Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Permian Residential Care Center during CMS and state inspections, most recent first.
Improper food storage and kitchen sanitation were observed in the dietary area. Surveyors found dried food inside the microwave, expired Glucerna cartons in the kitchen, germicidal wipes stored in the same cabinet as drinking pitchers and food equipment, and unlabeled or uncovered frozen food items in the dining room freezer. The RD and ADM stated they did not know why these conditions existed, and facility policy required cleaning supplies to be stored away from food and frozen items to be labeled and covered.
A resident with dementia, pneumonia, and hypoxemia was observed using O2 at 2 LPM via NC even though the order summary showed no active physician order for oxygen. The care plan listed PRN oxygen, and staff interviews confirmed the admitting nurse and DON missed entering/verifying the order; the facility policy required a physician order before oxygen administration.
Unlabeled Loose Pill and Expired Medication in Cart: Surveyors found one loose white pill in Medication Cart 1 that was unlabeled and later identified by the DON as Spironolactone. They also found three boxes of Ipratropium Bromide/Albuterol Sulfate in the same cart with expired vials, totaling 35 expired vials. RN B stated she had been checking carts for expiration dates, cleanliness, and loose pills, but had been using the pharmacy do not use by date instead of the manufacturer expiration date.
A resident with cerebral infarction, severe cognitive impairment, vision loss, weakness, and dependence for transfers was observed sitting in a recliner with her call light clipped to a privacy curtain and out of reach. She stated she was in pain, could not stand safely, and did not know where the call light was. CNA B confirmed the call light should have been within reach and moved it after the surveyor pressed it; the ADM and DON stated staff were expected to keep call lights accessible for residents in bed or seated in their rooms.
LVNs in the facility failed to follow proper food service safety standards during meal service, as they served beverages to residents by placing bare hands over the top of glasses without using gloves or hand sanitizer. This improper handling was observed with several residents, potentially exposing them to contamination. Interviews revealed that the LVNs were aware of the improper handling, and the facility's policy emphasized the importance of safe food handling practices.
The facility failed to maintain an effective infection control program, as evidenced by the lack of appropriate signage for a COVID-positive resident, inadequate PPE use by a housekeeper, and poor hand hygiene practices by an LVN. These deficiencies were observed during a survey and involved two residents with significant medical histories.
Improper Food Storage and Kitchen Sanitation
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards in the kitchen reviewed for dietary services. During the initial tour, dried food was observed on the inside top of the microwave. In the same kitchen cabinet, a container of SuperSaniCloth germicidal wipes was stored with two pitchers used for drinking and one large silver food container. The RD stated she did not know why the expired Glucerna cartons were in the kitchen and said she had told staff not to use them but should have removed them. She also stated she did not know why dried food was on the microwave and that the microwave was cleaned daily. In the dining room freezer, surveyors observed an unlabeled small Styrofoam container of white frozen substance, an unlabeled small Styrofoam container of brown frozen substance with the lid partially removed, and a medium Styrofoam container of what appeared to be chocolate chips that was uncovered and unlabeled. The RD stated ambassadors refilled the refrigerators and freezers in the dining room and expected all food items in the freezer to be labeled and covered, but she was unsure how the unlabeled items were placed there. The ADM stated sanitation and food storage were expected to be monitored daily, but she did not know why the germicidal wipes were stored with food equipment, why the expired Glucerna remained in the kitchen, or why freezer items were not labeled. Facility policies required cleaning supplies to be stored away from food, food items to be labeled and dated, and frozen foods to be stored in airtight containers or wrapped properly.
Missing Physician Order for Oxygen Therapy
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not ensured for Resident #39, who was admitted with unspecified dementia, pneumonia, and hypoxemia. The comprehensive MDS dated 11/10/25 indicated she received oxygen therapy in the facility and had a BIMS score of 09, showing moderately impaired cognition. Her care plan listed PRN oxygen therapy related to shortness of breath and included oxygen at 2 L/min via nasal cannula as indicated with an initiation date of 11/21/25. Record review of the order summary report dated 12/11/25 showed no active physician orders for oxygen therapy. Despite this, observations on 12/10/25 and 12/11/25 showed Resident #39 sitting in her room with oxygen on via nasal cannula at 2 LPM. During interviews, the resident stated she used oxygen at all times due to a recent respiratory infection. Staff interviews confirmed the missing order was an oversight: the admitting nurse stated she assumed the order was already in the chart, the DON stated residents should have oxygen orders in place and that she was responsible for ensuring this, and the ADM stated the admitting nurse was responsible for entering the oxygen order in PCC. The facility policy titled Oxygen Administration stated to verify that there is a physician's order for oxygen administration.
