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 Springtown Park Rehabilitation And Care Center during CMS and state inspections, most recent first.
An unlocked medication cart on Hall 100 was left unattended by an LPN, and a cognitively intact, ambulatory resident approached the cart and leaned on it. The resident had CHF, type 2 DM, CKD, HTN, GERD, hypothyroidism, and anxiety. When questioned, the LPN acknowledged the cart should not have been left unsecured.
Medications Left at Bedside Instead of Being Administered A resident with COPD, recurrent pneumonia, CVA, HTN, CAD, GERD, HLD, depression, and allergic rhinitis had multiple morning meds documented as given, but a medication cup with about 10 pills was observed on the overbed table. The resident stated the nurse had left the pills and she then took them herself while drinking water. The nurse later stated she had set the meds on the table and did not realize the resident had not taken them, while the DON stated meds should be completed within the ordered time frame and documented after each medication is provided.
The facility failed to follow professional standards for midline IV catheter care for three residents, leading to deficiencies in IV fluid administration. A resident's midline dressing was wet and not sealed, and the site was flushed without inspection, causing pain. Two residents had dressings unchanged for over seven days, contrary to policy, increasing infection risk. The DON acknowledged these failures could lead to site infections.
The facility failed to properly store, label, and discard food in the kitchen, leading to potential food safety risks. Observations revealed unlabeled and improperly stored food items, such as uncrustable sandwiches and garlic bread, and a spoiled green bell pepper. Additionally, staff did not adhere to hand hygiene protocols, with instances of failing to wash hands when entering the kitchen or switching tasks. The Dietary Manager attributed these failures to hurried and inexperienced staff.
The facility failed to inform two residents of changes in Medicare coverage and potential financial liability for non-covered services. The MDS nurse did not complete the required SNF ABN forms, leading to residents being unaware of service coverage changes. The error was due to a lack of awareness of new form requirements.
A facility failed to provide proper respiratory care for a resident with severe cognitive impairment and chronic lung disease. The resident's nasal cannula was found uncovered and on the floor, contrary to the care plan and physician's orders. Interviews with the DON and Administrator confirmed the need for proper storage to prevent contamination, but no relevant policies were provided.
A treatment cart containing medications was found unlocked and unattended in a hallway, with a resident nearby. Interviews with the ADON, Wound Care Nurse, and DON confirmed that the cart should be locked when not in use, as per facility policy. The unsecured cart posed a risk of residents accessing medications not prescribed to them.
Unlocked Medication Cart Left Unattended
Penalty
Summary
The facility failed to store drugs and biologicals in locked compartments and to restrict access to authorized personnel for the medication cart on Hall 100. During observation on 12/16/2025 at 9:31 AM, the medication cart was found unlocked and unattended by LVN C, with no nurse observed in the hallway. The cart was located against the wall to the left of the doorway to room [ROOM NUMBER]. At 9:32 AM, Resident #52, a cognitively intact and ambulatory resident with diagnoses including CHF, type 2 DM, CKD, HTN, GERD, hypothyroidism, and anxiety, was observed walking in Hall 100 and stopped at the unlocked medication cart, leaning her arms and head on top of it. During later observation and interview, LVN C came out of room [ROOM NUMBER] and, when asked about the unlocked cart, stated, "Cuff me. I know better than that." Resident #52 later stated her room was on Hall 200 and that she had been talking with residents on Hall 100.
Medications Left at Bedside Instead of Being Administered
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of a resident when morning medications were left in a paper medication cup on the resident’s overbed table instead of being administered and observed as taken. The resident was cognitively intact with a BIMS score of 15 out of 15 and had diagnoses including COPD, recurrent pneumonia, cerebral infarction, hypertension, atherosclerotic heart disease, GERD, hyperlipidemia, depression, and allergic rhinitis. On observation, the resident was sitting up in bed with the medication cup containing approximately 10 pills on the table in front of her, and she stated the nurse had just left her pills and knew she would take them. The resident then took the pills herself while drinking water. The resident’s MAR showed multiple morning medications were documented as administered, including acidophilus, aspirin, cetirizine, clopidogrel, diltiazem, mirabegron, sertraline, cefdinir, guaifenesin, prednisone, and baclofen. During the observation, the resident was using supplemental oxygen via nasal cannula and stated she had pneumonia and had started antibiotics several days earlier. The medication cup remained at the bedside rather than being retained by staff until the medications were swallowed. The nurse stated she had taken the resident’s medications to her and set them on the overbed table, and later acknowledged she normally did not leave medication cups with residents and usually stayed until the medications were swallowed. She also stated she may have done other things for the resident and did not realize the resident had not taken her medications. The DON stated medications should be completed within an hour before or after the prescribed time and documented with each medication provided, and the facility policy stated medications are to be administered in a safe and timely manner, within one hour of the prescribed time unless otherwise specified, with the medication nurse or aide verifying the right resident, medication, dosage, time, and route.
