Swan Health At Wichita Falls

Inspection findings

1. May 7, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Jun 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0944 Administration Deficiencies

     Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

     Corrected Jun 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Jun 17, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 17, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 17, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 17, 2026 · CMS fire safety

2. Mar 20, 2025 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Apr 10, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0578 Resident Rights Deficiencies

     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.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 Mar 31, 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 Apr 30, 2025 · 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 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 Mar 30, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 10, 2025 · CMS fire safety

3. Jan 24, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 27, 2025 · CMS health inspection

4. Feb 9, 2024 Health · 5 findings
   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Mar 9, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0865 Administration Deficiencies

     Have a plan that describes the process for conducting QAPI and QAA activities.

     Corrected Apr 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0947 Nursing and Physician Services Deficiencies

     Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

     Corrected Mar 9, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Feb 14, 2024 · CMS fire safety

5. Nov 4, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Oct 27, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BOYER, MICAH — adp of the snf, NOT APPLICABLE, since 08/01/2025
• BOYER, MICAH — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• FOLEY, LINDA — adp of the snf, NOT APPLICABLE, since 08/01/2025
• FOLEY, LINDA — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• FOLEY, LINDA — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• HOLLEMAN, EMILY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/04/2025
• MAYEAUX, RACHEL — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• MAYEAUX, RACHEL — adp of the snf, NOT APPLICABLE, since 08/01/2025
• MAYEAUX, RACHEL — 5% or greater direct ownership interest, 10%, since 08/01/2025
• MITCHELL, KELLY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/03/2025
• MITCHELL, PATRICK — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• MITCHELL, PATRICK — corporate director, NOT APPLICABLE, since 08/01/2025
• MITCHELL, PATRICK — indirect ownership interest, NOT APPLICABLE, since 08/01/2025
• MITCHELL, PATRICK — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• MITCHELL, PATRICK — adp of the snf, NOT APPLICABLE, since 08/01/2025
• RAMBIN, PATRICK — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• RAMBIN, PATRICK — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• RAMBIN, PATRICK — adp of the snf, NOT APPLICABLE, since 08/01/2025
• RAMBIN, PATRICK — direct ownership interest, NOT APPLICABLE, since 08/01/2025
• SANANIKONE, ASHLEY — managing control - governing body, NOT APPLICABLE, since 08/01/2025
• CAM-GRACE, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 08/01/2025
• CAM-GRACE, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• PCM HOLDINGS I, INC. — 5% or greater indirect ownership interest, 80%, since 08/01/2025
• PCM REHAB ENTERPRISES LLC — 5% or greater direct ownership interest, 80%, since 08/01/2025
• ST. JOSEPH HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• ST. JOSEPH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 09/05/2025