The Healthcare Resort of Plano

In the surveyor’s words

From the most serious findings on record at The Healthcare Resort of Plano, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 10, 2024

  Based on interview and record review, the facility failed to provide adequate supervision to prevent accidents, for one Resident (Resident #1) of one resident reviewed for elopement risk. The facility staff failed to ensure that a contractor working in the facility did not let Resident #1 exit out of the facility, through a side door, unsupervised on 05/24/24. After exiting, Resident #1 was found unsupervised across a major roadway by facility staff. The noncompliance was identified as PNC. The IJ began on 05/24/24 and ended on 05/31/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for serious injuries. […]

• Actual harm, isolatedF686Nov 16, 2023

  Based on interview and record review, the facility failed to ensure that a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstratesf that they were unavoidable for 1 (Resident #1) of 1 resident reviewed for an in-house acquired pressure ulcer. The facility failed to prevent Resident #1 from developing a pressure ulcer. The facility's failure could affect the prevention of pressure ulcers and affect residents with pressure ulcers and put them at risk for worsening of the wound, infection, and inappropriate treatment. […]

• No harm, potential for more than minimal, patternF686Dec 2, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #1) of 4 residents reviewed for pressure ulcers. CNA A and CNA B failed to reposition Resident #1 as required by her orders and care plan on 10/15/25. This failure could place residents with pressure wounds at risk of the wound worsening, leading to increased pain, infection, delayed healing, serious complications including sepsis, reduced mobility, and a lower quality of life.Record Review of Resident 1's admission MDS assessment, dated 09/19/25, revealed she was a [AGE] year-old female,… […]

• No harm, potential for more than minimal, patternF695Jun 26, 2025

  Based on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four (Residents #1, #17, #30, and #156) of eighteen residents reviewed for respiratory care. 1. The facility failed to ensure Resident #1's nasal cannula (flexible tube used to deliver oxygen to the nose through two prongs) at the back of the wheelchair was properly stored on 06/24/2024. 2. The facility failed to ensure Resident #17's nasal cannula was properly stored on 06/25/2025. 3. […]

• No harm, potential for more than minimal, patternF761Jun 26, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that drugs and biologicals were stored properly in locked compartments for one (Resident #107) of fifteen residents and for two (Resident #107, Resident #`60) residents and one (Crash Cart #1) of four carts reviewed for storage of drugs and biologicals. 1. The facility failed to ensure that LVN B did not leave Resident #155's medications unsecured inside the resident's room on 06/24/2025. 2. The facility failed to ensure Resident #160's eyedrops were not left inside the resident's room on 06/24/2025. 3. The facility failed to ensure Resident 107's Lantus was not left on top of the nurse's cart on 06/25/2024. 4. […]