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Deficiency Records for Dallas Retirement Village Health Center
View the most recent health deficiencies and inspection results for Dallas Retirement Village Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Dallas Retirement Village Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-04-10 | 2026-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-10 | 2026-05-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2026-04-10 | 2026-05-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-04-10 | 2026-05-30 | N |
| 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. | Fire Safety | 2026-04-10 | 2026-05-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-04-10 | 2026-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-10 | 2026-05-25 | 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 | 2026-04-10 | 2026-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-10 | 2026-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-10 | 2026-05-25 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-10 | 2026-05-25 | N |
| 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 | 2024-12-06 | 2025-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-06 | 2024-12-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-13 | 2024-11-21 | 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 | 2023-07-31 | 2023-09-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-31 | 2023-09-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-31 | 2023-09-19 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-31 | 2023-09-19 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-31 | 2023-09-19 | Y |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2023-07-31 | 2023-09-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-31 | 2023-09-19 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-07-31 | 2023-09-19 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-07-31 | 2023-09-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-31 | 2023-09-19 | Y |
| 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 | 2023-07-31 | 2023-09-19 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-07-31 | 2023-09-19 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-07-31 | 2023-09-19 | 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 | 2023-07-31 | 2023-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-31 | 2023-09-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-31 | 2023-09-19 | Y |
| 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 | 2023-07-31 | 2023-09-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-31 | 2023-09-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-31 | 2023-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-31 | 2023-09-19 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-31 | 2023-09-19 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-31 | 2023-09-19 | Y |
| 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 | 2023-07-31 | 2023-09-19 | Y |