The Hillcrest of North Dallas

In the surveyor’s words

From the most serious findings on record at The Hillcrest of North Dallas, in the surveyor’s own words.

• Immediate jeopardy, patternF600Aug 12, 2024

  Based on observations, interview, and record review, the facility failed to protect a resident's right to be free from abuse for 2 (Residents #1 and Resident #2) of 6 residents reviewed for resident abuse. 1. The facility failed to ensure Resident #1 was free from verbal and physical abuse by the Assistant Dietary Manager. 2. The facility failed to ensure the Assistant Dietary Manager did not work in the facility even though Resident #1 was afraid of him. 3. The facility failed to protect Resident #2, who was unable to give consent for sexual activity, from sexual abuse after Resident #3 was discovered in her bed with Resident #2 on top of her by facility staff. 4. […]

• Immediate jeopardy, patternF607Aug 12, 2024

  Based on interview and record review, the facility failed to implement written policies and procedures that: Prohibit and prevent abuse, neglect, and exploitation of resident's, establish policies and procedures to investigate any such allegations for two (Residents #2 and #1) of eight residents reviewed for abuse. The facility failed to implement their abuse, neglect, and exploitation policy to ensure Resident #2 was safe from sexual abuse when Resident #3 was found by facility staff in her bed on 07/06/2024. The facility failed to follow their policy by not initiating criminal sexual abuse procedures when Resident #2 lacked the decision-making capacity to consent to a sexual act. […]

• Immediate jeopardy, patternF610Aug 12, 2024

  Based on observations, interview, and record review, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility failed to ensure alleged violations were thoroughly investigated for 2 (Residents #1 and #2) of 6 residents reviewed for resident abuse. The facility failed to ensure Resident #1's abuse allegation from 06/15/24 was thoroughly investigated. The facility failed to ensure Resident #2's abuse allegation was thoroughly investigated for 07/26/24. An Immediate Jeopardy (IJ) was identified on 08/09/24 at 5:00 PM. The IJ template was provided to the facility on [DATE] at 5:24PM and signed by the Administrator. […]

• Immediate jeopardy, patternF656Aug 12, 2024

  Based on interview and record review, the facility failed to develop and implement a person-centered comprehensive care plan for each resident that included measurable objectives and time frames that met the resident's medical, nursing and mental needs for two (Resident #2 and Resident #1) out of 3 residents reviewed for care plans. The facility failed to identify individualized interventions and objectives in the comprehensive care plan for Resident #2, after Resident #2 was involved in an alleged sexual abuse incident with a male staff member on 04/25/2024. The facility failed to protect Resident #2 who was a prior victim of abuse and unable to give consent for sexual activity. […]

• Immediate jeopardy, isolatedF689Jun 14, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of seven residents reviewed for improper transfers. The facility failed to ensure Resident #1 was transferred according to his Care Plan using a Hoyer. An Immediate Jeopardy (IJ) was identified on [DATE] at 03:56 PM. The IJ template was provided to the facility on [DATE] at 3:58 PM and signed by the Administrator. […]