Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-15 | 4 | 2026-04-15 | 7 |
| Cycle 2 | 2024-03-13 | 6 | 2024-03-13 | 7 |
| Cycle 3 | 2019-12-18 | 4 | 2019-12-18 | 12 |
NURSING HOME PUBLIC RECORD
221 2Nd St · Fowler, CO 81039 · Otero County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-15 | 4 | 2026-04-15 | 7 |
| Cycle 2 | 2024-03-13 | 6 | 2024-03-13 | 7 |
| Cycle 3 | 2019-12-18 | 4 | 2019-12-18 | 12 |
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-05-20Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2026-05-20Establish methods for sharing information.
Correction field: Deficient, Provider has date of correction · 2026-05-20Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2026-05-20Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-05-20Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-20Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-20Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-06-08Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-15Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-05-15Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-05-15Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-04-23Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-04-25Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-04-23Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-04-23Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-04-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-04-23Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-04-23Have enough outside ventilation via a window or mechanical ventilation, or both.
Correction field: Deficient, Provider has date of correction · 2024-04-23Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-05-02Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-05-02Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-02Have an externally vented heating system.
Correction field: Deficient, Provider has date of correction · 2024-04-29Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-05-02Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.