Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Parks Health Center during CMS and state inspections, most recent first.
Medication documentation and storage errors were identified when an LPN had administered controlled meds to several residents but had not signed them out on the controlled log, leaving counts incorrect. In addition, an MA left prescribed meds unattended at the bedside for two residents who had no order for self-administration. The DON and Administrator confirmed that controlled meds were expected to be documented immediately after administration and that bedside meds should not be left out.
Unlocked medication and treatment carts and an undated Tuberculin vial were found during observation. A treatment cart and a medication cart were left unattended and unlocked with supplies and medications inside, and an open vial of Tuberculin PPD in the med refrigerator had no open date on it. The DON, ADON, MA A, and Administrator acknowledged the carts should be locked when not in use and that opened multi-dose vials should be dated.
Food was not kept at a safe, appetizing temperature and pureed foods were prepared without following recipes. A dietary staff member left cooked broccoli on the steam table for lunch service, and another staff member pureed ham, mixed greens, and sweet potatoes using unmeasured water instead of the facility’s puree recipes. The DM and dietitian stated the facility had puree recipes and that using water only reduced nutritive value.
Kitchen Food Storage, Sanitation, and Hand Hygiene Failures: During kitchen observations, the Dietary Manager was seen with a beard cover that did not cover his mustache, temperature logs were blank or outdated, and multiple foods and supplies were found unlabeled, undated, unsealed, or stored open to air. A Dietary Aide returned from outside the kitchen with gloves on and did not perform hand hygiene, and staff used the same tongs to plate ham and baked potatoes. The DM stated there was no good excuse for the issues and said residents were at risk of illness due to spoiled food and cross contamination.
Oxygen Therapy Not Care Planned for Two Residents: Two residents had MDS assessments indicating oxygen therapy use, but their care plans did not include oxygen and their order summaries showed no oxygen orders. Observations showed both residents using nasal cannulas with oxygen concentrators running, and the DON stated she was responsible for accurate care plans and was not aware the oxygen was not ordered or care planned.
Missing Oxygen Orders and Door Signage: Two residents were observed using oxygen with nasal cannulas and concentrators, but neither resident had an oxygen order in the chart and oxygen was not included in their care plans. One resident said she had to wear oxygen or she had trouble breathing. The DON stated oxygen must be ordered by a physician or physician's representative and that Oxygen in Use signs were expected outside rooms where oxygen was being used.
The facility failed to serve breakfast and lunch on time due to staffing issues, as observed on a specific date. Breakfast was served late, and lunch service was delayed, with residents reporting similar delays occurring monthly. The delays were attributed to a cook calling off, leaving an unaccustomed staff member to manage meal preparation. The facility's policy requires meals to be served within 45 minutes of the scheduled time, which was not met.
The facility failed to ensure the removal of expired insulin from a nurse cart, as observed during an inspection. The cart contained four insulin pens and one vial that had expired according to the manufacturer's guidelines. LVN E, responsible for the cart, did not notice the expired insulins, and both the DON and Administrator confirmed that it was expected for nurses to date and remove expired insulins. The facility's policy requires multi-dose vials to be dated and discarded within 28 days.
The facility's kitchen failed to store food according to professional standards, with cereal bags improperly placed on a utensil rack instead of in dry food storage. The Dietary Manager was aware of the issue, attributing it to the removal of a dry foods rack and staff forgetting to return items to the correct location. No policy was available to guide proper food storage.
The facility failed to document vital signs for two residents as per physician's orders, risking incorrect medication administration. A resident with heart failure and hypertension had no pulse documentation on the MAR for Metoprolol, while another with hypertension and atrial fibrillation lacked blood pressure and pulse records for Amlodipine and Metoprolol. The DON acknowledged the oversight, revealing a systemic issue in documentation practices.
A long-term care facility failed to maintain an effective infection prevention and control program. Staff members, including CNAs and an LVN, did not adhere to proper hand hygiene and PPE protocols during resident care, leading to potential cross-contamination. Despite training, staff admitted to forgetting necessary steps, possibly due to nervousness during observation.
