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 Post Nursing & Rehab Center during CMS and state inspections, most recent first.
Food Storage, Labeling, and Temperature Control Failures: Kitchen A repeatedly stored resident drinks with serving trays placed directly on top of the cups, leaving the rims exposed, and kept multiple bread and freezer items unlabeled with received or use-by dates. Staff also stored dented tuna cans with undamaged cans and served spaghetti below the required hot-holding temperature. Interviews showed staff knew drinks should be covered, food should be labeled, dented cans should be separated, and hot food should reach the proper temperature, but these practices were not followed.
A resident’s care plan included demeaning terms such as argumentative, picky, and manipulative to describe her, even though she said she had never seen the plan and would not describe herself that way. The resident had altered mental status with moderately impaired cognition, and interviews showed multiple staff members and the resident representative felt the wording was disrespectful and would paint her in a bad way. Facility policy stated residents must be treated with dignity and respect and that demeaning practices are prohibited.
Inaccurate PASRR Level I Screenings for Two Residents with Major Depressive Disorder. Two residents had PASRR Level I forms that did not reflect active diagnoses of major depressive disorder, and no PASRR Level II evaluation documents were provided. The DON stated she was responsible for entering and reviewing PASRRs and acknowledged that major depressive disorder should have qualified a resident for a positive PASRR Level I screening; the ADM also stated the DON was responsible for checking PASRR accuracy.
Hand hygiene was not performed between glove changes during foley catheter care for one resident and incontinence care for another resident. A CNA cleaned a resident's catheter and bottom, and another CNA provided incontinence care, but both failed to clean their hands after removing contaminated gloves and before donning clean gloves. The residents had significant medical conditions, including an indwelling catheter with bowel incontinence and severe cognitive impairment with total bowel and bladder incontinence.
The facility failed to inform residents about the grievance process, as 12 residents were unaware of how to file grievances, obtain forms, or submit them anonymously. The grievance procedure was not posted, and the Administrator confirmed that forms were inaccessible to residents. Resolutions were not provided in writing, and the grievance process was not discussed in Resident Council meetings.
A medical assistant in an LTC facility failed to sanitize multi-use medical devices and perform hand hygiene between residents during medication administration. This was observed with several residents, despite the assistant having received training on proper infection control practices. Interviews with facility administration confirmed the expectation for staff to adhere to these protocols to prevent infection spread.
A facility failed to include PASRR services in the care plan of a resident with multiple mental health diagnoses, despite the resident receiving mental health services. The omission was attributed to an oversight, possibly due to the resident being a new admission. The facility's policy requires a comprehensive care plan within seven days of assessment, which was not followed.
Food Storage, Labeling, and Temperature Control Failures
Penalty
Summary
Kitchen A failed to store, prepare, distribute, and serve food in accordance with professional standards. During observations, resident drinks prepared for service were repeatedly stored with a serving tray placed directly on top of the glasses, exposing the rims of the glasses to the underside of the tray. This occurred with 38 glasses on 10/1/25, seven uncovered and unlabeled resident drinks in the refrigerator on 10/1/25, 29 glasses on 10/2/25, and 20 empty glasses on 10/3/25 while staff was preparing to pour liquid into the cups. The facility also failed to label multiple food items with received or use-by dates. Observations in the dry pantry and freezer showed unlabeled bread, hamburger buns, hot dog buns, and frozen broccoli on 10/1/25 and 10/2/25, with some items still unlabeled on 10/3/25. The report also noted dented tuna cans stored with undamaged canned goods on 10/1/25, 10/2/25, and 10/3/25, including one dented can that remained on a wire rack in the same dry pantry. Hot food was also served below the required temperature. On 10/1/25, spaghetti with ground beef was observed at 141 F while being served, and the facility temperature log documented the alternative meal spaghetti at 141 F. During interviews, dietary staff stated drinks should have been individually covered with plastic wrap, dented cans should not have been stored with undamaged cans, and food items should have been labeled when received. The DM stated spaghetti should have been reheated to 165 F before serving, and the ADM stated she was unaware of the uncovered drinks, improperly labeled food, incorrect food temperatures, or dented cans stored with undamaged cans.
