Deficiency Records for The Rehabilitation and Wellness Centre of Dallas LLC
Updated as of March 01, 2021
This is not the most recent data for The Rehabilitation and Wellness Centre of Dallas LLC. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-04 | 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 | 2019-03-28 | 2019-05-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-28 | 2019-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-05-11 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-28 | 2019-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-28 | 2019-05-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-03-28 | 2019-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-27 | 2019-04-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-27 | 2019-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-27 | 2019-04-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-27 | 2019-04-01 | N |
| Be properly staffed | Fire Safety | 2019-03-27 | 2019-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-27 | 2019-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-22 | 2019-02-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-15 | 2018-04-20 | 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 | 2018-03-15 | 2018-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-15 | 2018-04-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-16 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-16 | 2018-04-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-16 | 2018-04-20 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-03-16 | 2018-04-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-16 | 2018-04-20 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-03-16 | 2018-04-20 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-03-16 | 2018-04-20 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-16 | 2018-03-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-04 | 2017-05-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-06 | 2017-05-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-06 | 2017-05-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-06 | 2017-05-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-04 | 2017-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-04 | 2017-05-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-06 | 2017-05-04 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-04-06 | 2017-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-04 | 2017-05-02 | N |