Three residents with dysphagia were served meals that did not meet their prescribed pureed diet consistency, posing potential risks. The dietary manager and staff acknowledged the inconsistency, and a staff member attempted manual pureeing due to a perceived blender issue.
A facility failed to secure medication carts and properly label medications, leading to potential risks. A nurse left medication carts unlocked, and breathing treatments were left unsecured in a resident's room. An undated TB vial was also found in the medication room, violating facility policies.
Medication Documentation and Bedside Storage Errors
Penalty
Summary
The facility failed to provide pharmaceutical services to ensure accurate acquiring, administering, and documenting of medications for residents receiving controlled substances and other prescribed medications. During a medication cart inspection, the controlled medication counts for Residents #12, #13, #15, #21, and #42 were found to be incorrect because MA B had administered the medications but had not yet signed them out on the controlled medication records. The medications involved included hydrocodone-acetaminophen, clonazepam, tramadol, acetaminophen-codeine, and alprazolam. MA B stated she was supposed to sign the medications out as soon as they were administered, but had been in a hurry and planned to do it later. Resident #24 was admitted with diagnoses including Alzheimer's disease, hypoosmolality, and hyperlipidemia, and had a BIMS score of 13 of 15. Observation showed a cup containing three pills on the bedside table, and the DON and MA A identified the medications as donepezil 10 mg, atorvastatin 20 mg, and melatonin 5 mg. MA A stated she knew better than to leave the medications unattended. Resident #46 was admitted with neuropathy and hyperlipidemia and had a BIMS score of 15 of 15. Observation showed a cup containing two pills on the bedside table, identified by MA A and the DON as gabapentin and atorvastatin. There was no order for self-administration for either resident. Interviews with the ADON, DON, and Administrator confirmed that controlled medications were expected to be documented immediately after administration and that medications should not be left unattended at the bedside. The facility policy stated that controlled medications must be counted, documented, stored, administered, and reconciled according to policy, and that administration documentation must occur immediately after administration on the MAR/eMAR and controlled log.
Unlocked Medication and Treatment Carts and Undated Tuberculin Vial
Penalty
Summary
Drugs and biologicals were not stored properly in the facility’s medication room, treatment cart, and medication cart. During observation, an open vial of Tuberculin PPD was found in the medication refrigerator in the front medication room for halls 1, 2, and 3, and no open date was found on the vial or the box. The TB container stated that once entered, the vial should be discarded after 30 days. The MA present stated she did not administer TB tests and did not know about the vial not being dated. The treatment cart for one hall was observed unlocked and unsupervised while it contained treatment supplies such as betadine, ointments, wound care supplies, and other items. The treatment nurse stated she had left the cart unlocked while going to the restroom. Later, the medication cart for halls 2 and 3 was also observed unlocked and unsupervised, with several bottles and bubble packs containing medications inside the drawers. The ADON and MA A stated the carts were supposed to be locked when left unattended, and the DON and Administrator stated staff were expected to lock medication carts and date medications when opened.
Food Held Too Long on Steam Table and Pureed Foods Prepared Without Recipes
Penalty
Summary
The facility failed to ensure food was palatable, attractive, and held at a safe and appetizing temperature for 61 of 63 residents. During observation on 01/13/2026 at 9:47 AM, two metal containers of cooked broccoli were seen on the steam table, and [NAME] C stated the broccoli was for lunch. [NAME] C also said the hallway trays were plated at 11:45 AM. The Dietary Manager later stated that placing food on the steam table 15 minutes before a meal was best and that 30 minutes was too early because it could alter taste, texture, and nutritional value. The facility also failed to prepare pureed foods according to recipes provided by the dietitian and instead used unmeasured water in the puree blender. On 01/14/2026 at approximately 11:14 AM, [NAME] C placed water into the blender without measuring it and used it to puree ham, mixed greens, and sweet potatoes. [NAME] C said she used water to puree everything because the facility did not have recipes for pureed foods and judged thickness by eye. The Dietitian stated the facility had recipes for pureed food and that using only water would have less nutritive value than following the recipes. The DM later said the recipe book for pureed items was available to staff and that using water only would provide less nutritional benefit for residents on pureed diets.
