Balch Springs Nursing Home

In the surveyor’s words

From the most serious findings on record at Balch Springs Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF686Mar 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #1) of 14 residents reviewed for pressure ulcers. The facility failed to address Resident #1 required off-loading of heels and repositioning every two hours. Resident #1 developed a Stage 4 Pressure Wound. On 03/25/2026 at 6:22 p.m. an Immediate Jeopardy (IJ) was identified. The IJ template was provided to the facility on [DATE] at 6:22 PM. […]

• Immediate jeopardy, isolatedF656Mar 30, 2026

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for one (Resident #1) of 14 residents, reviewed for care plans. The facility failed to address Resident #1's required off-loading of heels and repositioning every two hours, as these orders were not reflected in Resident #1's Comprehensive Care Plan. Resident #1 developed a Stage 4 Pressure Wound. On 03/25/2026 at 6:22 p.m. an Immediate Jeopardy (IJ) was identified. The IJ template was provided to the facility on [DATE] at 6:22 PM. […]

• Immediate jeopardy, isolatedF689Apr 27, 2022

  Based on interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (Resident #1) of six residents reviewed for elopements. The facility failed to provide adequate supervision to Resident #1. As a result, he eloped from the facility and was observed by a staff member crossing the street and falling in median approximately 0.4 miles away from the facility on 03/25/22. It was determined a past non-compliance Immediate Jeopardy existed from 03/25/22 to 03/25/22. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure food items were accurately labeled and dated with the received or expiration date. 2. The facility failed to ensure dented cans were placed in a separate storage area. 3. The facility failed to ensure opened items were sealed or resealed effectively. These failures could place residents at risk for food-borne illness and cross contamination. […]

• No harm, potential for more than minimal, widespreadF838Feb 14, 2024

  Based on interviews and record reviews, the facility failed to conduct and document a completed facility-wide assessment which included a current (EPP) Emergency Preparedness Plan to determine what resources were necessary to care for its residents competently during emergencies as necesarry and at least annually for one (facility) of one facility reviewed for Emergency service planning. The facility failed to review, revise and update their Emergency Preparedness Plan at least annually; the most current EPP was not in the EPP binder. And after inquiry on 02/14/24, the Administrator provided the surveyor a four-page EPP dated 01/17/23 by former Administrator G that was unsigned by anyone and without proof of all of the completed employee trainings and drills. […]