Deficiency Index

Sheridan Medical Lodge

Burkburnett, Texas · CCN 676415

16 surveys since 2018, and no finding has been recorded at harm level.

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

Citations on record
37
Surveys
16
Harm or worse
0
Immediate jeopardy
0
The record, 2018–2026
’18’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file11/16

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

The facility

Certified beds
130
Ownership
For profit - Corporation
Chain
FOURSQUARE HEALTHCARE
County
Wichita
Medicare-certified since
2017

CMS ratings

Overall
4
Health inspection
5
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Mar 11, 2026

243 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 day3.153.26
Registered-nurse hours per resident day0.41—
Annual nurse turnover54.5%55.3%

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 minimalD538.5%E861.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 37 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6573×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6361×

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Sheridan Medical Lodge, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF641Dec 31, 2024

    Based on observation, interview, record review, and review of facility policy, the facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for 3 (Resident #76, Resident #80 and Resident #99) of 32 residents reviewed for resident assessments. The facility failed to accurately assess Resident #76, Resident #80, and Resident #99's CPAP/BiPAP-use. This failure placed the residents at risk for unmet care needs and/or decreased quality of life. Findings include: Record review of Resident #76's electronic face sheet revealed, [AGE] year-old male admitted [DATE] with diagnoses that included Chronic Obstructive Pulmonary Disease (lung disease), Heart Failure, and Other abnormalities of breathing. […]

  • No harm, potential for more than minimal, patternF656Dec 31, 2024

    Based on interview and record review, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 7 of 23 residents (Residents #39, #97, #115, #227, #231, #234, and #236) reviewed for care plans in that: 1. The facility failed to ensure Resident #39 had a care plan in place for urinary incontinence, mood state, activities, or dehydration/fluid maintenance triggered on the resident's CAA. 2. […]

  • No harm, potential for more than minimal, patternF657Mar 29, 2024

    Based on observation, interview, and record review, the facility failed to update the comprehensive care plan after the assessment for 2 of 3 residents (Resident #'s 1 and 4) reviewed for plan of care revision. The facility failed to include in the care plan a right foot brace/pose brace for Resident #1. The facility failed to include in the care plan, Behavioral Interventions for Resident #4. This failure could place the residents at risk of decline in health status and unmet physical and psychosocial needs due to the staff and providers not having the most current information for the Resident's plan of care. […]

  • No harm, potential for more than minimal, patternF880Feb 16, 2024

    Based on observations, interview and record review, the facility failed to establish and 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 3(Resident #1, Resident #5 and Resident #6) of 3 residents reviewed for infection control. techniques in that: 1. The facility failed to ensure the 200 hall CNA E washed or sanitized her hands in between rooms or between feeding the following: Resident #6 and entering room and setting up Resident #1's food tray; after setting up Resident #1's room tray CNA E left Resident #1's room to set up tray for Resident #5. 2. […]

  • No harm, potential for more than minimal, patternF655Oct 19, 2023

    Based on interview and record review, the facility failed to ensure a summary of the baseline care plan was provided to the resident and their representative for 5 of 12 residents (Resident #s 163, 165, 170, 173, and 182) reviewed for baseline care plans following admission into the facility for skilled nursing care services, in that: 1. Resident #163's baseline care plan was dated 10/16/23 and a summary had not been provided to her. 2. Resident #165's baseline care plan was dated 8/23/23 and a summary had not been provided to him. 3. Resident #170's baseline care plan was dated 10/13/23 and a summary had not been provided to him. 4. Resident #173's baseline care plan was dated 9/20/23 and a summary had not been provided to him or his representative. 5. […]

Read 20 findings in full →The most serious and the most recent: 20 of 37 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 11, 2026Standard2 findings
  • Dec 31, 2024Standard3 findings
  • Mar 29, 2024Complaint1 finding
  • Feb 16, 2024Complaint1 finding
  • Oct 19, 2023Standard6 findings
  • Apr 14, 2023Complaint1 finding
  • Sep 13, 2022Standard8 findings
  • Jun 27, 2022Complaint1 finding
Show the 8 earlier surveys
  • Apr 7, 2022Complaint1 finding
  • Jul 16, 2021Standard and complaint1 finding
  • Oct 13, 2020Complaint3 findings
  • Jul 29, 2020Complaint2 findings
  • Dec 23, 2019Standard3 findings
  • Aug 21, 2019Complaint1 finding
  • Jan 25, 2019Standard1 finding
  • Feb 8, 2018Standard and complaint2 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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