Kitchen Food Storage, Sanitation, and Hand Hygiene Failures
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards during kitchen observations and interviews. During the initial kitchen tour, the Dietary Manager was observed wearing a beard cover that did not cover his mustache. The refrigerator temperature log posted at Refrigerator 1 was for December 2025, and a pitcher contained a pink liquid without a label or date. In dry storage, the temperature log posted for January 2026 was blank, and multiple items were found opened and not sealed, including powdered sugar, flour, instant dry milk, toasted oats cereal, frosted flakes cereal, and crispy rice cereal. Additional storage concerns included baking soda with the expiration month and day smeared off and an expiration year of 2025. Further observations showed the posted food warmer temperature log for January 2026 was blank, utensils and pans were hanging open to the air, plate covers were faced up, and several items were stored open to air, including small disposable bowls and lids, blender bins, tea dispensers, and silverware. In the serving line refrigerator, the temperature log was for December 2025, romaine lettuce had turned brown, disposable cups with lids contained white and green substances without labels or dates, grated cheese was opened and not sealed, boiled eggs were not labeled or dated, and sliced jalapenos were uncovered. In the walk-in refrigerator, a metal bin labeled dinner and dated 1/6/2026 had no use by date, Swiss cheese slices opened 1/7/2026 were not sealed, and a metal bin of fruit cocktail was dated 1/8/2026. On the second observation, the Dietary Manager again had a beard cover that did not cover his mustache, Dietary Aide E returned from outside the kitchen with gloves on and did not remove them or perform hand washing, and [NAME] C used the same tongs to plate ham and baked potatoes. The Dietary Manager stated there was not a good excuse for the issues and said the previous Dietary Manager had allowed staff to get lazy and run things however they wanted; he also stated residents were at risk of illness due to spoiled food and cross contamination.
Oxygen Therapy Not Included in Care Plans
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives and timeframes for two residents whose assessments indicated oxygen therapy use. Resident #15 was a female with diagnoses including congestive heart failure, muscle weakness, emphysema, and shortness of breath. Her quarterly MDS, dated 12/31/2025, showed a BIMS score of 15 and selected oxygen therapy in Section O, but her care plan dated 01/15/2026 did not include oxygen, and the order summary dated 01/16/2026 showed no oxygen orders. Observations on 01/13/2026 and 01/15/2026 showed her using a nasal cannula with the oxygen concentrator set at 2.5 liters per minute, and she stated she had to wear oxygen or she had trouble breathing. Resident #29 was a female with diagnoses including asthma, dyspnea, hypoxemia, and shortness of breath. Her initial MDS dated 01/02/2026 showed a BIMS score of 8 and also selected oxygen therapy in Section O, but her care plan dated 01/15/2026 did not include oxygen, and the order summary dated 01/16/2026 showed no oxygen orders. Observations on 01/13/2026 and 01/15/2026 showed her wearing a nasal cannula with the oxygen concentrator set at 4.0 liters per minute. During interview, the DON stated she was responsible for ensuring care plans were accurate and was not aware that oxygen for both residents was not ordered or care planned.
Missing Oxygen Orders and Door Signage
Penalty
Summary
The facility failed to ensure Resident #15 received respiratory care consistent with orders and the care plan. Resident #15 was admitted with diagnoses including congestive heart failure, muscle weakness, emphysema, and shortness of breath. Her quarterly MDS indicated oxygen therapy was used while she was a resident, and observations showed she was using a nasal cannula with an oxygen concentrator set at 2.5 liters per minute. However, her care plan did not include oxygen and her order summary contained no oxygen therapy order. During interview, Resident #15 stated she had to wear oxygen or she had trouble breathing. The facility also failed to ensure Resident #29 had an oxygen order and an Oxygen in Use sign on the doorway. Resident #29 was admitted with diagnoses including asthma, dyspnea, hypoxemia, and shortness of breath. Her initial MDS indicated oxygen therapy was used while she was a resident, but her care plan did not include oxygen and her order summary contained no oxygen therapy order. Observations showed Resident #29 using a nasal cannula and oxygen concentrator set at 4.0 liters per minute, while the doorway did not have an Oxygen in Use sign. The DON stated oxygen had to be ordered by a physician or physician's representative and that Oxygen in Use signs were expected on the door frame outside every room where oxygen was being used.
