South Dallas Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at South Dallas Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jun 9, 2025

  Based on observation, interview and record review the facility failed to ensure residents had the right to be free from abuse, and deprivation of goods and services for 1 of 3 residents (Resident #1) reviewed for neglect. 1. The facility failed to provide Resident #1 with services for pain assessments from 02/10/25 to 02/21/25 which resulted in Resident #1 not being diagnosed with a fracture to his left humeral bone for 11 days. 2. The facility staff failed to report a fall to the administrative staff which resulted in Resident #1 not receiving an x-ray from 02/10/25 to 02/21/25. 3. […]

• Immediate jeopardy, patternF600May 31, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from neglect for two of nine residents (Residents #1 and #2) reviewed for elopement. 1. The facility failed to ensure Resident #1 did not elope from the facility. The facility failed to ensure Resident #1 was adequately supervised to prevent him from leaving the facility as 2-hour monitoring was not completed properly. Resident #1 had access to the door code for the front door although he had impaired cognitive function or thought processes related to Dementia and lacked safety awareness. Resident #1 eloped from the facility on 05/14/23 and was arrested the same day 3.5 miles away for impeding the progress of a southbound public train. 2. […]

• Immediate jeopardy, patternF607May 31, 2024

  Based on observations, interviews, and record reviews, the facility failed to implement written policies and procedures that prohibited and prevented abuse and neglect for two of nine residents (Resident #1 and Resident#2) reviewed for elopement. 1. The facility failed to follow the policy and procedure for neglect which allowed Resident #1 to elope from the facility. The facility failed to ensure Resident #1 was adequately supervised to prevent him from leaving the facility as 2-hour monitoring was not completed properly. Resident #1 had access to the door code for the front door although he had impaired cognitive function or thought processes related to Dementia and lacked safety awareness. […]

• Immediate jeopardy, patternF689May 31, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure residents receives adequate supervision and assistance devices to prevent accidents for two of nine residents (Resident #1 and Resident #2) reviewed for elopement. 1. The facility failed to ensure Resident #1 was adequately supervised to prevent him from leaving the facility. Resident #1 had access to the door code for the front door although he had impaired cognitive function or thought processes related to Dementia and lacked safety awareness. Resident #1 eloped from the facility on 05/14/23 and was arrested the same day 3.5 miles away for impeding the progress of a southbound public train. 2. The facility failed to ensure Resident #2 was supervised adequately and did not elope from the facility. […]

• Immediate jeopardy, patternF689Apr 22, 2023

  Based on observations, interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent elopements for three (Residents #1 #2 and #3) of six residents reviewed for elopements. 1. The facility failed to ensure Resident #1 was adequately supervised to prevent him from leaving the facility unsupervised. Resident #1 had severe cognitive impairment, wandering behavior, and lacked safety awareness. Resident #1 eloped from the facility on 04/03/23 and was found by facility staff two blocks away. 2. The facility failed to routinely monitor wander-guard transmitters to ensure they were functional for Residents #1, #2 and #3. 3. […]