A list of the most recent deficiencies for Dfw Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-06-19 | 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 |
| 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 |
| 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 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-06-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-29 | 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 | 2023-03-29 | 2023-05-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-29 | 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 | 2023-03-29 | 2023-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 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 | 2023-03-29 | 2023-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-03-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-29 | 2023-03-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-24 | 2022-10-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-08 | 2022-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-08 | 2022-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-07-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-19 | 2022-05-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-13 | 2022-02-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-13 | 2022-02-27 | 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 | 2022-01-13 | 2022-02-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-13 | 2022-02-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-01-13 | 2022-02-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-13 | 2022-02-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-01-13 | 2022-02-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-29 | 2021-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-09-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-29 | 2021-09-03 | 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 | 2021-06-10 | 2021-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-17 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-03-05 | 2021-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-05 | 2021-04-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-05 | 2021-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-04-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-05 | 2021-04-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-03-05 | 2021-04-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-03-04 | 2021-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-04 | 2021-04-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-04 | 2021-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-04 | Not Fixed | N |
