Deficiency Records for Cross Timbers Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Cross Timbers Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| 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 | 2023-11-29 | 2023-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-20 | 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 | 2023-07-13 | 2023-08-10 | Y |
| Keep all essential equipment working safely. | Health | 2023-07-13 | 2023-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-11 | 2023-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-04 | 2023-01-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-22 | 2022-10-22 | 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 | 2022-09-22 | 2022-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-22 | 2022-10-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-09-22 | 2022-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-10-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-22 | 2022-10-22 | 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 | 2022-09-22 | 2022-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-09-22 | 2022-10-22 | 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 | 2022-07-26 | 2022-07-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-04-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-24 | 2022-04-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-30 | 2022-01-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-22 | 2021-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-22 | 2021-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-22 | 2021-07-24 | 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 | 2021-06-16 | 2021-07-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-16 | 2021-07-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-16 | 2021-07-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-16 | 2021-07-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-16 | 2021-07-08 | 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 | 2023-11-29 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-01 | Not Fixed | N |
