Denton Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Denton Nursing and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 4, 2025

  Based on a review of a complaint, medical record review, facility documentation review, and staff interviews, it was determined the facility failed to keep a dependent resident free from injury while transferring the resident from the bed to the chair via a Hoyer lift, which resulted in actual harm to Resident (R) #11. The failure of facility staff to follow the plan of care while transferring a resident resulted in bilateral sacral fractures and a L2 fracture. This was evident for 1 (#11) of 3 residents reviewed for falls. The findings include:A Hoyer lift is a mechanical device that uses a sling to safely lift and move a resident who is unable to transfer themselves between surfaces like a bed, wheelchair, or toilet. […]

• Actual harm, isolatedF921Sep 4, 2025

  Based on medical record review, facility documentation and interview, it was determined the facility failed to provide a safe and functional environment resulting in psychosocial and physical harm to a resident (Resident #9). This was evident for 1 of 79 residents in the facility on 1/24/25 and reviewed during the complaint survey.The findings include:Review of facility documentation provided by the Administrator on 8/27/25 revealed the Office of Health Care Quality (OHCQ) conducted a Life Safety Code complaint survey on 1/29/25 and found the facility was cited for not maintaining temperature in the attic to prevent pipes from freezing causing the pipes to rupture. […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2026

  Based on observations, interviews and record reviews it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety in the kitchen and the resident refrigeration units. This practice had the potential to affect all residents that eat food prepared by the facility's kitchen and stored food in the refrigeration units. The findings include:1. During a tour of the kitchen with the Kitchen Manager on 3/10/2026 at 7:14 AM the following items were found:A box of fully cooked mostly dark meat chicken had been opened and did not have an open date in the walk-in freezerA clear bag of unlabeled food identified as chicken nuggets by the KM in the walk-in freezerA box of open diced carrots not wrapped or labeled with an opening date in… […]

• No harm, potential for more than minimal, widespreadF908Mar 16, 2026

  Based on observations, interviews and record reviews it was determined that the facility failed to ensure essential equipment was in safe operating condition. This was found to be evident in the kitchen. This practice has the potential to affect all residents. The findings include:1. During a tour of the kitchen on 3/10/2026 at 7:24 AM it was discovered to have a reach-in refrigerator that had tape around a hole on the left side door where the embedded handle was previously located. The rectangular area had tape surrounding all four sides and the inside of the door was exposed. […]

• No harm, potential for more than minimal, widespreadF725Nov 1, 2024

  Based on observations, staff and resident interviews, record reviews, and facility policy review, the facility failed to ensure sufficient staffing was scheduled to meet the needs of the 81 residents in the facility. Five residents (Resident (R) 55, R48, R15, R44, and R48) and staff members, Geriatric Nurse Aide (GNA 11, GNA4, GNA9, GNA6, GNA3, GNA8, GNA5, GNA7, and GNA10), Registered Nurse (RN1), the Administrator, the Director of Nursing (DON), and the Regional Director of Labor Management voiced concerns regarding sufficient staffing, and the facility exhibited multiple failures related to a lack of sufficient staffing throughout the survey. Findings include: 1. […]