CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Denton Nursing and Rehab
View the most recent health deficiencies and inspection results for Denton Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Denton Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2026-03-16 | 2026-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-16 | 2026-04-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-16 | 2026-04-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-16 | 2026-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-04 | 2026-01-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-09-04 | 2025-12-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-09-04 | 2025-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-04 | 2025-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-04 | 2025-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-04 | 2025-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-04 | 2025-10-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-04 | 2025-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-04 | 2025-10-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-04 | 2025-10-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-09-04 | 2025-10-06 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-29 | 2025-03-27 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-01-29 | 2025-03-27 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-29 | 2025-03-27 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-01-29 | 2025-03-27 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-29 | 2025-03-27 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-11-01 | 2025-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-01 | 2025-02-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-11-01 | 2024-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-01 | 2024-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-01 | 2024-12-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-01 | 2024-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-01 | 2024-12-16 | N |
| 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. | Health | 2024-11-01 | 2024-12-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-01 | 2024-12-16 | Y |
| 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. | Health | 2024-11-01 | 2024-12-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-01 | 2024-12-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-01 | 2024-12-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-01 | 2024-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-01 | 2024-12-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-01 | 2024-12-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-01 | 2024-12-16 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-01 | 2024-12-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-01 | 2024-12-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-11-01 | 2024-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-01 | 2024-12-16 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-11-01 | 2024-12-16 | N |
| Dispose of garbage and refuse properly. | Health | 2024-11-01 | 2024-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-01 | 2024-12-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-01 | 2024-12-16 | N |
| 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. | Health | 2024-11-01 | 2024-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-01 | 2024-12-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-11-01 | 2024-12-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-01 | 2024-12-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-01 | 2024-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-01 | 2024-12-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-01 | 2024-12-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-31 | 2023-10-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-10-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-31 | 2023-10-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-10-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-31 | 2023-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-31 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-31 | 2023-10-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-31 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-31 | 2023-10-06 | Y |
| 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. | Health | 2023-08-31 | 2023-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-31 | 2023-10-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-31 | 2023-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-31 | 2023-10-06 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-31 | 2023-10-06 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-10-06 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-08-31 | 2023-05-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-26 | 2019-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-26 | 2019-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-26 | 2019-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-26 | 2019-09-19 | N |
| 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. | Health | 2019-07-26 | 2019-09-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-26 | 2019-09-19 | N |
| 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. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-26 | 2019-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-26 | 2019-09-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-26 | 2019-09-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-26 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-26 | 2019-09-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-26 | 2019-09-19 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-28 | 2018-07-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-28 | 2018-07-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-28 | 2018-06-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-28 | 2018-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-28 | 2018-06-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-28 | 2018-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-28 | 2018-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-28 | 2018-05-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-28 | 2018-05-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-28 | 2018-05-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-03-28 | 2018-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-28 | 2018-05-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-28 | 2018-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-28 | 2018-05-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-28 | 2018-05-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-28 | 2018-05-11 | N |
| 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. | Health | 2018-03-28 | 2018-05-11 | N |
| 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. | Health | 2018-03-28 | 2018-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-28 | 2018-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-28 | 2018-05-11 | N |