Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Memorial Health Care Center during CMS and state inspections, most recent first.
The facility failed to submit complete and accurate PBJ staffing data to CMS for the second quarter of fiscal year 2024. The MDS nurse, responsible for the submission, did not ensure the data was submitted, and both the DON and ADM were unaware of the failure. The facility's policy requires quarterly submissions, but this was not adhered to, leading to the deficiency.
The facility failed to maintain a safe environment in two common resident baths by improperly storing chemicals with resident toiletries, posing accident hazards. Observations showed unlocked doors and chemicals like Virex Plus stored next to personal items. Interviews with CNAs revealed inadequate training on chemical storage, and even locked cabinets had gaps allowing potential leakage. The DON and Administrator acknowledged the issue, highlighting a lapse in following safety protocols.
The facility failed to provide physician-ordered therapeutic diets to three residents, including fortified foods necessary for their nutritional needs. A resident with moderate protein-calorie malnutrition did not receive fortified foods during meals, leading to weight loss. Another resident, underweight with a history of alcohol abuse, did not receive prescribed supplements like bananas and chocolate ice cream, affecting her potassium levels. A third resident, at risk for pressure ulcers, did not receive her ordered fortified soup. Communication issues between nursing and dietary departments contributed to these deficiencies.
A facility failed to maintain proper infection control practices, as CNAs did not perform hand hygiene between glove changes during incontinence care for two residents. Additionally, enhanced barrier precautions were not implemented for a resident with an indwelling catheter, lacking signage and PPE. Staff interviews revealed insufficient training and awareness of infection control protocols.
The facility failed to obtain informed consent for psychotropic medications for three residents, including those with cognitive impairments and insomnia. Medications such as Lorazepam, Trazodone, and Seroquel were administered without signed consents, indicating a lack of communication about the risks and benefits. Interviews with the DON and ADM revealed that the oversight was attributed to human error, with staff responsible for obtaining consents on the same day as the medication order.
The facility failed to limit PRN orders for psychotropic medications to 14 days for two residents. One resident received alprazolam for anxiety without a stop date, and another received trazodone for insomnia without a stop date. The medications were administered regularly, and the facility's policy on medication utilization was not followed, as the PRN orders lacked clear indications and were not re-evaluated.
Failure to Submit PBJ Staffing Data
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS for the second quarter of fiscal year 2024. This deficiency was identified during a review of the CMS PBJ Staffing Data Report, which indicated that no data was submitted for the quarter. Interviews with facility staff revealed that the MDS nurse was responsible for the PBJ data submission but did not ensure the data was submitted. The Director of Nursing (DON) and the Administrator (ADM) were unaware of the failure to submit the data and did not monitor the process to ensure compliance. The MDS nurse, who had been trained on PBJ data submission three years prior, was unable to explain why the data was not submitted. The ADM, who was new to the facility, also did not know why the data was not submitted and was not aware of the potential risks to residents due to this failure. The facility's policy on reporting direct-care staffing information, revised in August 2022, requires that staffing information be submitted quarterly, no later than 45 days after the end of the reporting quarter. However, this policy was not followed, resulting in the deficiency.
Improper Chemical Storage in Resident Baths
Penalty
Summary
The facility failed to ensure that the resident environment was free from accident hazards in two of the three common resident baths, specifically in the Tan and Mauve Halls. Chemicals were improperly stored with resident toiletries and personal items, posing a risk of exposure to hazardous substances. Observations revealed that the doors to these baths were not locked, and chemicals such as Virex Plus Disinfectant Cleaner and Deodorizer were stored on open shelves next to washcloths, towels, and other personal care items. Interviews with CNAs revealed a lack of awareness and training regarding the proper storage of chemicals. CNA A, who had recently returned to the facility, was unaware of the policy against storing chemicals above toiletries and with resident items. Similarly, CNA C acknowledged that chemicals should be locked up but was not informed about the risks of storing them above resident items. The DON confirmed that staff had been trained on chemical storage, but the training did not emphasize the importance of not storing chemicals above resident items. Further observations indicated that even when chemicals were stored in locked cabinets, they were placed on shelves with gaps that could allow leakage onto resident items below. The DON and Administrator both acknowledged the issue, with the DON stating that she was ultimately responsible for ensuring safe chemical storage. The facility's policy and in-service documentation indicated that staff were expected to keep hazardous items out of reach and ensure safe storage, but these protocols were not consistently followed, leading to the identified deficiencies.
