Deficiency Records for The Rehabilitation and Wellness Centre of Dallas LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for The Rehabilitation and Wellness Centre of Dallas LLC. 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 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 | 2023-08-25 | 2023-08-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-25 | 2023-08-26 | 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 | 2023-02-23 | 2023-04-08 | 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 | 2023-02-23 | 2023-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-23 | 2023-04-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-23 | 2023-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-23 | 2023-04-08 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-02-23 | 2023-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-24 | 2023-03-22 | 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 | 2023-02-24 | 2023-03-22 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-23 | 2023-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-23 | 2023-03-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-23 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-23 | 2023-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-23 | 2023-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-23 | 2023-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-23 | 2023-03-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-28 | 2022-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-16 | 2022-06-17 | 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 | 2021-12-08 | 2022-02-05 | 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 | 2021-12-13 | 2022-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-13 | 2022-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-29 | 2020-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-29 | 2020-11-10 | 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 | 2020-09-29 | 2020-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-29 | 2020-11-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-30 | 2020-10-30 | 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 | 2020-09-30 | 2020-10-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-30 | 2020-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-29 | 2020-10-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2020-09-29 | 2020-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-30 | 2020-10-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-09-29 | 2020-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-29 | 2020-10-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-29 | 2020-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-20 | Not Fixed | N |
