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 Sheridan Medical Lodge during CMS and state inspections, most recent first.
A resident’s comprehensive care plan was not updated after an indwelling urinary catheter was discontinued and the resident no longer had the catheter. The care plan still included catheter-related interventions, while the resident had dementia, severe cognitive impairment, urinary incontinence, and a history of UTI/MDRO and antibiotic use; the MDS Coordinator acknowledged the care plan needed to be resolved.
Care Plan Not Revised After Antianxiety Medication Discontinued: A resident with severe cognitive impairment and diagnoses including dementia, anxiety, depression, and mood disorder had a care plan addressing alprazolam use, with interventions to administer the medication as ordered and monitor for side effects. The RN Corporate Nurse Consultant confirmed the PRN alprazolam order had ended, but the care plan was not resolved and remained focused on an inactive antianxiety medication.
The facility failed to accurately document CPAP/BiPAP use in the MDS assessments for three residents with respiratory conditions. Despite physician orders for CPAP use, the MDS did not reflect this treatment, as confirmed by observations and staff interviews. The MDS Coordinator and DON were unaware of the omissions, stating it did not affect care or payment, contrary to facility policy requiring accurate assessments for care planning.
The facility failed to implement comprehensive care plans for seven residents, omitting key care areas such as urinary incontinence, mood state, and cognitive loss/dementia. Interviews revealed oversight and workload issues, with care plans lacking measurable goals and interventions.
A resident with severe cognitive impairment was found in unsanitary conditions, with brown substances and debris in her room. Despite concerns raised by the resident's representative, staff failed to promptly address the cleanliness issues. Interviews revealed a lack of communication and responsibility among staff, leading to the deficiency in maintaining a sanitary environment.
The facility failed to update the comprehensive care plans for two residents. One resident's care plan did not include a necessary right foot brace, and another resident's care plan lacked behavioral interventions despite documented needs. The DON acknowledged that the MDS nurse did not update the care plans as required.
Care Plan Not Revised After Urinary Catheter Discontinued
Penalty
Summary
The facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including the comprehensive and quarterly review assessments, for Resident #120. The resident’s comprehensive care plan, dated 6/26/2025, still addressed an indwelling urinary catheter and included interventions for catheter placement, catheter care, monitoring for UTI signs and symptoms, and administration of Acidophilus/Pectin and cranberry supplements, even though the catheter order had been discontinued with an end date of 9/07/2025 and the resident no longer had a urinary catheter when observed in the room on 03/08/2026. Resident #120 was admitted with diagnoses including dementia, depression, atrial fibrillation, hypertension, hip fracture, and neuromuscular dysfunction of the bladder. The record also showed a significant change MDS assessment noting an indwelling urinary catheter, MDRO and UTI diagnoses, and antibiotic use, and a quarterly MDS assessment showing severe cognitive impairment, urinary incontinence, no UTI diagnosis, and antibiotic medication use. During interview and record review, the MDS Coordinator stated the care plan still addressed an indwelling catheter and needed to be resolved.
Care Plan Not Revised After Antianxiety Medication Discontinued
Penalty
Summary
The facility failed to maintain an accurately documented medical record for one resident by not revising the comprehensive care plan after the resident’s alprazolam order was discontinued. Resident #70 was admitted with diagnoses including vascular dementia, heart failure, heart disease, hyperlipidemia, type 2 diabetes mellitus, osteoarthritis, COPD, anxiety, depression, and mood disorder. The resident’s admission MDS showed a BIMS score of 3 out of 15, indicating severe cognitive impairment, and documented use of antipsychotic, antianxiety, and anticonvulsant medications with indications for use. The resident’s comprehensive care plan, dated 1/02/2026, addressed the use of alprazolam and included a goal for the resident to be free from discomfort or adverse reactions related to anti-anxiety therapy, with approaches to administer alprazolam as ordered and monitor for side effects and effectiveness every shift. During interview and record review, the RN Corporate Nurse Consultant stated the alprazolam order had ended on 1/12/2026 and the care plan should have been resolved because the medication was no longer active. The facility policy stated care plans will be updated to reflect changes in resident needs and reviewed and revised at least every 90 days.
