Landmark of Plano Rehabilitation and Nursing Cente

In the surveyor’s words

From the most serious findings on record at Landmark of Plano Rehabilitation and Nursing Cente, in the surveyor’s own words.

• Immediate jeopardy, patternF580Jun 23, 2023

  Based on interview and record review, the facility failed to consult the resident's physician, when the resident had an injury and had the potential for requiring physical intervention and when there was a significant change in the resident's physical, mental or psychosocial status for one (Resident #1) of six residents reviewed for resident rights. The facility failed to notify the physician when Resident #1 complained of right leg pain on 05/22/23. There were multiple opportunities for the staff to notify the physician when it was noted by the facility staff and responsible party that Resident #1's leg was swollen and she was in pain. The physician indicated he should have been notified on 5/18/23, 5/22/23, and 5/28/23. […]

• Immediate jeopardy, patternF684Jun 23, 2023

  Based on interview, and record review the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (Resident #1) of six residents reviewed for quality of care. The facility failed to assess Resident #1's left knee for pain and swelling on 05/22/23 and 05/28/23. There were multiple opportunities for the staff to assess the resident and provide follow-up care when it was noted by the facility staff and responsible party that Resident #1's leg was swollen, and she was in pain. […]

• Actual harm, isolatedF600Mar 18, 2025

  Based on interviews and record review, the facility failed to ensure residents were free from abuse, neglect, misappropriation of resident property, and exploitation for one (Resident #1) of three residents reviewed for abuse. The facility failed to ensure CNA A did not abuse Resident #1 on 03/14/25 by taking a private photo of her. This was determined to be past non-compliance. The noncompliance was identified as PNC. The noncompliance began on 03/14/25 and ended on 03/16/25. The facility had corrected the noncompliance before the survey began. This failure placed residents at risk of being abused by having their photo taken. Findings included: Review of Resident #1's Quarterly MDS Assessment, dated 01/05/25, reflected the resident had a BIMS score of 15 and was cognitively intact. […]

• No harm, potential for more than minimal, patternF677Nov 24, 2025

  Based on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 (Residents #1 and #2) of 5 residents reviewed for ADL care. The facility failed to provide Residents #1 and #2 with showers based on their weekly shower/bathing schedule. This failure could place residents at risk of not receiving the care they require to maintain their highest practical well-being, and could result in low self-esteem, anxiety, embarrassment, and a decline in their quality of life.Findings included: Record review of Resident #1's MDS assessment, dated 08/26/25, reflected he was a [AGE] year-old male initially admitted to the… […]

• No harm, potential for more than minimal, patternF578Nov 13, 2025

  Based on interview, observation and record review, the facility failed to ensure residents had the right to formulate an advanced directive for 3 (Resident #1, Resident #2 and Resident #3) of 8 residents reviewed for Advanced Directives.The facility failed to ensure that Resident #1, Resident #2 and Resident #3's OOH-DNR (Out of Hospital-Do Not Resuscitate) were completed correctly with both signatures of the resident/family and that it was signed by a physician making the forms invalid.This failure could affect all residents who have implemented an Advanced Directive and established their choice not to be resuscitated at the risk of receiving CPR (Cardiopulmonary Resuscitation) against their wishes.Findings included:Record review of Resident #1's face sheet dated [DATE] revealed he was… […]