Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Avir At Pampa during CMS and state inspections, most recent first.
The facility did not submit the required results of an investigation into suspected abuse, neglect, or theft for a resident within the mandated 5 working days. Although the initial incident was reported, the follow-up Provider Investigation Report was not filed on time, as confirmed by record review and the Administrator's admission.
During a meal service, three staff members, including a CNA, LVN, and RNRS, failed to follow proper hand hygiene protocols, risking cross-contamination. Observations showed lapses such as touching clothing and surfaces without re-sanitizing hands before serving residents. Interviews revealed varying awareness of these lapses, and the facility lacked a specific policy for hand hygiene during meal service.
The facility failed to address grievances raised by the resident council over seven months, including issues with missing clothes and insufficient snacks. Residents reported dissatisfaction, with some receiving incorrect clothing sizes and inadequate snack distribution. Staff acknowledged the issues but did not implement effective solutions, relying on donations and leaving snacks unattended. Observations confirmed these practices, and interviews with staff revealed a lack of urgency in addressing grievances, contrary to the facility's policy on prompt action.
The facility failed to ensure RN coverage for at least 8 consecutive hours a day, 7 days a week, over several months in 2024. The DON acknowledged the lapse, stating it "fell through the cracks" and an RN was not hired until July, leaving staff without necessary supervisory coverage.
The facility failed to maintain sanitary conditions in the kitchen, with staff not wearing hair restraints and food items improperly labeled, dated, or covered. Observations revealed uncovered and unlabeled food in the cooler and freezer, contrary to facility policies and the USDA Food Code. The supervising staff acknowledged these practices could lead to cross-contamination and food-borne illness.
The facility failed to ensure call lights were within reach for two residents, one with severe cognitive impairment and another with moderately impaired cognition. Observations showed call lights were not accessible, contrary to care plans and facility policy, potentially delaying care.
The facility failed to implement its policies to prevent abuse, neglect, and exploitation by hiring RN F without conducting a required background check. RN F began working before the Employee Misconduct Registry check was completed, contrary to the facility's ANE policy, which mandates screening for potential employees. This oversight could place residents at risk.
Failure to Timely Report Investigation Results of Suspected Abuse/Neglect
Penalty
Summary
The facility failed to report the results of an investigation into suspected abuse, neglect, or theft within the required 5 working days, as mandated by state law. Specifically, for one incident involving a resident, the Provider Investigation Report (Form 3613-A) was not filed in the TULIP system within the required timeframe. The initial Facility Reported Incident and CII Self-Report Template were submitted, but the follow-up investigation results were not reported as required. Record review confirmed that the 5-day report was not completed until several weeks after the incident. During an interview, the Administrator acknowledged not remembering to complete the 5-day report and attributed the oversight to being preoccupied with other matters in the facility. The facility's own policy requires the Administrator to confirm receipt of the initial report and to submit the results of the investigation within 5 working days. The failure to complete this process was confirmed through both record review and the Administrator's statements.
Inadequate Hand Hygiene Practices During Meal Service
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper hand hygiene practices of three employees during a lunch meal service. CNA A, LVN B, and RNRS C were observed not following proper hand hygiene protocols. CNA A used alcohol-based hand rub (ABHR) but then placed her hands in her pockets and later picked up a butter pat from the floor, placing it back on a resident's tray without re-sanitizing her hands. LVN B used ABHR upon entering the dining room but then touched her clothing and served a resident without re-sanitizing her hands. RNRS C was observed resting her hand on an ice machine before assisting a resident with their meal without sanitizing her hands. Interviews with the staff revealed varying levels of awareness and acknowledgment of the lapses in hand hygiene. RNRS C acknowledged the lapse and the potential for cross-contamination, while LVN B denied any lapse despite the observations. CNA A realized her lapse after handling the resident's tray. The facility's policy on hand hygiene was reviewed, which outlined the use of ABHR and handwashing procedures, but it was noted that there was no specific policy regarding hand hygiene while serving resident meals.
