CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Dfw Nursing and Rehab
View the most recent health deficiencies and inspection results for Dfw Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Dfw Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-04 | 2026-03-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-11-20 | 2026-01-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-20 | 2026-01-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-20 | 2025-12-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-11-20 | 2025-12-11 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-10-14 | 2025-11-24 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-14 | 2025-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-14 | 2025-11-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-10 | 2025-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-10 | 2025-10-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-10 | 2025-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-22 | 2025-09-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-01 | 2025-09-18 | 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 | 2025-08-01 | 2025-09-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-08-01 | 2025-09-18 | N |
| Have an externally vented heating system. | Fire Safety | 2025-08-01 | 2025-09-18 | 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 | 2025-08-01 | 2025-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-01 | 2025-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-01 | 2025-09-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-01 | 2025-09-05 | N |
| 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. | Health | 2025-08-01 | 2025-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-01 | 2025-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-01 | 2025-09-05 | N |
| Keep all essential equipment working safely. | Health | 2025-08-01 | 2025-09-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-01 | 2025-09-05 | N |
| Respond appropriately to all alleged violations. | Health | 2025-08-01 | 2025-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-01 | 2025-09-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-06-18 | 2025-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-20 | 2025-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-20 | 2025-06-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-20 | 2025-06-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-20 | 2025-06-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-20 | 2025-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-20 | 2025-06-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-23 | 2025-05-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-10 | 2025-05-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-10 | 2025-05-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-25 | 2025-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-14 | 2025-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-14 | 2025-03-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-14 | 2025-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-14 | 2025-01-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-28 | 2024-11-22 | 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 | 2024-06-25 | 2024-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-25 | 2024-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-25 | 2024-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-25 | 2024-07-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-25 | 2024-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-25 | 2024-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-25 | 2024-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-25 | 2024-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-25 | 2024-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-30 | 2024-06-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-23 | 2024-05-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-09 | 2024-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-09 | 2024-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-09 | 2024-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-09 | 2024-04-15 | Y |
| 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 | 2024-02-29 | 2024-03-15 | 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 | 2024-01-12 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-02-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-12 | 2024-02-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-12 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-10 | 2023-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-08 | 2023-09-10 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-06-22 | 2023-07-22 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-30 | 2023-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-06-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-30 | 2023-06-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-30 | 2023-05-13 | 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 | 2023-03-30 | 2023-05-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-30 | 2023-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-30 | 2023-05-13 | 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 | 2023-03-30 | 2023-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-30 | 2023-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-05-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-30 | 2023-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-30 | 2023-03-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-30 | 2023-03-30 | N |