Deficiency Index

Las Brisas Rehabilitation and Wellness Center

Irving, Texas · CCN 676464

24 surveys since 2019, 8 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
65
Surveys
24
Harm or worse
8
Immediate jeopardy
4
The record, 2019–2026
’19’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
128
Ownership
For profit - Corporation
Chain
FUNDAMENTAL HEALTHCARE
County
Dallas
Medicare-certified since
2019

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jan 8, 2026

305 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.393.26
Registered-nurse hours per resident day0.43—
Annual nurse turnover62.3%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD330.0%E660.0%F110.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 65 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F7591×

    Ensure medication error rates are not 5 percent or greater.

In the surveyor’s words

From the most serious findings on record at Las Brisas Rehabilitation and Wellness Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Jun 16, 2023

    Based on observation, interview and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 of 5 residents (Residents #1 and Resident #2) reviewed for quality of care. The facility failed to ensure that residents receive treatment and care in accordance with the comprehensive person-centered care plan, and the residents' choices when needing help due to call light malfunction. An Immediate Jeopardy (IJ) was identified on 06/16/23. […]

  • Immediate jeopardy, isolatedF919Jun 16, 2023

    Based on observation, interview and record review, the facility failed to be adequately equipped to allow resident to call for assistance for 2 of 5 residents (Residents #1 and Resident #2) reviewed for accommodation of needs. The facility failed to be adequately equipped to allow residents to call for staff assistance when needing help due to call light malfunction. An Immediate Jeopardy (IJ) was identified on 06/16/23. While the IJ was removed on 06/16/23, the facility remained out of compliance at a severity level of no actual harm with a potential for more than minimal harm and a scope of isolated due to the facility still monitoring the effectiveness of their Plan of Removal. […]

  • Immediate jeopardy, isolatedF689Dec 1, 2022

    Based on interviews and record reviews, the facility failed to ensure residents were free of accident hazards as was possible for one of 8 (Resident #1) residents reviewed for Incidents and accidents. On 10/31/22, CNA A and CNA B failed to follow Resident #1's care plan for extensive 2 person assistance for bed mobility, transfers, dressing and total dependence with 2 person support for bathing, which resulted in Resident #1 rolling off the bed and transferred back onto her bed, prior to being assessed by LVN C, which resulted in Resident #1 being diagnosed with comminuted angulated intertrochanteric left femoral neck fracture (Thigh bone fracture) on 11/02/22. It was determined a Past Non-Compliance Immediate Jeopardy existed and Administrator F was notified on 12/01/22 at 12:06 PM. […]

  • Actual harm, isolatedF689Aug 21, 2026

    Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and failed to ensure each resident received adequate assistance devices to prevent accidents for 1 (Resident #1) of 5 residents (Resident #1) reviewed for accidents and hazards. The facility failed to ensure the CNA and the dietary staff checked the temperature and sealed Resident #1's cup of hot coffee, which resulted in Resident #1 spilling tea in her bed, on her chest and down her right side, acquiring a second-degree burn to her right breast/chest area on 06/27/26 during breakfast. […]

  • Actual harm, isolatedF925Aug 21, 2026

    Based on observation, interview and record review, the facility failed to maintain an effective pest control program to keep the facility free of pests for one (Hall 100) of six halls and 1 (Resident #6) of 13 residents (identifier) observed for pest control. The facility failed to maintain pest control and Resident #6 was stung multiple times by fire ants, in her bed, on 08/02/26. The noncompliance was identified as PNC. The noncompliance began on 08/03/26 and ended on 08/13/26 The facility had corrected the noncompliance before the survey began. […]

Read 24 findings in full →The most serious and the most recent: 24 of 65 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2026Complaint6 findings · 2 harm
  • Jan 8, 2026Standard2 findings
  • Oct 2, 2024Standard and complaint5 findings
  • Sep 13, 2023Standard2 findings
  • Aug 16, 2023Complaint1 finding
  • Jun 16, 2023Complaint3 findings · 2 harm
  • Apr 26, 2023Complaint1 finding
  • Apr 5, 2023Complaint1 finding · 1 harm
Show the 16 earlier surveys
  • Feb 9, 2023Infection control3 findings
  • Dec 29, 2022Complaint1 finding
  • Dec 1, 2022Complaint3 findings · 1 harm
  • Sep 29, 2022Complaint1 finding
  • Aug 17, 2022Complaint2 findings
  • Jul 29, 2022Standard4 findings
  • Sep 14, 2021Complaint2 findings
  • May 20, 2021Standard and complaint3 findings
  • Aug 18, 2020Complaint1 finding
  • Feb 27, 2020Complaint3 findings
  • Jan 29, 2020Standard and complaint3 findings
  • Dec 20, 2019Complaint1 finding · 1 harm
  • Oct 31, 2019Complaint11 findings · 1 harm
  • Aug 8, 2019Complaint3 findings
  • Jul 20, 2019Complaint2 findings
  • Mar 5, 2019Standard1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction