Deficiency Records for South Dallas Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for South Dallas Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-10-31 | 2023-11-24 | 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 | 2023-08-15 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-15 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-15 | 2023-09-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-15 | 2023-09-18 | 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 | 2023-08-15 | 2023-09-18 | 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 | 2023-08-15 | 2023-09-18 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-17 | 2023-09-18 | 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 | 2023-08-17 | 2023-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-17 | 2023-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-17 | 2023-09-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-17 | 2023-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-17 | 2023-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-22 | 2023-05-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-20 | 2023-04-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-10 | 2023-01-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-24 | 2022-11-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-17 | 2022-09-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-29 | 2022-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-29 | 2022-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-29 | 2022-08-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-29 | 2022-08-10 | 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 | 2022-06-29 | 2022-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-29 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-07-29 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-06-29 | 2022-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-09 | 2022-05-27 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-21 | 2022-01-22 | Y |
| 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 | 2021-05-12 | 2021-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-12 | 2021-06-25 | 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 | 2021-05-12 | 2021-06-25 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-05-12 | 2021-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-12 | 2021-05-28 | N |
| 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 | 2021-05-13 | 2021-05-25 | 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 | 2021-05-13 | 2021-05-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-13 | 2021-05-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-05-12 | 2021-05-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-12 | 2021-05-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-12 | 2021-05-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-07 | Not Fixed | 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 | 2024-03-07 | Not Fixed | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-07 | Not Fixed | N |
