Advanced Health & Rehab Center of Garland

In the surveyor’s words

From the most serious findings on record at Advanced Health & Rehab Center of Garland, in the surveyor’s own words.

• Immediate jeopardy, patternF697Jan 5, 2026

  Based on interview, record review, and observations, the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 7 residents (Resident #1) reviewed for pain management. The facility failed to provide Resident #1, who was on hospice services for end-stage cancer to the breast, liver, bone, and bile ducts, with effective pain management from 12/26/25 through 01/04/26. The facility did not reevaluate, advocate, or provide the full amount of pain medication available as allowed by physician's orders for appropriate pain management. […]

• Immediate jeopardy, patternF695Dec 2, 2024

  Based on observation, interview, and record review, the facility failed to ensure that each resident received necessary respiratory care and services that is in accordance with professional standards of practice, the resident's care plan and the residents' choice for 3 (Resident #1, Resident #2, and Resident #3) of 8 residents reviewed for respiratory care. 1. On [DATE] RN H failed to obtain a physician's order to administer oxygen to Resident #1 when readmitted to the facility after an acute care hospital stay with the primary diagnoses of Acute on Chronic Respiratory Failure with Hypoxia (a worsening of chronic respiratory failure that can lead to hypoxia [low blood oxygen]); COPD; and CHF. 2. […]

• Immediate jeopardy, patternF600Jul 20, 2022

  Based on interviews, observations, and record reviews the facility failed to ensure residents in the locked memory care unit were free from physical abuse and physical restraints not required to treat the resident's medical symptoms for 2 (Residents #1 and #2) of 40 residents reviewed for abuse. The facility failed to: 1. protect Resident #1 from being abused by CNA A and Resident #2 from being abused by CNA C. 2. protect Resident #3 and Resident #5 from abuse. These failures could affect all 38 residents in the memory care unit by placing them at risk for abuse and physical restraints and could lead to serious injury, serious harm, serious impairment, pain, mental anguish, or death. An IJ was identified on 07/19/22 at 5:08 PM. The DON was notified, and a POR was requested. […]

• Immediate jeopardy, patternF607Jul 20, 2022

  Based on interview, observation, and record review, the facility failed to implement their written policies and procedures that prohibit and prevent abuse and neglect of residents for three (Resident #2, Resident #3, and Resident #5) of 38 residents reviewed for abuse and neglect. The facility failed to implement a policy and process for immediately investigating and reporting allegations of abuse and neglect to HHSC for: 1. allegations of abuse for Resident #2 reported to facility on 07/08/22 and 07/18/22; 2. injury of unknown origin for Resident #3 observed by the facility on 07/16/22; 3. and witnessed abuse on 07/15/22 of Resident #3 and Resident #5. […]

• Immediate jeopardy, patternF610Jul 20, 2022

  Based on interview, observation, and record review, the facility failed to, in response to allegations of abuse, have evidence that all alleged violations are thoroughly investigated, prevent further potential abuse while the investigation was in progress, and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident for three (Resident #2, Resident #3, and Resident #5) of 38 residents reviewed for abuse and neglect. The facility failed to investigate, prevent, and report allegations of abuse when: 1. […]