Failure to Maintain Midline IV Catheter Care
Penalty
Summary
The facility failed to adhere to professional standards of practice for the care of midline intravenous catheters for three residents, leading to deficiencies in the administration of IV fluids. For Resident #13, the midline dressing was observed to be wet and not sealed, and the site was flushed by an LVN without prior inspection, resulting in the resident grimacing in pain. The midline was later found to be occluded and required replacement. This oversight in care placed the resident at risk of complications associated with infusion therapy. Resident #349 had a midline dressing that had not been changed for more than seven days, contrary to the physician's orders and facility policy, which required weekly changes or as needed if the dressing became soiled. The dressing was observed to be discolored and not intact, and the resident confirmed that it had not been changed since insertion. This failure to maintain the dressing as per guidelines increased the risk of infection at the infusion site. Similarly, Resident #354's midline dressing was not changed for more than seven days, as the previous dressing was dated 9/13/2024, despite the policy requiring changes every seven days or as needed. The LVN responsible for the dressing change admitted to following an incorrect protocol by adding seven days from the date of admission rather than the date of dressing application. The DON acknowledged that such failures could lead to infections at the infusion sites, highlighting a lapse in adherence to the facility's policy and procedures.
Food Safety and Hygiene Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. Specifically, the facility did not properly label food items in the refrigerator and freezer, nor did it discard spoiled food in a timely manner. Observations revealed an open box of uncrustable peanut butter and jelly sandwiches that were not kept frozen as required by the manufacturer, and a green bell pepper with a black soft spot indicating spoilage. Additionally, items such as garlic bread and cookie dough were found in the freezer without proper labeling, including the contents and use-by dates. Interviews with the Dietary Manager (DM) confirmed that these items should have been labeled and stored according to policy, and the failure to do so was attributed to staff being hurried and inexperienced. Furthermore, the facility did not ensure that staff performed proper hand hygiene while preparing food. During observations, a Dietary Aide (DA) was seen failing to wash hands upon entering the kitchen and when switching tasks, such as handling ice. The DM also neglected to wash hands after touching her face and glasses or when changing tasks. The DM acknowledged that the expectation was for staff to perform hand hygiene consistently to prevent contamination, and the lack of compliance was due to staff being nervous and new. The Assistant Dietary Manager (ADM) stated that the DM was responsible for monitoring the kitchen and ensuring adherence to policies, but did not speculate on the reasons for the failures.
Failure to Inform Residents of Medicare Coverage Changes
Penalty
Summary
The facility failed to inform residents of changes in Medicare/Medicaid coverage and potential financial liability for services not covered. Specifically, the facility did not provide a completed Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) to two residents, Resident #60 and Resident #98, when their Medicare Part A skilled services were ending. This notice is crucial as it transfers financial liability to the beneficiary before the facility provides services that Medicare is unlikely to cover. The lack of a completed SNF ABN could result in residents being unaware of changes to their service coverage. Resident #60, a female with diagnoses including muscle wasting, muscle weakness, and acute respiratory failure, was admitted on a specific date and received Medicare Part A services until a specified last covered day. Similarly, Resident #98, a female with conditions such as muscle weakness and chronic respiratory failure, also received Medicare Part A services until her last covered day. The facility did not document the ending of these services on the CMS 10123-NOMNC form, as required. The MDS nurse acknowledged the incomplete forms and attributed the error to a lack of awareness of the new form requirements.
Failure to Provide Proper Respiratory Care
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident who required oxygen therapy, as observed in multiple instances. The resident, an elderly female with severe cognitive impairment and diagnoses including congestive heart failure, shortness of breath, depression, anxiety, and chronic obstructive pulmonary disease, was prescribed oxygen at 3 liters per minute via nasal cannula to maintain oxygen saturation above 90%. However, observations revealed that the resident's nasal cannula was not stored properly when not in use, as it was found uncovered and with the nose prongs on the floor, both in the dayroom and in her room. Interviews with the Director of Nursing (DON) and the Administrator confirmed that the nasal cannula should have been stored in a plastic bag to prevent contamination and infection, as per the resident's care plan and physician's orders. The DON stated that oxygen tubing should be changed weekly or as needed if contaminated, and that charge nurses were responsible for ensuring compliance. Despite requests, no policies regarding the storage and maintenance of oxygen equipment were provided by the facility.
Failure to Secure Medication Cart
Penalty
Summary
The facility failed to ensure that drugs and biologicals were secured and stored according to accepted professional principles, as observed with a treatment cart used for medication storage. On the specified date, the treatment cart was found parked in the 200 hallway, unlocked and unattended, with a resident nearby. The cart contained various medicated items, including prescription ointments, over-the-counter creams, and wound care supplies. The absence of a nurse in the vicinity of the cart posed a risk of residents accessing medications not prescribed to them. Interviews with facility staff, including the Assistant Director of Nursing (ADON), the Wound Care Nurse, and the Director of Nursing (DON), revealed a shared expectation that the treatment cart should be locked when not in use or when the nurse is not present. The ADON and Wound Care Nurse acknowledged their responsibility for ensuring the cart's security, while the DON emphasized the importance of observing cart security. The facility's policy on medication storage, dated 2001, mandates that compartments containing drugs and biologicals must be locked when not in use, and unattended medication carts should not be left unlocked.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 278 citations issued within 25 miles in the last 12 months — including the 15 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Springtown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Azle Manor Health Care And Rehabilitation | 9.7 mi | ★★★★★ | 6 | 0 |
| Avir At Weatherford | 14.4 mi | ★★★★★ | 12 | 2 |
| Hilltop Park Rehabilitation And Care Center | 15.8 mi | ★★★★★ | 17 | 0 |
| Santa Fe Health & Rehabilitation Center | 15.9 mi | ★★★★★ | 3 | 0 |
| Holland Lake Rehabilitation And Wellness Center | 16 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Springtown Park Rehabilitation And Care Center.
100% money-back within 48 hours.
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.