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 Texhoma Christian Care Center Inc during CMS and state inspections, most recent first.
The facility's kitchen was found to have unswept floors, unclean shelves, and staff not properly using beard restraints, posing risks for foodborne illness. Observations revealed dirt and food debris in refrigerators and freezers, and staff not adhering to cleaning schedules or hygiene policies.
Two residents with skin conditions did not have their care plans updated to reflect new medical needs and treatments. One resident developed cellulitis and a rash, while another had a rash and pruritis. Despite physician orders for treatment, their care plans were not revised, as confirmed by the MDS Coordinator. This oversight contravened the facility's policy requiring care plan updates as residents' conditions change.
The facility failed to secure medication carts, as observed with three carts left unlocked and unattended. Treatment Carts 1 and 2 contained insulin, needles, and resident information, while Medication Cart 1300 had over-the-counter medications and prescription cards. Staff interviews confirmed the expectation to lock carts, aligning with the facility's policy requiring carts to be secured during medication passes and locked when not in use.
Deficiencies in Kitchen Cleanliness and Staff Hygiene
Penalty
Summary
The facility failed to maintain food service safety standards in its kitchen, as observed during a survey. The deficiencies included unswept floors with dirt and food crumbs, unclean bottom shelves, and improper use of beard restraints by staff. Specifically, the walk-in refrigerators and freezer had spilled dry milk, dust, dirt, and food crumbs on the floors and underneath the shelves. The cleaning schedule, which was supposed to be followed and signed by staff, was not adhered to, as evidenced by the continued presence of dirt and food debris during follow-up observations. Additionally, staff members were observed not wearing beard restraints properly, with one cook's facial hair not fully covered and another staff member not wearing a beard restraint at all. The Dietary Manager and Administrator both acknowledged that the kitchen should be cleaned daily, and spills should be addressed immediately. They also confirmed that beard restraints should cover all facial hair, including the upper lip and moustache, to prevent infection and pest risks. The facility's policies on cleaning and professional appearance were not followed, contributing to the observed deficiencies.
Failure to Update Care Plans for Skin Conditions
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans for two residents, which included measurable objectives and timeframes to address their medical, nursing, and psychosocial needs. Resident #59, a female with dementia, pruritis, contact dermatitis, and cellulitis, developed a skin rash and cellulitis on her left forearm. Despite physician orders for creams to treat these conditions, her care plan was not updated to reflect these developments or the treatments being administered. The MDS Coordinator confirmed the absence of a care plan addressing the resident's skin rash during a review of the resident's records. Similarly, Resident #126, a male with dementia, tinea corporis, and pruritis, developed a skin rash in March 2024. Physician orders were obtained for topical treatments, but his care plan was not revised to include these new skin conditions and treatments. The resident's records indicated ongoing issues with skin picking and pruritis, yet the care plan remained unchanged. The MDS Coordinator acknowledged the lack of a care plan for the resident's rash during a review of the records. The facility's policy requires that comprehensive care plans be developed and revised as residents' conditions change to ensure their highest practicable physical, mental, and psychosocial well-being. However, the facility did not adhere to this policy, resulting in a failure to update care plans for the two residents, potentially impacting their care and well-being.
Failure to Secure Medication Carts
Penalty
Summary
The facility failed to ensure that drugs and biologicals were secured and stored according to accepted professional principles, as observed with three medication carts. Treatment Cart 1 and Treatment Cart 2 were found unlocked and unattended at the east side nurses' station, containing insulin, hypodermic needles, resident private health information, and medicated ointments. LVN A admitted to forgetting to lock the cart, while the ADON and Administrator confirmed that the carts should have been locked. Additionally, Medication Cart 1300 was observed unlocked and unattended, containing over-the-counter medications, prescription cards, and a locked narcotic box within an open drawer. RN B and MA C acknowledged the expectation to lock the cart, with MA C expressing concern over potential unauthorized access. The facility's policy, dated April 2007, mandates that medication carts be secured during medication passes and locked when not in use or out of the nurse's view. The policy specifies that carts should be parked in the doorway of the resident's room during medication passes, with doors and drawers facing the room, and locked when not in use. Interviews with the ADON and DON reiterated the expectation for carts to be locked to prevent unauthorized access and potential drug diversion. The failure to adhere to these policies was evident in the observations and staff interviews, highlighting a lapse in securing medication carts as required.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Wichita Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Courtyard Gardens | 2.1 mi | — | 0 | 0 |
| Swan Health At Wichita Falls | 2.3 mi | ★★★★★ | 0 | 0 |
| Rolling Meadows | 2.3 mi | — | 0 | 0 |
| University Park Nursing And Rehabilitation | 3.4 mi | ★★★★★ | 0 | 0 |
| Advanced Rehabilitation And Healthcare Of Wichita | 4.1 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.