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Deficiency Records for The Rehabilitation and Wellness Centre of Dallas LLC

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.

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?
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-05-29 2024-06-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-30 2024-05-31 N
Ensure medication error rates are not 5 percent or greater. Health 2024-05-30 2024-05-31 N
Ensure that residents are free from significant medication errors. Health 2024-05-30 2024-05-31 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 2024-05-30 2024-05-31 N
Provide and implement an infection prevention and control program. Health 2024-05-30 2024-05-31 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-05-30 2024-05-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-30 2024-05-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-30 2024-05-31 Y
Post nurse staffing information every day. Health 2024-05-30 2024-05-31 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-05-30 2024-05-31 Y
Provide properly protected cooking facilities. Fire Safety 2024-05-29 2024-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-29 2024-05-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-25 2024-04-15 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2024-03-19 2024-04-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-20 2024-03-13 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-04 2024-01-26 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 2023-08-25 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
Provide or obtain dental services for each resident. Health 2024-03-19 Not Fixed Y

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