Oakmont Guest Care Center

Penalties

• Oct 31, 2025 — Fine ($15,940)
• Sep 4, 2024 — Fine ($6,151)
• Dec 7, 2023 — Fine ($9,485)
• Aug 19, 2023 — Fine ($13,156)

Inspection findings

1. Jun 10, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jun 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 2, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jul 2, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 2, 2026 · CMS fire safety

2. Jan 7, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Feb 5, 2026 · CMS health inspection

3. Oct 31, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     CMS health inspection

4. Aug 1, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 2, 2025 · CMS health inspection

5. May 12, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected May 13, 2025 · CMS health inspection

6. Apr 10, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected May 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected May 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected May 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected May 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected May 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 28, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 28, 2025 · CMS fire safety

7. Nov 21, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Dec 6, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Dec 6, 2024 · CMS health inspection

8. Oct 30, 2024 Health · 1 finding
   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Oct 31, 2024 · CMS health inspection

9. Sep 4, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0623 Resident Rights Deficiencies

     Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

     Corrected Sep 6, 2024 · CMS health inspection

10. Jun 6, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 21, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0914 Environmental Deficiencies

      Provide bedrooms that don't allow residents to see each other when privacy is needed.

      Corrected Jun 30, 2024 · CMS health inspection

11. Mar 21, 2024 Health · 23 findings
    • Not serious Scope/severity E

      F0565 Resident Rights Deficiencies

      Honor the resident's right to organize and participate in resident/family groups in the facility.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0635 Resident Assessment and Care Planning Deficiencies

      Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0656 Resident Assessment and Care Planning Deficiencies

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

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0698 Quality of Life and Care Deficiencies

      Provide safe, appropriate dialysis care/services for a resident who requires such services.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0756 Pharmacy Service Deficiencies

      Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0790 Quality of Life and Care Deficiencies

      Provide routine and 24-hour emergency dental care for each resident.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0803 Nutrition and Dietary Deficiencies

      Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Apr 19, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0293 Egress Deficiencies

      Have properly located and lighted "Exit" signs.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0325 Smoke Deficiencies

      Have properly installed hallway dispensers for alcohol-based hand rub.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0761 Miscellaneous Deficiencies

      To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      Corrected May 2, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0901 Electrical Deficiencies

      Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

      Corrected May 2, 2024 · CMS fire safety

12. Dec 20, 2023 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jan 8, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0694 Quality of Life and Care Deficiencies

      Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      Corrected Jan 8, 2024 · CMS health inspection

13. Dec 7, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Jan 4, 2024 · CMS health inspection

14. Aug 24, 2023 Health · 12 findings
    • Not serious Scope/severity D Complaint

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Aug 26, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Aug 26, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

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

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0660 Resident Assessment and Care Planning Deficiencies

      Plan the resident's discharge to meet the resident's goals and needs.

      Corrected Aug 26, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0711 Nursing and Physician Services Deficiencies

      Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0712 Nursing and Physician Services Deficiencies

      Ensure that the resident and his/her doctor meet face-to-face at all required visits.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0770 Administration Deficiencies

      Provide timely, quality laboratory services/tests to meet the needs of residents.

      Corrected Aug 26, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Aug 26, 2023 · CMS health inspection

15. Aug 19, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Sep 18, 2023 · CMS health inspection

16. Aug 2, 2023 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0805 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      Corrected Aug 3, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• CULP, JOHN — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• CULP, JOHN — adp of the snf, NOT APPLICABLE, since 01/01/2024
• GAMBLE, DENNY — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• GAMBLE, DENNY — adp of the snf, NOT APPLICABLE, since 07/01/2020
• HUNTZINGER, HOWARD — adp of the snf, NOT APPLICABLE, since 01/01/2024
• MEEKINS, GREG — corporate officer, NOT APPLICABLE, since 01/01/2024
• GAMVEST TEXAS LLC — adp of the snf, NOT APPLICABLE, since 07/01/2020
• NOCONA HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/01/2024
• OAKMONT GUEST CARE CENTER LLC — adp of the snf, NOT APPLICABLE, since 04/30/2025
• OAKMONT GUEST CARE CENTER LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2024