Negative language in care plan undermined resident dignity
Penalty
Summary
The facility failed to ensure that a resident was treated with dignity and respect when the resident’s care plan contained negative descriptive language, including the terms argumentative, picky, and manipulative. The resident was a [AGE]-year-old female admitted with altered mental status and had a BIMS score of 12, indicating moderately impaired cognition. Her care plan, which she had access to, included statements such as “I am very manipulative,” “I am very argumentative,” “I am very picky,” and “can be very manipulative,” along with comments that she was known to belittle staff and not say the truth at times. The resident stated she had participated in care plan meetings but had never seen her care plan and did not know what it entailed. She said she would not describe herself as picky, manipulative, or argumentative, and explained that her gluten-free diet was a medical need rather than being picky. She stated she liked the staff, described them as polite and efficient, and said she would describe herself as calm, peaceful, and honest. She also stated those words were not nice and would be untrue if used to describe her. Interviews with staff and others showed that the terms were used in the care plan to describe the resident’s behaviors, but multiple staff members acknowledged the wording was disrespectful or not something they would say directly to the resident. The SW stated the resident sometimes became fixated on issues and used the term manipulative based on how the resident communicated with different staff members. The DON, ADM, Activity Director, CNAs, and the resident representative all stated they would not want the resident described that way, and several said the wording would paint her in a bad way or make her feel bad. The facility policies on dignity and resident rights stated residents must be treated with dignity and respect and that demeaning practices are prohibited.
Inaccurate PASRR Level I Screenings for Two Residents with Major Depressive Disorder
Penalty
Summary
The facility failed to ensure that two residents with mental illness had accurate and updated PASRR Level I screenings. Resident #2’s record showed diagnoses including Parkinsonism, anxiety disorder, major depressive disorder, and vascular dementia with mood disturbance, but the PASRR Level I form dated 05/19/2025 marked primary dementia as YES and mental illness as NO. The resident’s admission MDS showed a BIMS of 03, indicating significant cognitive impairment, and the care plan listed major depressive disorder. No additional PASRR Level I screenings or PASRR Level II evaluation documents were provided for this resident. Resident #3’s record showed diagnoses including atherosclerotic heart disease, cognitive communication deficit, and major depressive disorder. The quarterly MDS showed a BIMS of 13, indicating the resident was cognitively intact, and the care plan listed major depressive disorder and included a focus area for antidepressant medication, Lexapro, for major depression. The PASRR Level I form dated 01/31/2025 marked mental illness as NO. No additional PASRR Level I screenings were provided for this resident, and no PASRR Level II evaluation documents were provided. During interviews, the DON stated she was responsible for entering and reviewing PASRR screenings and that major depressive disorder should have qualified a resident for a positive PASRR Level I screening. She also stated that if a resident received a new diagnosis of mental illness, the facility notified the LIDDA representative for a new PASRR screening, but she was not aware that either resident had received a new diagnosis of major depressive disorder after admission. The ADM stated the DON was responsible for checking PASRR accuracy and acknowledged that an inaccurate PASRR screening could result in a resident missing services available to them.
Hand Hygiene Not Performed Between Glove Changes During Resident Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 6 residents reviewed for infection control. During observation of one resident's foley care, a CNA cleaned the resident's foley catheter, removed contaminated gloves, and did not perform hand hygiene before putting on clean gloves. The CNA then turned the resident onto the right side, cleaned the resident's bottom, removed contaminated gloves again, and donned clean gloves without hand hygiene between the glove changes. The resident involved in the foley care observation was a male with paraplegia, neuromuscular dysfunction, and tubulointerstitial nephritis. His quarterly MDS showed a BIMS score of 11, indicating moderate cognitive impairment. He had an indwelling catheter and was incontinent of bowel. His physician orders included catheter care every shift and as needed, and his care plan identified risk for catheter-associated urinary tract infection or trauma with catheter care interventions. During observation of another resident's incontinence care, a CNA cleaned the resident's front, removed contaminated gloves, and put on clean gloves without performing hand hygiene. The CNA then turned the resident onto her right side and cleaned her bottom, again removing contaminated gloves and donning clean gloves without hand hygiene between the glove changes. This resident had dementia, COPD, hypertension, and muscle weakness, and her quarterly MDS showed a BIMS score of 04, indicating severe cognitive impairment. She was always incontinent of bowel and bladder.