Failure to Provide Therapeutic Diets
Penalty
Summary
The facility failed to provide physician-ordered therapeutic diets to three residents, which included fortified foods necessary for their nutritional needs. Resident #18, who had moderate protein-calorie malnutrition, was observed not receiving fortified foods during meals on multiple occasions. Despite having a diet order for fortified foods with all meals, the resident's meal trays did not reflect this requirement, and there was no specific care plan addressing his nutritional needs. The resident experienced a weight loss of 3.71% in one month, indicating a failure to maintain his nutritional status. Resident #72, who had a history of alcohol abuse and was underweight, was also not provided with her prescribed fortified diet, which included specific supplements like bananas and chocolate ice cream. Observations revealed that she did not receive these items during meals, and her tray card did not indicate a fortified diet. The resident's potassium levels were low, and the lack of high-potassium foods like bananas could exacerbate this condition. The dietary staff failed to ensure the resident received her therapeutic diet, which was crucial for her weight maintenance and overall health. Resident #73, who had a history of obsessive-compulsive disorder and was at risk for pressure ulcers, did not receive her ordered fortified soup with lunch. Despite having a diet order for fortified soup, observations showed that her meals did not include this item. The dietary manager admitted to communication issues between the nursing and dietary departments, which led to the oversight of therapeutic diet orders. The lack of proper communication and monitoring systems contributed to the residents not receiving their prescribed diets, potentially impacting their health and nutritional status.
Infection Control Deficiencies in Hand Hygiene and Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by improper hand hygiene practices and lack of enhanced barrier precautions. During incontinence care for a resident with moderate cognitive impairment and urinary incontinence, a CNA did not wash hands between glove changes, potentially risking cross-contamination. Similarly, another CNA failed to change gloves and perform hand hygiene before handling a clean brief for a resident with occasional incontinence, despite being aware of the correct procedures. Additionally, the facility did not implement enhanced barrier precautions for a resident with an indwelling catheter, as there were no precautionary signs or personal protective equipment (PPE) available outside the resident's room. This oversight was noted during observations, and staff interviews revealed a lack of awareness and training regarding the application of enhanced barrier precautions for residents with indwelling medical devices. Interviews with staff, including CNAs and the Director of Nursing (DON), highlighted gaps in training and understanding of infection control protocols. The DON, who also serves as the infection preventionist, acknowledged the importance of hand hygiene and enhanced barrier precautions but admitted that training might not have been comprehensive or recent enough. The facility's policies on hand hygiene and enhanced barrier precautions were not consistently followed, contributing to the deficiencies observed.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that residents were fully informed and understood their health status, care, and treatments, specifically regarding the administration of psychotropic medications. This deficiency was identified for three residents who did not have signed informed consents for medications such as Lorazepam, Trazodone, and Seroquel. The absence of these consents meant that the residents or their responsible parties were not informed of the risks, benefits, and alternatives to the prescribed medications. Resident #8, a female with diagnoses including hypertension, anxiety disorder, insomnia, and Alzheimer's disease, was administered Lorazepam and Trazodone without a signed consent. Similarly, Resident #72, who had a history of insomnia, Alzheimer's disease, and other conditions, was given Trazodone without consent. Resident #222, with severe cognitive impairment and a history of heart disease and insomnia, was administered Seroquel and Lorazepam without a complete consent form, as it lacked the necessary signatures and indications of agreement. Interviews with the Director of Nursing (DON) and the Administrator (ADM) revealed that the responsibility for obtaining consents lay with the nursing staff, who were expected to complete them on the same day the medication order was received. However, due to human error, these consents were either missing or incomplete. The DON and ADM acknowledged the oversight but minimized the potential impact, viewing it primarily as a paperwork issue, despite the risk of administering medications without proper consent.
Failure to Limit PRN Orders for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that PRN orders for psychotropic drugs were limited to 14 days unless extended by the attending physician or prescribing practitioner. This deficiency was identified for two residents who were reviewed for unnecessary medications. Resident #3 was prescribed alprazolam, a medication used to treat anxiety, without a stop date or duration for its PRN use. Similarly, Resident #72 was prescribed trazodone, a medication used to treat insomnia, also without a stop date or duration for its PRN use. Resident #3, a female with a history of congestive heart failure, hypertension, and generalized anxiety disorder, was receiving alprazolam PRN regularly over several months without a specified end date. Despite regular administration, the medication was not scheduled, and the consultant pharmacist's reviews did not provide any recommendations regarding the alprazolam. The Director of Nursing (DON) acknowledged the oversight and indicated that the medication should have been scheduled. Resident #72, a female with a history of insomnia, Alzheimer's disease, and other health issues, was receiving trazodone PRN without a specified end date. The medication was administered regularly, and there was a period when the order was on hold, but it remained active without a stop date. The DON admitted that the PRN order was overlooked and that the staff did not want to change the resident's routine. The facility's policy on medication utilization and prescribing was not adhered to, as the PRN orders lacked clear indications and were not periodically re-evaluated.
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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 Seminole
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shinnery Oaks Community | 19.2 mi | — | 2 | 0 |
| Permian Residential Care Center | 27.4 mi | — | 8 | 0 |
| Desert Springs Health Care Llc | 27.9 mi | — | 12 | 0 |
| White Sands Healthcare | 30.4 mi | — | 14 | 2 |
| Brownfield Rehabilitation And Care Center | 38.7 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.