Inaccurate MDS Assessments for CPAP/BiPAP Use
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for three residents, specifically regarding the documentation of CPAP/BiPAP use. Resident #76, a male with Chronic Obstructive Pulmonary Disease (COPD) and other breathing abnormalities, had a physician's order for CPAP use at night, yet his MDS did not reflect this treatment. Similarly, Resident #80, also diagnosed with COPD and Obstructive Sleep Apnea, had a physician's order for CPAP use, but his MDS failed to document this. Resident #99, with similar diagnoses, also had a physician's order for CPAP use, which was not recorded in the MDS. Observations confirmed that these residents had CPAP machines present, but the MDS assessments did not accurately reflect their use. Interviews with facility staff, including the MDS Coordinator and the Director of Nursing (DON), revealed a lack of awareness regarding the omission of CPAP documentation in the MDS. The MDS Coordinator and the DON both stated that the incorrect coding did not affect payment or the residents' care, although the facility's policy emphasizes the importance of accurate assessments for developing care plans. The preceptor DON also acknowledged the expectation for accurate MDS coding but was unaware of the reasons for the discrepancies. The facility's policy mandates comprehensive and accurate assessments, yet the failure to document CPAP use accurately placed residents at risk for unmet care needs and decreased quality of life.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for seven residents, which included measurable objectives and time frames to meet their highest practicable physical, mental, and psychosocial well-being. The care plans lacked specific goals and interventions for various care areas triggered by the Care Area Assessments (CAAs). These areas included urinary incontinence, mood state, activities, dehydration/fluid maintenance, cognitive loss/dementia, visual function, psychosocial well-being, falls, nutritional status, communication, and functional abilities. For instance, one resident, a male with multiple medical diagnoses including dementia and schizoaffective disorder, had care areas such as urinary incontinence and mood state triggered on the CAA but not addressed in the care plan. Another resident, a female with metabolic encephalopathy and stroke, had several care areas like cognitive loss/dementia and urinary incontinence triggered but not included in her care plan. Similarly, other residents with various medical conditions such as kidney failure, post-operative hip replacement, and colorectal cancer had care areas identified in their CAAs that were not incorporated into their care plans. Interviews with the MDS Coordinators revealed that the oversight and workload might have contributed to the failure to address these care areas in the care plans. The coordinators admitted that the goals on care plans were selected using available choices in the electronic record template and that modifying prepopulated goals had not been done. The facility's Administrator and DON acknowledged that care areas identified on CAAs should be addressed on the care plan but could not explain why this was not done. The facility's policy requires comprehensive person-centered care plans with measurable objectives and time frames, which were not met in these cases.
Failure to Maintain Sanitary Environment for Resident
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment for a resident, leading to a deficiency in housekeeping services. The resident, who had severe cognitive impairment and a history of removing her colostomy bag, was found in a room with unsanitary conditions. Observations revealed brown substances on the bed, wall, and floor, along with a foul odor and various debris under the bed. Despite the resident's representative expressing concerns about the cleanliness of the room, the issues were not addressed promptly by the staff. Interviews with staff members revealed a lack of communication and responsibility in addressing the unsanitary conditions. A CNA noticed the brown substance on the resident's bedding, wall, and floor but was unable to completely clean the area with the provided disinfectant wipes. The CNA did not notify housekeeping to sanitize the room, and the housekeeping staff stated they were not informed of the need to sanitize the area. The LVN and ADON were also unaware of the issue until the following day, indicating a breakdown in communication and monitoring of the resident's environment. The facility's policies on quality of life and infection control were not effectively implemented, as evidenced by the presence of bodily fluids and debris in the resident's room for multiple shifts. The DON and ADMN acknowledged the failure in maintaining a clean environment and attributed it to inadequate staff training and communication. Despite the resident's cognitive impairment, the unsanitary conditions were deemed unacceptable for any reasonable person, highlighting the facility's deficiency in providing a safe and comfortable living environment.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to update the comprehensive care plan after the assessment for two residents. For Resident #1, the care plan did not include the necessary right foot brace despite the resident having a diagnosis of peroneal palsy and a physician's order for an AFO brace. The resident's electronic health record and comprehensive care plan were not updated to reflect this need. Interviews revealed that the occupational therapist did not believe the brace was necessary, and the resident's family member insisted on its use, but the care plan remained unchanged. The Director of Nursing (DON) acknowledged that the care plan should have been updated by the MDS nurse but was not checked for completeness. For Resident #4, the care plan did not include behavioral interventions despite the resident having a diagnosis of dementia with behavioral disturbances and schizoaffective disorder. The resident's physician orders included psychoactive medication behavior monitoring, but the comprehensive care plan did not reflect this. The resident exhibited verbal behavioral symptoms, but these were not documented in the care plan. The DON confirmed that the care plan should have included a focus area for behaviors and that it was the MDS nurse's responsibility to update the care plans, which was not done 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 Burkburnett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Burkburnett | 2 mi | ★★★★★ | 2 | 0 |
| Iowa Park Healthcare Center | 10.6 mi | — | 0 | 0 |
| Texhoma Christian Care Center Inc | 11.2 mi | ★★★★★ | 1 | 0 |
| Courtyard Gardens | 12 mi | — | 0 | 0 |
| Swan Health At Wichita Falls | 12.4 mi | ★★★★★ | 0 | 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.