Failure to Inform Residents of Grievance Process
Penalty
Summary
The facility failed to provide residents and their representatives with information on their rights related to filing grievances or concerns. This deficiency was identified through observations, interviews, and record reviews, revealing that 12 out of 12 confidential residents were not informed about the grievance process. The residents were unaware of where to obtain or submit a grievance form, how to file a grievance anonymously, or their right to receive a written decision regarding their grievance. The grievance procedure had not been discussed in Resident Council meetings, and there were no postings of the grievance procedure in prominent locations within the facility. During a Resident Council meeting, all 12 attendees, who had been residents for over six months, expressed their lack of knowledge about the grievance process. They did not know how to file a grievance, where to acquire a grievance form, or who to submit it to. Additionally, they were unaware of their right to receive a written decision once their grievance was resolved. A review of the facility's grievance policy confirmed that a copy of the grievance/complaint procedure should be posted on the resident bulletin board, but this was not observed during the survey. The facility's Administrator (ADM), who also served as the Grievance Officer, confirmed that grievance forms were kept in her office and were not accessible to residents. The ADM stated that grievances were completed when residents approached her with complaints, during Resident Council meetings, or when staff reported complaints. However, the grievance procedure was not posted for residents, and there was no means for residents to file grievances anonymously. The ADM also acknowledged that resolutions to grievances were not provided in writing to the complainants, contrary to the facility's policy, and that the grievance procedure was not being discussed in Resident Council meetings.
Infection Control Lapses During Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of a medical assistant (MA A) during medication administration. MA A did not properly clean multi-use medical devices, such as blood pressure cuffs, between each resident. Specifically, during observations, MA A used the same blood pressure device on multiple residents without sanitizing it before or after use. This occurred with Residents #10, #12, and #23, potentially increasing the risk of cross-contamination and infection spread among residents. Additionally, MA A did not perform hand hygiene between resident interactions during medication administration. Observations revealed that MA A failed to sanitize her hands after taking blood pressure measurements and before and after administering medications to Residents #10, #14, #19, and #23. Despite having been trained on proper hand hygiene and device sanitation, MA A admitted to forgetting these practices during the observed medication pass, citing nervousness as a factor. Interviews with the facility's administration, including the Administrator (ADM) and Director of Nursing (DON), confirmed that staff are expected to follow hand hygiene and device sanitation protocols to prevent the spread of infections. The facility's policies emphasize the importance of hand hygiene and the proper sanitization of multi-use medical devices. Despite this, the observed deficiencies indicate a lapse in adherence to these protocols, potentially compromising resident safety.
Failure to Include PASRR Services in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident with a PASRR positive status, which is necessary to meet the resident's highest practicable physical, mental, and psychosocial well-being. The resident, a female with intact cognition, was admitted with multiple mental health diagnoses, including schizoaffective disorder, bipolar disorder, major depressive disorder, and anxiety, as well as hypertension. Despite receiving mental health services and having a case worker, the resident's care plan did not include PASRR or PASRR services, which are essential for addressing her specific needs. Interviews with facility staff, including an LVN and the DON, revealed that the care plan was not updated to include PASRR services due to an oversight, possibly because the resident was a new admission. The DON acknowledged the omission and stated that the PASRR positive status and services should have been included in the comprehensive care plan. The facility's policy requires that a comprehensive, person-centered care plan be developed within seven days of the completion of the required comprehensive assessment, but this was not adhered to in this case.
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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 Post
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Slaton Care Center | 23.4 mi | ★★★★★ | 8 | 0 |
| Crosbyton Nursing And Rehabilitation Center | 33.7 mi | ★★★★★ | 17 | 0 |
| Ralls Nursing Home | 34.1 mi | ★★★★★ | 14 | 3 |
| Avir At Heritage Oaks | 37.6 mi | ★★★★★ | 16 | 0 |
| Windmill Village Rehabilitation & Care Center | 37.7 mi | ★★★★★ | 2 | 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 August 2026) and official state health department websites.