. The facility relied on residents or their families to maintain the refrigerators and discard expired food between monthly cleanings, with no formal system in place to ensure ongoing food safety. A review of the facility's policy on foods brought by family or visitors indicated that nursing staff were responsible for discarding perishable foods on or before the use-by date and for removing foods showing signs of spoilage. However, the policy did not address monitoring or maintaining safe temperatures in residents' personal refrigerators, nor did it specify procedures for regular checks or documentation. This lack of oversight and monitoring could result in perishable foods being stored at unsafe temperatures or beyond their expiration dates.
Failure to Label and Date Food Items in Kitchen
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During a kitchen tour, surveyors observed dirty and sticky doors on two freezers and one refrigerator. Additionally, multiple food items inside the freezer, including hot dogs, baloney, ham, fish, pancakes, hamburger patties, garlic sticks, mixed vegetables, omelets, chicken thighs, macaroni & cheese, onion rings, and French fries, were found to be undated and unlabeled. These observations were confirmed by the Dietary Manager, who acknowledged the difficulty in labeling food items and the lack of space in the freezers. The Dietary Manager admitted that all dietary staff were responsible for labeling and dating food items, and she was responsible for monitoring this process. However, she did not have a specific policy for food storage and labeling, which was supposed to be managed by the ADM. The ADM also confirmed that the responsibility for labeling and dating food items fell on whoever was unloading the truck, including herself, the Dietary Manager, or kitchen staff. Despite training staff on labeling and dating food items upon hiring, the facility struggled with labeling due to the condition of the food upon delivery and limited freezer space. The facility's policy on food storage, dated 2005 and reviewed in 2006, required proper labeling and dating of refrigerated and frozen items, but this was not being followed. The Dietary Manager and ADM both acknowledged the potential negative outcomes of not labeling and dating food items, including the risk of food-borne diseases. The facility's failure to adhere to its own policy and professional standards for food service safety could place residents at risk for food contamination. The report highlights the lack of proper labeling and dating of food items, as well as the inadequate monitoring and enforcement of food storage policies within the facility's kitchen.
Failure to Conduct Accurate PASRR Level 1 Assessments for Residents with Mental Illness
Penalty
Summary
The facility failed to ensure that all Pre-Admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with a PASRR Evaluation assessment. Specifically, four residents with a diagnosis of Major Depressive Disorder did not have an accurate PASRR Level 1 assessment, which indicated they did not have a mental illness. This failure was identified during interviews and record reviews for Residents #7, #17, #19, and #23, all of whom had documented diagnoses of Major Depressive Disorder and were prescribed medications for their conditions. However, their PASRR Level 1 forms incorrectly indicated that they did not have a mental illness, resulting in no subsequent PASRR Level 2 evaluations being conducted for these residents. Resident #7's records showed a diagnosis of Major Depressive Disorder and prescriptions for Ativan and Zoloft, yet her PASRR Level 1 form indicated no mental illness. Similarly, Resident #17, who was prescribed Zoloft for Major Depressive Disorder, had a PASRR Level 1 form that also indicated no mental illness. Resident #19, with a diagnosis of Major Depressive Disorder and a prescription for Cymbalta, and Resident #23, with a diagnosis of Major Depressive Disorder and a prescription for Xanax, both had PASRR Level 1 forms that incorrectly indicated no mental illness. During an interview, the Administrator (ADM) and Director of Nursing (DON) confirmed that the residents had diagnoses of mental illness and acknowledged that the PASRR Level 1 forms were inaccurate. They stated that they were unaware that a diagnosis of Major Depressive Disorder required a positive PASRR Level 1. The facility's policy on PASRR, revised in July 2023, mandates that all applicants admitted to a Medicaid-certified nursing facility be evaluated for mental health prior to admission and that a PASRR Level 2 screening be completed if the Level 1 screening indicates a mental illness. The ADM and DON admitted that the residents could potentially miss out on necessary services due to the inaccurate PASRR Level 1 assessments.