Meal Service Delays Due to Staffing Issues
Penalty
Summary
The facility failed to provide meals at regular times for breakfast and lunch on 10/15/24, as observed by surveyors. Breakfast was served late, with the last meal tray delivered at 8:26 a.m., despite posted mealtimes indicating that breakfast should have been completed by 7:30 a.m. Similarly, lunch service was delayed, with the first tray plated at 12:10 p.m. and the last at 2:10 p.m., contrary to the scheduled start time of 12:30 p.m. This delay was corroborated by residents during a council meeting, where they reported experiencing meal delays, particularly for lunch, about once a month due to the kitchen also serving an attached Assisted Living facility. The Dietary Manager and a staff member, [NAME] F, attributed the delays to staffing issues, as the morning cook called off, leaving [NAME] F, who does not typically cook breakfast, to manage both breakfast and lunch. The Dietary Manager noted that the facility had recently adjusted mealtimes to better coordinate with nursing staff availability, but the absence of the regular cook disrupted this schedule. The facility's policy requires meals to be served within 45 minutes of the scheduled time, a standard that was not met on the observed date.
Expired Insulin Not Removed from Nurse Cart
Penalty
Summary
The facility failed to provide adequate pharmaceutical services by not ensuring the proper disposal of expired medications, specifically insulin, on one of the nurse carts inspected. During an inspection, it was observed that the nurse medication cart for halls 1 and 3 contained four insulin pens and one insulin vial that had expired according to the manufacturer's recommendations. The insulins had open dates written on them, indicating they should have been discarded 28 days after opening, but they were not removed from the cart. LVN E, who was responsible for the cart on the day of the inspection, admitted to not noticing the expired insulins because she had not administered them recently. She acknowledged that it was each nurse's responsibility to date the insulin pens or vials upon opening and to remove them once expired. The Director of Nursing (DON) and the Administrator both confirmed that it was expected for nurses to date and remove expired insulins. The DON mentioned that she monitored the nurse carts and medication room as needed to check for expired or undated medications, but the failure occurred because the nurses did not remove the expired insulins. The facility's policy on medication labeling and storage, as well as insulin administration, requires that multi-dose vials be dated and discarded within 28 days unless otherwise specified by the manufacturer. This oversight in following the policy could potentially lead to the administration of ineffective medications to residents.
Improper Food Storage in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food safety in its only kitchen, as observed during a survey. Specifically, food items, including approximately six different bags of cereal, were found stored improperly on a rack with clean kitchen utensils, outside of the designated dry food storage area. These cereal bags were partly rolled but not sealed, which could lead to potential cross-contamination. An interview with the Dietary Manager revealed awareness of the issue, as staff were placing cereal on the utensil rack due to the removal of a dry foods rack. The Dietary Manager acknowledged that food items should be labeled, dated, and stored in the dry food storage area, but staff occasionally forgot to return the items to the proper location. No policy was available to guide staff on proper food storage procedures.