Failure to Address Resident Council Grievances
Penalty
Summary
The facility failed to adequately address and respond to grievances raised by the resident council over a period of seven months. The resident council meetings consistently highlighted issues such as missing clothes and insufficient snacks for residents, yet there was no documented feedback or response from the facility staff to these concerns. Interviews with residents revealed ongoing dissatisfaction, with reports of missing clothing items and inadequate snack distribution, which were repeatedly brought up in council meetings without resolution. Residents expressed frustration during interviews, indicating that their concerns were not being taken seriously by the staff. Specific issues included residents receiving incorrect clothing sizes after laundry, and snacks not being distributed fairly, leading to some residents going without. One resident, who was diabetic, noted that the available snacks were unsuitable for her dietary needs, and another resident reported going to bed hungry due to the lack of available snacks. The facility's Assistant Director (AD) and other staff members acknowledged these issues but did not implement effective solutions, relying instead on donated clothing to address missing items and leaving snacks unattended at the nurse's station. Observations by the State Surveyor confirmed the unattended snack cart and the mixing of donated clothing with lost and found items, which could lead to further confusion and dissatisfaction among residents. Interviews with staff, including the Director of Nursing (DON) and the Administrator (ADM), revealed a lack of urgency in addressing these grievances, with the ADM admitting that residents might feel their concerns were unimportant. The facility's policy on grievances mandates prompt action on resident concerns, yet this was not reflected in the facility's handling of the issues raised by the resident council.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to maintain the required registered nurse (RN) coverage for at least 8 consecutive hours a day, 7 days a week, over a period of several months in 2024. Specifically, there was no RN coverage on multiple dates in April, May, June, and July, and on one date in October, the RN coverage was insufficient, lasting only 5.63 hours. This deficiency was identified through interviews and record reviews, including the facility's time sheets and the CMS PBJ Staffing Data Report. During an interview, the Director of Nursing (DON) acknowledged the lack of RN coverage, stating that it had "fallen through the cracks" and that an RN was not hired until July. The DON admitted that the absence of an RN left the staff without supervisory coverage necessary for coordinating events such as emergency care. Despite a request for the facility's policy on RN coverage, it was not provided by the DON.
Sanitation and Food Storage Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as observed during a survey. Staff members did not wear appropriate hair restraints, which is a requirement to prevent hair from contaminating food and food contact surfaces. Specifically, a housekeeper was seen in the kitchen without a hairnet, and she was unaware of the necessity to wear one. This oversight was acknowledged by the supervising staff, who stated that the housekeeper should not have been in the kitchen without a hairnet. Additionally, the facility did not properly label, date, or cover stored food items, which is essential to prevent cross-contamination and ensure food safety. Observations in the walk-in cooler revealed several items, including cooked chicken, strawberries, and milk, that were either uncovered or not labeled and dated. Similarly, in the freezer, an opened box of beef fritters was found unsecured and exposed to air. These practices are contrary to the facility's policies and the USDA Food Code, which require proper labeling and covering of food items. The facility's policy on food storage and employee sanitation was not adhered to, as evidenced by the uncovered and unlabeled food items and the lack of hair restraints. The supervising staff admitted that the nursing staff preferred not to cover food served in the dining room, which led to uncovered puddings and milk. This practice was recognized as a potential cause of cross-contamination, posing a risk of food-borne illness to residents consuming the food.
Failure to Ensure Call Light Accessibility for Residents
Penalty
Summary
The facility failed to ensure that residents had reasonable accommodation for their needs and preferences, specifically regarding the accessibility of call lights for two residents. Resident #3, a legally blind and hearing-impaired elderly female with severe cognitive impairment, was observed multiple times with her call light out of reach while she was seated in her recliner. Despite being located near the nurse's station to compensate for her inability to use the call light, this arrangement did not align with her care plan, which specified that the call light should be within reach. Similarly, Resident #13, who had moderately impaired cognition and required extensive assistance, was found with her call light out of reach on several occasions. Observations revealed that the call light was placed on a dresser instead of being attached to her blanket as per her care plan. Interviews with staff indicated that the call light was not consistently placed within reach, and the resident resorted to pounding on the wall to seek help. The facility's policy required call lights to be within easy reach, but this was not adhered to, leading to potential delays in care.
Failure to Implement Abuse Prevention Policies
Penalty
Summary
The facility failed to implement its written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents. Specifically, the facility did not ensure that a potential employee, RN F, who would be working directly with residents, was free of criminal charges before hiring. RN F's employee file showed a hire date of July 4, 2024, but the Employee Misconduct Registry (EMR) check was conducted on July 9, 2024, after the hire date. During an interview, the Human Resources Director (HRD) acknowledged that RN F was supposed to start later in the month, but began working on July 4, 2024, without the necessary background check. This oversight could place residents at risk of abuse or neglect by an employee with a documented history of such behaviors. The facility's Abuse, Neglect, and Exploitation (ANE) policy, dated October 2023, mandates that potential employees be screened for a history of abuse, neglect, exploitation, or misappropriation of resident property. It also requires background, reference, and credentials checks for potential employees, contracted temporary staff, students affiliated with academic institutions, volunteers, and consultants. The failure to adhere to these policies resulted in a deficiency in ensuring resident safety.
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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 Pampa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pampa Nursing Center | 0 mi | — | 1 | 0 |
| Avir At Borger | 24.1 mi | — | 13 | 0 |
| Caprock Nursing & Rehabilitation | 24.8 mi | — | 2 | 0 |
| Mclean Care Center | 30.2 mi | — | 1 | 1 |
| Palo Duro Nursing Home | 37.3 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 August 2026) and official state health department websites.