The Villa at Texarkana

In the surveyor’s words

From the most serious findings on record at The Villa at Texarkana, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Sep 19, 2022

  Based on interview and record review the facility failed to immediately consult the physician when there was a significant change in the resident's physical and mental status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 of 6 Residents (Resident #19) whose records were reviewed for change in condition. The facility failed to consult a physician or NP of Resident #19's signs and symptoms of extrapyramidal side effects (side effects of antipsychotic medicines. EPS can cause movement and muscle control problems throughout your body) after her return from a behavioral hospital. An Immediate Jeopardy (IJ) situation was identified on 09/15/2022 at 7:40 PM. […]

• Immediate jeopardy, isolatedF758Sep 19, 2022

  Based on observation, interview and record review, the facility failed to ensure that resident prn orders for [CONDITION(S)] drugs are limited to 14 days, and if prescribing practitioner believed it is appropriate for PRN order to be extended beyond 14 days, then document rationale in resident's medical record for 2 of 6 residents review for unnecessary medications (Resident #19 and Resident #77). 1. The facility failed to monitor and recognize serious side effects of a newly prescribed antipsychotic medication for Resident #19 resulting in the resident developing extrapyramidal symptoms (serious side effects that develop after taking antipsychotic medication), decreased activity of daily living capabilities and a decreased quality of life. 2. […]

• Actual harm, isolatedF689Oct 24, 2023

  Based on interview and record review, the facility failed to ensure adequate supervision was provided to prevent accidents for 1 of 1 resident reviewed for accidents and supervision. (Resident #2) The facility failed to provide appropriate supervision for Resident #2 to prevent falls with and without injury. This failure places residents at risk for serious injury related to falls. Findings included: 1. Record review of an undated face sheet indicated Resident #2 was a [AGE] year-old male and admitted on [DATE] and readmitted on [DATE] with diagnoses including dementia (the loss of cognitive functioning - thinking, remembering, and reasoning - to such an extent that it interferes with a person's daily life and activities), Alzheimer's disease (a progressive disease beginning with mild… […]

• Actual harm, isolatedF600Apr 5, 2021

  Based on observation, interview and record review the facility failed to ensure residents were free from abuse for 1 or 7 residents reviewed for abuse. (Resident #1) RN A physically assaulted Resident #1 during incontinent care. Resulting in Resident #1 sustaining skin tears to both arms requiring medical attention. Resident #1 was fearful of additional harm after the altercation. This was determined to be past non-compliance with actual harm due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents at risk for abuse. […]

• Actual harm, isolatedF607Apr 5, 2021

  Based on observation, interview and record review the facility failed to follow written policy to ensure residents were free from abuse for 1 or 7 residents reviewed for abuse. (Resident #1) RN A physically assaulted Resident #1 during incontinent care. Resulting in Resident #1 sustaining skin tears to both arms requiring medical attention. Resident #1 was fearful of additional harm after the altercation. This was determined to be past non-compliance with actual harm due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. This failure could place residents at risk for abuse. […]