Inadequate Documentation of Vital Signs for Medication Administration
Penalty
Summary
The facility failed to ensure accurate documentation of medical records for two residents, leading to potential risks in medication administration. Resident #13, a male with congestive heart failure and hypertension, had a physician's order for Metoprolol Succinate with specific hold parameters for blood pressure and pulse. However, the Medication Administration Record (MAR) lacked a row for documenting the pulse, which was a critical parameter for administering the medication. The Director of Nursing (DON) acknowledged the oversight and expressed uncertainty about whether the staff adhered to the hold parameters, indicating a lapse in monitoring and documentation. Similarly, Resident #23, a male with hypertension and atrial fibrillation, had orders for Amlodipine Besylate and Metoprolol Tartrate with specific hold parameters for blood pressure and pulse. The MAR for this resident also lacked rows for documenting these vital signs, despite the medications being marked as administered. The DON confirmed that an audit revealed over 20 residents without proper documentation of pulse parameters on their MARs, highlighting a systemic issue in the facility's documentation practices. The facility's policy on charting and documentation mandates that all services, medications, and changes in a resident's condition be accurately recorded to facilitate communication among the care team. However, the failure to document vital signs as per physician's orders for these residents indicates a breach of this policy, potentially compromising resident safety due to incomplete and inaccurate medical records.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of improper hand hygiene and personal protective equipment (PPE) usage by staff members. Specifically, CNA B did not change gloves or wash hands after providing peri-care to Resident #12, and proceeded to assist another resident without sanitizing her hands. Similarly, CNA C failed to wash her hands before putting on gloves and did not change gloves after performing peri-care for Resident #2, which could lead to cross-contamination. Additionally, LVN D did not adhere to Enhanced Barrier Precautions (EBP) while performing wound care for Resident #66, who was on EBP due to a stage 4 pressure ulcer. Despite the clear signage indicating the need for PPE, LVN D only wore gloves and neglected to wear a gown during the procedure. This oversight could potentially result in the spread of infections, as acknowledged by LVN D during an interview. The Director of Nursing (DON) and the Administrator both confirmed that the staff had been trained on infection control procedures, including hand hygiene and the use of PPE. However, the staff members involved admitted to forgetting the necessary steps, possibly due to nervousness during observation. The facility's policies on perineal care, hand hygiene, and EBP were not followed, leading to the identified deficiencies.
Failure to Provide Pureed Diets as Ordered
Penalty
Summary
The facility failed to ensure that food was prepared in a form designed to meet the individual needs of three residents who were on a pureed diet due to dysphagia. These residents were served meals that did not meet the required pureed consistency, as the eggs and ham were not pureed as ordered. Instead, the meals were closer to a mechanical soft diet, which could pose a risk to residents with swallowing difficulties. Resident #1, a cognitively impaired female, was dependent on assistance for eating and had a medical diagnosis of dysphagia. Her care plan required a pureed diet with thin consistency, yet she was served a meal that did not meet these specifications. Similarly, Resident #37, who was cognitively intact but required supervision for eating, and Resident #42, who needed assistance and had communication difficulties, were also served meals that did not adhere to their prescribed pureed diet. Observations and interviews revealed that the dietary manager and staff were aware of the inconsistency in meal preparation. The dietary manager acknowledged that the food did not appear to be pureed and was unsure why it was approved by nursing staff. Additionally, a staff member admitted to attempting to puree the meat manually due to a perceived issue with the blender, which was later found to be operational. Despite these issues, there were no reports of residents choking or aspirating due to the food texture at the time of the survey.
Medication Security and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure the security and proper labeling of medications, as observed during a survey. On one occasion, a nurse's cart and a medication cart on hall 100 were found unlocked and unsupervised, containing various medications including over-the-counter bottles and blister packs of prescribed drugs. LVN A admitted to leaving the carts unlocked after being distracted by a call from a CNA. Both the DON and the Administrator acknowledged that the carts should have been locked to prevent unauthorized access, which could lead to drug diversion or accidental ingestion. Additionally, the facility did not properly secure medications for a resident with congestive heart failure and hypertension. Three vials of breathing treatments were left unsecured on the resident's bedside table. The DON stated that these treatments should have been stored in the nurse's medication cart to prevent accidental ingestion or misuse. The resident was cognitively intact and capable of self-administration, but the treatments were prescribed on an as-needed basis, and there were no orders for self-administration. Furthermore, an opened and undated vial of Tuberculin (TB) medication was found in the medication room's refrigerator. The ADON and DON both stated that nurses were expected to date TB vials upon opening to avoid using expired solutions, which could lead to false test results. The facility's policy required that multi-dose vials be dated and discarded within 28 days unless otherwise specified by the manufacturer. The lack of a specific person assigned to inspect the medication room contributed to this oversight.
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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 Odessa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Deerings Nursing And Rehabilitation | 2.7 mi | ★★★★★ | 2 | 0 |
| Madison Medical Resort | 3 mi | ★★★★★ | 2 | 0 |
| Buena Vida Nursing & Rehab Odessa | 3.8 mi | ★★★★★ | 4 | 0 |
| Focused Care At Odessa | 7.7 mi | ★★★★★ | 12 | 0 |
| Sienna Nursing And Rehabilitation | 8.1 mi | ★★★★★ | 24 | 0 |
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