Unlabeled Loose Pill and Expired Bronchodilator Medication Found in Medication Cart
Penalty
Summary
The facility failed to ensure drugs and biologicals in Medication Cart 1 were stored and maintained in accordance with accepted professional standards. During an observation with RN B, surveyors found one loose white pill in the second drawer of the cart that was unlabeled. The DON later identified the pill as Spironolactone. The observation also identified three boxes of Ipratropium Bromide/Albuterol Sulfate in the middle right drawer of the same cart, and each box contained expired vials; the boxes had expiration dates of June 2025, April 2025, and 10/31/2025, with a total of 35 expired vials identified across the three boxes. During interviews, RN B stated she had been trained on checking medication carts at the beginning and end of each shift for expired medications, organization, cleanliness, and loose pills, but she had been looking at the pharmacy's do not use by date rather than the manufacturer's expiration date. She stated the loose pill could lead to a medication error or possible drug diversion and that expired medication could cause an adverse reaction if administered. The DON stated staff training on medication carts had been weekly, with the last training approximately a year ago, and that checks were done monthly to order medication and restock as needed. The facility policy titled Storage Medications stated that all drugs and biologicals shall be stored in a safe, secure, and orderly manner and in the packaging, containers, or other dispensing systems in which they are received.
Call Light Not Within Reach of Dependent Resident
Penalty
Summary
The facility failed to ensure that Resident #10’s call light was within reach while she was positioned in her recliner. Resident #10 was admitted with diagnoses including cerebral infarction, confusion arousals, unqualified vision loss in both eyes, chronic pain, dysphagia following cerebral infarction, and weakness. Her annual MDS showed a BIMS score of 00, indicating severe cognitive impairment, and she was dependent for rolling, bed mobility, chair/bed transfers, and tub/shower transfers. Her care plan directed staff to keep her call light within reach and to encourage her to use it for assistance. During an observation, Resident #10 was lying in her recliner in her room, alone and approximately 6 feet away from her call light. The call light was clipped to her privacy curtain next to her bed and was not within reach from either the bed or the recliner. Resident #10 stated she was in pain, wanted staff assistance, was unable to stand on her own for fear of falling, and was not aware of where her call light was. CNA B responded after the surveyor pressed the call light and stated it should have been within the resident’s reach; CNA B then repositioned it within reach. Interviews with CNA A, the ADM, and the DON confirmed that Resident #10 depended on staff for transfers and most ADLs, could become confused, and should have had her call light accessible while in her room. The ADM and DON stated they were not aware the call light was out of reach that morning and both said it was their expectation that nursing staff ensure residents had access to their call lights when in bed or sitting in another area of the room. The facility’s in-service training report stated that residents rely on staff to respond to call bells promptly and that timely responses reassure residents that they are in a safe and attentive environment.
Improper Beverage Service by LVNs
Penalty
Summary
The facility failed to adhere to professional standards for food service safety during the noon meal service in the dining room, as observed on 09/25/24. Licensed Vocational Nurses (LVNs) A, B, and C improperly served beverages to residents by placing their bare hands over the top of the glasses, where the residents would drink from, without wearing gloves or using hand sanitizer. This improper handling was observed with Resident #39, Resident #3, Resident #61, and Resident #8, potentially exposing them to food contamination and foodborne illness. Interviews with the involved LVNs revealed that they were aware of the improper handling of the glasses. LVN C admitted to handling Resident #8's glass improperly and acknowledged the risk of germ transfer. LVN B also recognized the improper handling of glasses for Resident #3 and Resident #61 and mentioned receiving training on avoiding cross-contamination. LVN A admitted to handling Resident #39's glass improperly and acknowledged the potential for infection and cross-contamination. The facility's administration, including the Administrator (ADM) and Director of Nursing (DON), confirmed that the facility's policy required proper infection control practices during meal service, including carrying glasses from the side and observing hand hygiene. The facility's policy, titled "Dining Services Standards," emphasized the importance of safe food handling practices and proper handwashing and glove usage. Despite the training provided, the staff failed to comply with these standards, leading to the observed deficiencies.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by several deficiencies observed during a survey. One significant issue was the lack of appropriate transmission-based precaution signage for a resident who tested positive for COVID-19. Despite the resident's care plan indicating the need for contact and droplet isolation, the necessary signs were not displayed on the resident's door, potentially leading to inadequate precautions being taken by staff and visitors. Additionally, a housekeeper did not utilize the required personal protective equipment (PPE) when entering the room of the COVID-positive resident. Although the housekeeper wore an N95 mask, she failed to don a gown, gloves, or face shield as required. This lapse in protocol occurred because the housekeeper was not adequately trained on the use of PPE, including the CAPR system, and was not informed of the need for a face shield. The housekeeping supervisor confirmed that staff had not received proper training on infection control measures, including the donning and doffing of PPE. Furthermore, a Licensed Vocational Nurse (LVN) did not adhere to hand hygiene practices during medication administration for another resident. The LVN failed to perform hand hygiene before entering the resident's room, before donning gloves, after doffing gloves, and after exiting the room. This oversight occurred despite the LVN acknowledging the importance of hand hygiene and having received training on the subject. The Director of Nursing (DON) and other staff members confirmed that hand hygiene training was conducted annually, but the LVN's actions demonstrated a lapse in following established protocols.
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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 Andrews
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Memorial Health Care Center | 27.4 mi | ★★★★★ | 0 | 0 |
| Midland Medical Lodge | 31.2 mi | ★★★★★ | 3 | 0 |
| Madison Medical Resort | 32.4 mi | ★★★★★ | 0 | 0 |
| Mabee Health Care Center | 32.6 mi | ★★★★★ | 10 | 0 |
| Buena Vida Nursing And Rehab Odessa | 33 mi | ★★★★★ | 3 | 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.