Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sheridan County Hospital Ltcu during CMS and state inspections, most recent first.
A resident with dementia and other medical conditions was injured during a transfer when staff failed to use a gait belt as required by the care plan. The resident was found unresponsive on the toilet, and during the transfer to the bed, a loud popping noise was heard, resulting in a fracture of the left humerus. Staff admitted to not using a gait belt, citing the emergent nature of the situation.
A resident with a history of falls and impaired cognition was injured after the facility left her electric lift chair remote within reach, despite safety evaluations indicating it was unsafe. The resident, who required assistance for mobility, fell and sustained a head laceration. Observations and staff interviews confirmed the lift chair control was often left within reach, contrary to safety assessments.
The facility failed to implement a water management program to prevent Legionella, placing residents at risk. Additionally, a CNA did not change gloves or wash hands during incontinent care for a resident with prostatic hyperplasia, increasing infection risk. The facility lacked a policy on glove changing and handwashing during such care.
A resident with multiple sclerosis, dependent on staff for daily activities, was not treated with dignity during G-tube medication administration. The resident was left exposed to others through an open window while a nurse administered medications, failing to close the blinds and compromising the resident's privacy.
A facility failed to ensure a resident's PRN Xanax prescription for anxiety had a 14-day stop date or documented rationale for extended use. Despite a physician's order to continue the medication for six months, this was not entered into the resident's EMR or MAR, violating facility policy and CMS regulations. This oversight placed the resident at risk for unnecessary psychotropic medication use.
Failure to Use Gait Belt Results in Resident Injury
Penalty
Summary
The facility failed to safely transfer Resident 1, who had a history of dementia, anxiety, major depressive disorder, and lymphedema, resulting in a broken left humerus. Resident 1 required extensive assistance from two staff members for transfers and was dependent on staff for toileting, bathing, and other activities of daily living. On the day of the incident, Resident 1 was found unresponsive on the toilet by CNA M, who called for assistance from LN G. During the transfer from the toilet to the wheelchair and subsequently to the bed, a gait belt was not used, contrary to the resident's care plan. The incident occurred when CNA M and LN G attempted to transfer Resident 1 without using a gait belt, which was required as per the resident's care plan. The staff lifted Resident 1 by her arms, and during the transfer to the bed, a loud popping noise was heard, and a fracture was later confirmed in Resident 1's left humerus. The staff admitted to not using a gait belt during the transfer, citing the emergent nature of the situation as the reason for their actions. The facility's policy on gait belt use was not followed, which contributed to the injury sustained by Resident 1. The staff involved acknowledged their failure to adhere to the care plan, which specified the use of a gait belt for safe transfers. This oversight led to Resident 1 experiencing a fracture, which required medical attention and resulted in pain and discomfort for the resident.
Removal Plan
- Staff education on following residents' plan of care
- Use of gait belt with transfers
- Completed gait belt audits randomly
Failure to Prevent Resident Falls Due to Unsafe Lift Chair Operation
Penalty
Summary
The facility failed to ensure an environment free from accidents by placing a resident's electric lift chair remote within reach, despite a safety evaluation indicating it was unsafe. The resident, who had a history of anxiety, atrial fibrillation, hypertension, Alzheimer's disease, weakness, and repeated falls, was at high risk for falls due to multiple back surgeries and mobility issues. The resident's care plan noted that she could no longer safely operate the lift chair and required staff assistance for its operation. However, the remote control was left within her reach, leading to a fall that resulted in a head laceration requiring sutures. Observations and interviews revealed that the resident had moderately impaired cognition and was dependent on assistance for mobility and toileting. Despite these needs, the facility's staff continued to leave the lift chair control within the resident's reach, which was against the documented safety assessments. The resident was found on the floor with a head injury after attempting to get to the bathroom, and the chair alarm had been activated, indicating an unsupervised attempt to move. Further observations showed that the resident was often left unsupervised with the lift chair control and call light within reach, despite being blind in one eye and having a history of falls. Staff interviews confirmed that the resident required two-person assistance for transfers and that the lift chair control should have been placed out of reach. The facility's failure to adhere to its Fall Prevention Guidelines and the resident's care plan resulted in the resident's fall and injury.
Infection Control Deficiencies in Water Management and Incontinence Care
Penalty
Summary
The facility failed to implement a water management program to prevent the growth of Legionella and other waterborne pathogens, placing 23 residents at risk of infection. Administrative Nurse D was unaware of the facility's measures to prevent Legionella, and the Maintenance Staff U had started the program but did not know how to proceed with Legionella prevention. The facility's Water Management Program Legionella Policy, revised in March 2023, required identifying and managing conditions that support the spread of Legionella, but the facility did not develop a comprehensive plan for detecting and mitigating these pathogens. Additionally, the facility staff failed to follow proper infection control procedures during incontinent care for a resident, identified as R23. R23 had diagnoses of prostatic hyperplasia and was frequently incontinent of urine and bowel, requiring staff assistance with toilet hygiene. During an observation, a CNA did not change gloves or wash hands after providing perineal care to R23, continuing to provide care with the same soiled gloves. This failure to change gloves and wash hands placed the resident at risk for infection. The facility did not provide a policy regarding glove changing and handwashing during incontinence care.
Failure to Ensure Resident Privacy During G-tube Medication Administration
Penalty
Summary
The facility staff failed to treat Resident 17 with dignity during the administration of medications through a gastrostomy tube (G-tube). Resident 17, who has a diagnosis of multiple sclerosis and is dependent on staff for most activities of daily living, was observed in an electric wheelchair facing a window with the blinds wide open. A licensed nurse entered the room, closed the door, but did not close the window blinds, leaving the resident exposed to other residents and family members outside the window. The nurse proceeded to pull up the resident's shirt, revealing her abdomen and G-tube, to administer medications. The resident's electronic medical record indicated intact cognition with a Brief Interview of Mental Status score of 15. The facility's policy on dignity and respect, revised in 2019, requires staff to honor each resident's dignity and individuality. However, the failure to close the blinds during the G-tube medication administration compromised the resident's privacy and dignity. The administrative nurse later confirmed that staff are expected to ensure privacy by closing both the room door and window blinds during such procedures.
Failure to Ensure PRN Xanax Prescription Had a Stop Date
Penalty
Summary
The facility failed to ensure that a resident's PRN Xanax prescription, used for anxiety, had a 14-day stop date or a documented rationale for extended use with a specified stop date. The resident, who had a diagnosis of bipolar disorder and anxiety, was receiving Xanax as needed without a stop date, which is against the facility's policy and CMS regulations. The physician had documented a continuation of the medication for six months, citing that the benefits outweighed the risks, but this order was not properly entered into the resident's electronic medical record or medication administration record. The resident's care plan included monitoring for signs of depression and anxiety, especially following personal losses, but the facility did not adhere to its policy on psychotropic medication use. The policy requires that PRN orders for such medications are limited to 14 days unless a provider specifies a longer duration with documented rationale. The oversight in not entering a stop date placed the resident at risk for adverse medication side effects and unnecessary psychotropic medication use.
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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 Hoxie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dawson Place | 17 mi | — | 17 | 0 |
| Trego Co-lemke Memorial Hospital Ltcu | 27.3 mi | — | 1 | 1 |
| Andbe Home, Inc | 36.6 mi | — | 0 | 0 |
| Good Samaritan Society - Decatur County | 38 mi | — | 19 | 0 |
| Logan Manor Community Health Services | 38.1 mi | — | 19 | 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.