Cross Timbers Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Cross Timbers Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accidents. The facility failed to ensure Resident #1 was provided with adequate supervision to prevent him from eloping from the facility on 05/05/25. He was found down the street away from the facility and was brought back by the local police department. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 05/05/24 and ended on 05/06/24. The facility had corrected the noncompliance before the investigation began. This failure could place residents who require supervision at risk of harm, severe injury, and possible death. […]

• No harm, potential for more than minimal, widespreadF812Nov 29, 2023

  Based on observation, interview, and record review, the facility failed to store, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen for food storage. The facility failed to: 1. date, label, and seal food items in the dry storage area of the facility's kitchen. 2. Cook J, Dietary Aide K and Maintenance Director washed their hands and put on hair restraints prior to entering or directly after entering the kitchen. 3. keep the kitchen clean and sanitary and free from dirt and food debris and well maintained equipment and exit barrier. These failures could affect residents by placing them at risk of cross contamination and food-borne illness which could cause gastro-intestinal illnesses and increase in pests. […]

• No harm, potential for more than minimal, widespreadF812Sep 22, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food safety in 1 of 1 kitchen reviewed. 1. The facility failed to ensure the ice and water dispenser, located in the facility dining room, was cleaned and free of white chalky substance with brown spots discoloring, white chalky spots and failed to ensure the overflow tray was not soiled with brown rust spots and spilled coffee. 2. The facility failed to ensure the ice machine, in the facility only kitchen, was cleaned and free of discoloring of white chalky and brown stains on the inside and outside of the ice machine and failed to ensure there was no dust particles with dirt and covering the filter used for the freezer. 3. […]

• No harm, potential for more than minimal, patternF698Jan 24, 2025

  Based on interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 of 2 residents (Residents #26 and #245) reviewed for dialysis. The facility failed to ensure dialysis communication forms for Residents #26 and Resident #245 were received back after returning from dialysis treatment. This failure could place residents at risk of inadequate communication between the facility and dialysis center. Findings included: 1. Record review of Resident #26's admission MDS assessment, dated 01/12/25, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF755Jan 24, 2025

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident on one of three medication carts (200) and 2 of 19 residents (Residents #1, #3, and #190) reviewed for pharmacy services. 1. The facility failed to ensure the 200 Hall nurses' medication cart contained accurate narcotic logs for Resident #1 and #3. 2. […]