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for four residents, leading to potential risks in meeting their medical, nursing, mental, and psychosocial needs. Resident #11, who has diagnoses including inappropriate sinus tachycardia, major depressive disorder, and type 2 diabetes mellitus, did not have a care plan addressing her declining vision. Despite her moderate cognitive impairment, this critical aspect of her care was overlooked in the care plan documentation. Resident #13, with severe cognitive impairment and diagnoses such as brain degeneration and major depressive disorder, was prescribed Cymbalta for depression but did not have a care plan addressing the use of this psychotropic medication. Additionally, although the resident was observed smoking and listed as an active smoker, there was no care plan addressing smoking. Similarly, Resident #23, who has chronic obstructive pulmonary disease, dementia, and gastro-esophageal reflux disease, was also identified as a smoker but lacked a corresponding care plan. Resident #14, with severe cognitive impairment and diagnoses including hypertensive heart disease and osteoarthritis, had an order for an Out of Hospital-Do Not Resuscitate (OOH-DNR) but did not have a care plan addressing advanced directives. Interviews with the Director of Nursing (DON), Administrator (ADM), and Social Worker (SW) revealed a lack of awareness and responsibility for ensuring complete care plans, with the DON admitting to not having audited the care plans since January 2024. The facility's policy mandates comprehensive, person-centered care plans, but these were not adequately implemented for the residents in question.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents were fully informed and understood their health status, care, and treatments. Specifically, the facility did not obtain signed informed consent for psychotropic medications for one resident. The resident, who had severe cognitive impairment and was taking antidepressants, antipsychotics, and antianxiety medications, did not have signed consents for Celexa, Lorazepam, and Seroquel. The consents on file were incomplete, lacking the name, date, and time of the resident's representative who provided verbal consent. Interviews with the Director of Nursing (DON) and the Administrator (ADM) confirmed that the consents were incomplete and that the nurses are responsible for obtaining consents when they receive medication orders. Both acknowledged the potential negative outcomes of administering medications without proper consent. The facility's policy for informed consent was requested but not provided before the survey exit date.
Failure to Ensure Accurate Completion of OOH-DNR Forms
Penalty
Summary
The facility failed to ensure that all residents had the right to formulate an advance directive for three residents reviewed for advanced directives. Specifically, the Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms for these residents were either incorrectly filled out or missing required information. This deficiency was identified during interviews and record reviews for three residents, all of whom had incomplete OOH-DNR forms, potentially jeopardizing their end-of-life wishes. Resident #5's OOH-DNR form was missing the date for the physician's signature, despite being otherwise completed with the resident's signature, two witnesses, and the physician's statement. Resident #13's OOH-DNR form lacked both the date associated with the physician's signature and the required guardian/agent/proxy/relative signature. Resident #30's OOH-DNR form was missing the printed name and license number associated with the physician's signature. Interviews with the Director of Nursing (DON) and the Administrator (ADM) revealed that there was no system in place to monitor the accuracy of OOH-DNR forms. Both acknowledged the missing information and attributed the errors to human error. The facility's policies and procedures on advanced directives did not provide adequate guidance on ensuring the completeness and accuracy of OOH-DNR forms, contributing to the identified deficiencies.
Infection Control Deficiency Due to Improper Glove Use
Penalty
Summary
The facility failed to maintain an infection prevention and control program, as evidenced by an incident involving a CNA who did not change gloves during incontinent care for a resident. The resident, a male with multiple diagnoses including unspecified dementia, major depressive disorder, neuromuscular dysfunction of the bladder, hypertension, atherosclerotic heart disease, and congestive heart failure, was observed receiving care. The CNA did not change gloves or perform hand hygiene between the dirty and clean aspects of the care, despite being trained on proper procedures. This lapse was acknowledged by the CNA, who admitted to being nervous during the observation and forgetting to change gloves, even though extra gloves were available. Interviews with the CNA, the Administrator, and the Director of Nursing confirmed that the facility's policy requires changing gloves and performing hand hygiene between dirty and clean tasks to prevent infections. The facility's hand hygiene policy, revised in August 2015, emphasizes the importance of hand hygiene as the primary means to prevent the spread of infections. The policy specifically states that hand hygiene should be performed before and after direct contact with residents, before moving from a contaminated body site to a clean body site, and after removing gloves. The failure to adhere to these procedures during the observed incontinent care represents a deficiency in the facility's infection prevention and control program.
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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 Munday
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Knox City | 11.1 mi | ★★★★★ | 12 | 0 |
| Avir At Haskell | 21.5 mi | ★★★★★ | 0 | 0 |
| Seymour Rehabilitation And Healthcare | 22.5 mi | ★★★★★ | 1 | 0 |
| Harmony Care At Stamford | 37 mi | ★★★★★ | 0 | 0 |
| Crowell Nursing Center | 37 mi | ★★★★★ | 8 | 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.