Park Highlands Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Park Highlands Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF837Nov 13, 2025

  Based on observations, record review, and interviews, the facility failed to have a governing body who appointed a licensed administrator for 1 of 1 facilitiy reviewed for governing body.The facility did not have a licensed administrator since 09/22/2025.This failure could affect the safety and overall wellbeing of the residents and day-to-day operation of the facility.Findings included:During an interview on 11/13/2025 at 9:10 AM, the Administrator-in-training said she was the current administrator but did not have a license. She said the previous administrator was at the facility until sometime in September 2025. […]

• No harm, potential for more than minimal, patternF553Jun 3, 2026

  Based on interview and record review, the facility failed to ensure residents had the right to participate in the development and implementation of his or her person-centered care plan for 3 of 5 dialysis residents (Residents #6, #46, #47) reviewed for the right to participate in planning care.The facility failed to ensure Resident #6, Resident #46 and Resident #47 were included in the development and implementation of their personal care plans.This failure could place residents at risk of not receiving adequate and individualized care while residing at the facility.Findings included:Record review of Resident #6's face sheet dated 06/02/2026 indicated Resident #6 was a [AGE] year-old male and admitted on [DATE] and re-admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF644Jun 3, 2026

  Based on interview and record review, the facility failed to coordinate the assessment of 1 of 2 residents (Resident #9) reviewed for the pre-admission screening and resident review (PASARR) program and PASARR assessments and evaluations.The facility failed to ensure Resident #9's PASARR Level 1 screening was accurately coded to reflect he had indicators of mental illness.This failure could place residents with psychiatric diagnoses at risk for not being evaluated for PASARR services and potentially not receiving services for care and treatment. Findings included:A record review of a face sheet dated 06/02/2026 indicated Resident #9 was a [AGE] year-old male who admitted to the facility 04/30/2026. […]

• No harm, potential for more than minimal, patternF850Jun 3, 2026

  Based on interview and record review, the facility, with a capacity of more than 120 beds, failed to employ a qualified social worker on a full-time basis for 1 of 1 social services staff reviewed for qualifications of Social Worker (SW). The facility failed to employ a SW on a full-time basis. This failure could place the residents at risk of not receiving social services to meet their needs.Record review of the Facility Summary Report from Tulip (Texas Unified Licensure Information Portal) dated 12/31/2018 revealed the facility had a maximum capacity of 132 beds. During a personnel record review on 06/03/2026 the file indicated the SW was hired on 01/31/2022. The record indicated she worked 16 hours per week. […]

• No harm, potential for more than minimal, patternF584Mar 27, 2024

  Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment 3 of 3 shower rooms reviewed for environment. (North Wing, East Wing and Rehabilitation hall). The facility failed to ensure the shower rooms on the North Wing, East Wing and Rehabilitation hall were free of a black substance in between the tiles. This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment. […]