Deficiency Index

Great Plains Nursing and Rehabilitation

Dumas, Texas · CCN 675016

19 surveys since 2010, 9 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
52
Surveys
19
Harm or worse
9
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Moore · rural
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

May 30, 2025

528 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.553.25
Registered-nurse hours per resident day0.96—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD457.1%E—F342.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 52 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F5831×

    Keep residents' personal and medical records private and confidential.

  • F6451×

    PASARR screening for Mental disorders or Intellectual Disabilities

  • F7271×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

In the surveyor’s words

From the most serious findings on record at Great Plains Nursing and Rehabilitation, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 19, 2024

    Based on observation, interview, and record review the facility failed to store and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food safety. 1. The facility failed to ensure stored foods were properly labeled and dated. 2. The facility failed to ensure expired foods were discarded. 3. The facility failed to store foods in accordance with professional standards. These failures could place residents who ate the food from the kitchen at risk for food-borne illness. Findings included: On [DATE] at 8:54AM an initial observation of the kitchen was conducted. […]

  • No harm, potential for more than minimal, widespreadF727Mar 5, 2024

    Based on interview the facility failed to designate a registered nurse (RN) to serve as the Director of Nurses (DON) on a full-time basis for the care and treatment of 38 out of 38 residents. The facility has been without a full time DON since 12/21/2023. This failure has the potential to affect the residents in the facility and place them at risk of not having staff with advance care skills available to assist in their care needs. Findings include: During the Entrance Conference on 03/05/2024 at 9:38 AM, ADM stated the facility did not have a full time DON, but that RN A was doing the job of the DON until they find a replacement. […]

  • No harm, potential for more than minimal, widespreadF812Feb 24, 2023

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen when they failed to: A. Ensure stored food was properly labeled, dated and stored B. Ensure that all expired food is discarded after 7 days. C. Ensure staff followed proper hand hygiene processes. These failures placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included: An observation in the facility kitchen on [DATE] at 9:23 AM, revealed: [DATE] 09:22AM Entered into kitchen area, observed flat of eggs on grill of stove. Heat coming from stove/oven area. [DATE] 09:23AM observed scrambled, poached eggs left out on roller cart at room temperature. […]

  • No harm, potential for more than minimal, patternF812Aug 6, 2026

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure food was properly stored, labeled, and dated from 08/04/2026 through 08/06/2026 by not properly labeling or dating opened or frozen foods as well as covering and labeling food that had been prepared. These failures could place residents who ate food served by the kitchen at risk of food-borne illness.Findings included: In an observation on 08/04/2026 at 9:43 AM revealed: Four clear bowls with cereals by door not covered, labeled, or dated.2 clear bowls filled with pudding-like substance in yellow color was located by the… […]

  • No harm, potential for more than minimal, isolatedF880Aug 18, 2026

    Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #1) of 2 residents observed for infection control. -CNA A did not perform hand hygiene correctly when providing incontinent care for Resident #1. This failure could place residents at risk for the spread of infections, tissue breakdown, and feelings of isolation related to poor hygiene.Findings include: Record review of Resident #1's face sheet printed 8/18/2026 revealed she was a [AGE] year-old female resident admitted to the facility on [DATE] with diagnoses to include dementia (a group of… […]

Read 29 findings in full →The most serious and the most recent: 29 of 52 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 18, 2026Complaint1 finding
  • Aug 6, 2026Standard2 findings
  • May 30, 2025Standard2 findings
  • Apr 19, 2024Standard1 finding
  • Mar 5, 2024Complaint1 finding
  • Apr 25, 2023Complaint2 findings
  • Feb 24, 2023Standard3 findings
  • Dec 8, 2021Standard1 finding
Show the 11 earlier surveys
  • Apr 11, 2019Standard5 findings
  • Mar 15, 2018Standard3 findings
  • Mar 16, 2016Standard2 findings
  • Jun 2, 2015Complaint1 finding
  • Mar 26, 2015Standard and complaint9 findings · 6 harm
  • Jun 9, 2014Complaint1 finding
  • Feb 20, 2014—5 findings
  • Jan 25, 2013—2 findings
  • Aug 21, 2012—3 findings · 3 harm
  • Jan 13, 2012—6 findings
  • Dec 30, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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