Deficiency Index

Le Reve Rehabilitation & Memory Care

Dallas, Texas · CCN 676474

16 surveys since 2021, 6 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
37
Surveys
16
Harm or worse
6
Immediate jeopardy
6
The record, 2021–2026
’21’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file6/16

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

The facility

Certified beds
108
Ownership
For profit - Corporation
Chain
Independent
County
Dallas
Medicare-certified since
2019

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

May 13, 2026

180 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 day3.063.25
Registered-nurse hours per resident day0.34—
Annual nurse turnover64.7%54.0%

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

Enforcement

Fines
$120,553 across 3 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ623.1%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1350.0%E519.2%F27.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 37 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7274×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

From the most serious findings on record at Le Reve Rehabilitation & Memory Care, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Sep 22, 2025

    Based on interviews and record reviews the facility failed to ensure each resident had the right to be free from neglect. For one resident (Resident #1) out of 5 residents reviewed for deprivation of goods and services. LVN A failed to follow protocol after Resident #1 had a fall. LVN A picked Resident #1 off the floor and returned her to her bed without conducting an assessment and reporting the incident to RP, DON, and Physician. This resulted in Resident #1 not being diagnosed with a fracture on her left hip and a right dislocated shoulder for 11 hours.An IJ was identified on 09/19/2025, the IJ template was provided to the facility on [DATE] at 3:35 p.m. While the IJ was removed on 9/22/2025. […]

  • Immediate jeopardy, isolatedF610Sep 22, 2025

    Based on interview and record review, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation was in process. For one resident (Resident #1) out of 5 residents reviewed for neglect and abuse.The facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment by LVN A by allowing him to work and have direct contact with the resident while the allegations were still under investigation.An IJ was identified on 09/20/2025. The IJ template was provided to the facility on [DATE] at 8:07 pm. […]

  • Immediate jeopardy, isolatedF684Sep 22, 2025

    Based on interviews and record reviews LVN A failed to assess Resident #1 which prevented her from receiving timely treatment. LVN A failed to follow protocol after Resident #1 had a fall. LVN A picked Resident #1 off the floor and returned her to her bed without conducting an assessment and reporting the incident to RP, DON, and Physician. This resulted in Resident #1 not being diagnosed with a fracture on her left hip and a right dislocated shoulder for 11 hoursFindings include:Record review of facility PIR dated 08/22/2025, with an allegation of neglect, reflected that Resident #1 sustained a fall in her room on 08/16/2025 at approximately 5:00 am. When the family notified the facility staff of Resident #1's fall, staff completed an x-ray. […]

  • Immediate jeopardy, isolatedF580Aug 16, 2024

    Based on interview, and record review the facility failed to notify the physician when a resident experienced ant bites and pain for 1 (Resident #21) of 5 residents reviewed for a notification of a change of condition, in that: RN II did not notify the Physician of Resident #21's change of condition on 08/13/24 when CNA R reported that Resident #21 had indicated experiencing pain to the anterior area of her right elbow to RN II concerns that Resident #21 had suffered ant bites that had resulted in welts on Resident #21's right arm. […]

  • Immediate jeopardy, isolatedF684Aug 16, 2024

    Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 4 residents (Resident #1) reviewed for quality of care. 1) The facility nurses failed to assess, treat, or monitor ant bites and pain for Resident #21 or seek treatment instructions from the physician. An Immediate Jeopardy was (IJ) was identified on 08/14/24 at 5:53 PM while the IJ was removed on 08/16/24, the facility remained out of compliance at a severity of No actual harm with a potential for more than minimal harm that is not immediate and a scope of isolated due to the facility still monitoring the effectiveness of their Plan of Removal. […]

Read 21 findings in full →The most serious and the most recent: 21 of 37 on record.

Every survey on record

FindingsAt actual harm or above

  • May 13, 2026Complaint3 findings
  • Apr 22, 2026Complaint1 finding
  • Apr 2, 2026Complaint1 finding
  • Sep 22, 2025Standard5 findings · 3 harm
  • Mar 21, 2025Complaint1 finding
  • Dec 9, 2024Complaint1 finding
  • Oct 18, 2024Complaint3 findings
  • Aug 16, 2024Standard and complaint7 findings · 2 harm
Show the 8 earlier surveys
  • Jul 1, 2024Complaint2 findings · 1 harm
  • Jun 15, 2023Standard and complaint2 findings
  • Jun 2, 2022Complaint2 findings
  • Apr 26, 2022Complaint1 finding
  • Jan 24, 2022Complaint1 finding
  • Nov 23, 2021Infection control2 findings
  • Nov 2, 2021Infection control3 findings
  • Sep 30, 2021Complaint2 findings

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.

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