Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Farwell Care And Rehabilitation Center during CMS and state inspections, most recent first.
Two residents with dementia, anxiety, and other comorbidities were involved in an altercation in the lobby when one resident stood up, took hold of another resident’s wheelchair, and moved her away from the entrance door, after which the seated resident struck the other resident’s forearm multiple times. The incident was documented only in one resident’s progress note and not in the other’s, and key staff (ADM, DON, ADON, MA) became aware of the event through reports, documentation, and video review. Despite the facility’s written abuse policy requiring that all alleged violations involving abuse be reported to the Administrator, state agency, and APS within two hours, the incident of one resident hitting another was not reported within the required timeframe, constituting a failure to timely report alleged abuse.
The facility did not ensure that required trainings—including Abuse, Neglect and Exploitation, Fall Prevention, Restraint Reduction, HIV and Bloodborne Pathogens, Emergency Procedures, and Dementia—were completed by a CNA, dietary aide, housekeeper, LPN, and social worker before they began working with residents. Record reviews showed missing documentation for these trainings, and interviews with the Administrator and DON revealed a lack of oversight and no assigned staff to verify training completion. The facility was also unable to provide a policy on required trainings at hire.
The facility failed to store and label medications properly, with a bottle of Melatonin having an unreadable expiration date and insulin medications with unclear open dates. Additionally, a nurse's medication cart was left unattended and unlocked, posing risks of unauthorized access. Interviews confirmed potential negative outcomes, including drug diversion and uncertainty about medication efficacy.
A resident with severely impaired cognition was fed by an LVN who stood behind her, contrary to the facility's policy requiring staff to be seated at eye level. This action potentially affected the resident's dignity and meal experience, as confirmed by staff interviews and observations.
The facility failed to provide an RN for the required 8 consecutive hours on a specific day, as RN E left her shift early on her last scheduled day. This left the remaining staff without the necessary clinical knowledge to handle emergencies, potentially risking resident care.
A CNA failed to change gloves and perform hand hygiene during incontinent care for a resident with a Foley catheter, leading to a potential risk of cross-contamination. The facility's policies on perineal care and hand hygiene were not adhered to, as confirmed by interviews with the DON and ADON.
Failure to Timely Report Resident-to-Resident Altercation as Alleged Abuse
Penalty
Summary
The deficiency involves the facility’s failure to timely report an alleged resident-to-resident abuse incident to the State Survey Agency and other required authorities, as required by regulation and the facility’s own abuse policy. On 03/27/2026, an altercation occurred between two residents in the lobby near the facility’s front entrance. Video footage reviewed later by the Administrator showed one resident (a male with dementia, behavioral disturbances, weakness, reduced mobility, and major depressive disorder) standing from a chair, walking to a female resident seated in a wheelchair, and placing both hands on her wheelchair handles to move her backward away from the door after an unknown individual attempted to enter. The female resident, who had COPD, anxiety disorder, hypertensive heart disease with heart failure, muscle weakness, was on hospice, and had moderate cognitive impairment (BIMS 11), attempted to push the male resident away with her left arm and then struck his right forearm three times with her right forearm. Record review showed that the incident was documented only in the male resident’s progress note on 03/27/2026 at 11:45 AM as him grabbing another resident’s arm and causing a bruise; there was no documentation of the incident in the female resident’s progress notes. The male resident’s care plan, dated 01/30/2026, already identified him as exhibiting behaviors such as trying to assist other residents, physically aggressive behaviors (hitting, pushing, or kicking), and verbal outbursts, and noted that he received cognitive-enhancing medication for dementia. The female resident’s care plan, dated 03/24/2026, identified her as having excessive worry and anxiety, being prescribed antianxiety medication with associated risks, and having impaired cognitive function and thought processes. Despite these identified behavioral and cognitive issues, the altercation was not treated and reported as an allegation of abuse within the required timeframe. Interviews revealed that the ADM, ADON, DON, and MA were aware of the incident to varying degrees but did not ensure it was reported as required. The ADM stated she did not witness the incident but learned of it from the female resident and initially felt it was not reportable; she later acknowledged that a resident hitting another resident is reportable and should be reported within two hours. The ADON documented the incident in the male resident’s note and stated she did not feel it was reportable because it was not intentional, and she did not view the video or know its contents at that time; she later stated that a resident hitting another resident is reportable. The MA viewed the video, confirmed that the female resident struck the male resident, documented his observations, and emailed the video to the ADM on 03/30/2026. The DON stated the altercation had been reported to her (she could not recall by whom) and that she felt the facility should have reported the incident. The facility’s 2024 Abuse, Neglect, and Exploitation policy defined abuse and alleged violations and required reporting all alleged violations to the Administrator, state agency, APS, and other required agencies immediately but not later than two hours when the events involve abuse, which did not occur in this case.
Failure to Ensure Completion of Required Staff Training Prior to Resident Care
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for all new and existing staff, including those providing services under contract and volunteers, as required. Record reviews for five employees—a CNA, a dietary aide, a housekeeper, an LPN, and a social worker—showed missing documentation of required trainings such as Abuse, Neglect and Exploitation, Fall Prevention, Restraint Reduction, HIV and Bloodborne Pathogens, Emergency Procedures, and Dementia. These trainings were not completed prior to or on the employees' first day of employment, and in some cases, multiple required trainings were missing for the same individual. Interviews with the Administrator and DON confirmed awareness of the required trainings but revealed that no staff member was assigned to verify completion of these trainings before staff began working with residents. The Administrator stated that trainings were assigned through the facility's online portal, but it was left to each staff member to ensure completion. The DON acknowledged that there should be oversight to confirm all trainings are completed and understood, but this process was not in place. Additionally, the facility was unable to provide a policy or procedure regarding required trainings at hire when requested.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments and labeled according to professional principles. During an observation, a bottle of Melatonin with an unreadable expiration date was found on medication cart #2. Additionally, five insulin medications in the nurse's medication cart had unclear open dates, which the LVN could not interpret. This lack of clarity in labeling could lead to uncertainty about the effectiveness of the medications. Furthermore, the nurse's medication cart was left unattended and unlocked while the LVN went to retrieve a resident for a treatment. This action posed a risk of unauthorized access to medications, which could result in drug diversion or accidental administration to the wrong resident. Interviews with the LVN and the DON confirmed the potential negative outcomes of these deficiencies, including the risk of residents accessing medications unsupervised and the uncertainty of medication efficacy due to unclear labeling.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
The facility failed to treat a resident with respect and dignity during meal assistance, as observed by surveyors. A Licensed Vocational Nurse (LVN) was seen standing behind and to the right of a resident while feeding her breakfast, rather than being seated at eye level. This action was contrary to the facility's policy, which requires staff to be seated and face the resident to provide necessary cues and maintain dignity. The resident, who has severely impaired cognition and requires supervision or touching assistance for eating, was observed being fed in a manner that did not allow for adequate interaction or comfort. The resident's care plan indicated that she should receive assistance with eating by one person while seated at the assist table in the dining room. The care plan also emphasized the importance of minimizing distractions during mealtime and providing only the necessary assistance to ensure adequate meal intake. Despite these guidelines, the LVN was observed feeding the resident while standing, which could potentially affect the resident's dignity and meal experience. The resident's family member, who is also a resident of the facility, noted that the resident usually feeds herself, suggesting that the assistance provided was not in line with the resident's usual routine. Interviews with facility staff, including the LVN, Administrator (ADM), Director of Nursing (DON), and Vice President of Care (VP of C), confirmed that standing while feeding a resident is a dignity issue. The LVN acknowledged that standing to feed the resident was inappropriate and could lead to negative outcomes, such as the resident feeling rushed or not eating as much. The facility's policy on meal supervision and assistance emphasizes the importance of providing a calm and enjoyable environment during mealtimes, which was not adhered to in this instance.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide a registered nurse (RN) for at least 8 consecutive hours on September 2, 2024, as required by policy. During a 90-day review period, it was found that on this specific day, only 6 hours of RN coverage were provided. This deficiency was identified through a record review of the facility's RN coverage census. The absence of an RN for the required duration could potentially place residents at risk of not receiving necessary care and services to maintain their highest practicable level of well-being. The deficiency occurred because RN E, who was scheduled to work from 8 AM to 5 PM, resigned and left her shift early, clocking out at 2:34 PM. The Director of Nursing (DON) was aware of RN E's dissatisfaction and her intention to leave the facility early on her last scheduled day. Despite the DON's request for RN E to complete her shift, she left approximately 2.5 hours early. The DON acknowledged that the remaining staff lacked the clinical knowledge to handle emergencies without an RN present. Although the DON considered reporting RN E to the Texas State Nursing Board for abandoning her shift, she ultimately decided against it.
Infection Control Lapse During Incontinent Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the actions of CNA B during the provision of incontinent care to a resident with a Foley catheter. During the care, CNA B did not change gloves or perform hand hygiene after removing a soiled brief and before handling a clean one. This lapse in protocol was observed during an inspection, and CNA B acknowledged the mistake, attributing it to panic and recognizing the risk of cross-contamination. Interviews with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON) confirmed the potential negative outcomes of such lapses, including cross-contamination and increased infection risk. The facility's policies on perineal care and hand hygiene were reviewed, revealing that they require glove changes and hand hygiene in situations like those observed. However, these protocols were not followed by CNA B during the incident.
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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 Farwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clovis Healthcare And Rehabilitation Center | 8.2 mi | — | 20 | 0 |
| St. Anthony Healthcare And Rehabilitation Center | 10.5 mi | — | 1 | 0 |
| Retirement Ranches Inc. | 11.1 mi | — | 9 | 0 |
| Park View Nursing Care Center | 20.4 mi | — | 24 | 2 |
| Coronado Care Center | 23.1 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 August 2026) and official state health department websites.