Denton Village by PureHealth

In the surveyor’s words

From the most serious findings on record at Denton Village by PureHealth, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 18, 2025

  Based on observation, interviews and record reviews, the facility failed to ensure the resident had the right to be free from neglect as defined in this subpart for one (Resident #1) of six residents reviewed for neglect. 1. On [DATE] LVN B failed to notify Resident #1's doctor or hospice provider after she checked Resident #1's BS level of 576; and on [DATE] and [DATE] LVN B failed to notify Resident #1's doctor or hospice provider after she checked Resident #1's BS levels over 600. 2. On [DATE] and [DATE] the facility failed to ensure Resident #1 was given his dayshift dose of his diabetic Metformin medications to prevent his BS level from getting higher and on [DATE] the facility failed to ensure Resident #1 received his dayshift dose of his potassium chloride medication. […]

• No harm, potential for more than minimal, patternF690Sep 19, 2025

  Based observation, interview, and record review the facility failed to ensure residents who were incontinent with bladder received appropriate treatment and services to prevent urinary tract infection for three (Resident #8, Resident #15, and Resident #21) of three residents reviewed for incontinent care. 1. The facility failed to ensure that CNA F performed the right technique during Resident #8's incontinent care on 09/18/2025. 2. The facility failed to ensure that CNA F performed the right technique during Resident #15's incontinent care on 09/18/2025. 3. The facility failed to ensure that CNA E performed the right technique during resident #21's incontinent care on 09/18/2025. This failure could place residents at risk for urinary tract infection. Findings included: 1. […]

• No harm, potential for more than minimal, patternF700Sep 19, 2025

  Based on observation ,interview and record reviews the facility failed to ensure informed consent prior to installation. The facility failed to ensure Resident #5, #9, #10, #11, #30, and #46 had physician orders for the pivot assist bars attached to the residents' bed. This failure could place residents at risk of having unnecessary equipment installed on their beds .Findings included: 1. Record review of Resident #5's Face Sheet, dated 09/18/25, reflected the resident was a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with muscle weakness and Alzheimer's disease (cognitive decline). Record review of Resident #5's Comprehensive MDS Assessment, dated 08/15/25, reflected the resident had severe cognitive impairment with a BIMS score of 3. […]

• No harm, potential for more than minimal, patternF755Sep 19, 2025

  Based on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals that met the needs of each resident for four (Resident #4, Resident #7, Resident #21, and Resident #61) of twenty residents reviewed for pharmaceutical services. 1. The facility failed to ensure Resident #4 was not self-administering her pain ointment without an assessment on 09/17/2025. 2. The facility failed to ensure Resident #7 was not self-administering some medications without an assessment on 09/17/2025. 3. The facility failed to ensure Resident #21 was not self-administering her morning medications without an assessment on 09/17/2025. 4. […]

• No harm, potential for more than minimal, patternF761Sep 19, 2025

  Based on observation, interview and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for eight (Residents #4, #7, #8, #21, #23, #31, #51, and #61) of eighteen residents reviewed for medication storage. 1. The facility failed to ensure that Resident #4's pain ointment was not inside the room on 09/17/2025. 2. The facility failed to ensure that Resident #7's TUMS, eye drops, and oral analgesia were not inside the room on 09/17/2025. 3. The facility failed to ensure that a wound cleanser was not left inside Resident #8's room on 09/17/2025. 4. […]