The Villages of Dallas

In the surveyor’s words

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

• Immediate jeopardy, patternF656Jun 10, 2024

  Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet residents' mental and psychosocial needs for 2 (Resident #1and Resident #2) of 8 residents reviewed for care plans. - The facility failed to document measurable objectives, interventions, or timeframes to address Resident #1's wandering behavior r/t diagnosis of dementia. On 06/05/24 Resident #1 wandered into Resident #2's room and was physically attacked and sustained a serious injury. […]

• Immediate jeopardy, isolatedF689Oct 2, 2024

  Based on interview and record review, the facility failed to ensure residents in facility received adequate supervision and assistance devices to prevent accidents 1 of 5 residents (Resident #10) reviewed for accidents and supervision. The facility staff member failed to follow the facility's No Lift policy, which indicated the total mechanical lift will be used for individuals who can bear weight on their legs and can only offer minimal assistance with their transfers/lifts. The facility failed to provide assistive devices (mechanical lift) during transfers as required per their No Lift policy and after requested by Resident #10 and her POA on 04/04/24. […]

• Immediate jeopardy, isolatedF600Jun 10, 2024

  Based on interview and record review, the facility failed to ensure the residents' right to be free from abuse for one (Resident #1) of eight residents reviewed for abuse. -The facility failed to have interventions in place to prevent Resident #1 from being abused by Resident #2, who had a history of being aggressive with no interventions care planned until 06/06/24, after the incident. On 06/05/24 Resident #1 wandered into Resident #2's room where he was physically attacked and sustained a serious injury. The non-compliance was identified as past non-compliance (PNC). The IJ began on 06/05/24 and ended on 06/06/24. The facility had corrected the non-compliance before the state's investigation began. […]

• Immediate jeopardy, isolatedF580Feb 17, 2023

  Based on interviews and record reviews, the facility failed to immediately consult with the resident's physician when there was a significant change in a resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either, life-threatening conditions or clinical complications) for one (Resident #1) of five residents reviewed for changes in condition. RN A failed to notify the physician when Resident #1 complained of numbness to the left side of the face on 01/27/23. RN A notified the NP via text message of the change in condition instead of the physician and when the nurse did not receive a response from the NP the resident remained in the facility without the physician being notified. […]

• Immediate jeopardy, isolatedF684Feb 17, 2023

  Based on interviews and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident #1) of four residents reviewed for quality of care. Facility staff failed to recognize and respond when Resident #1 complained of numbness to one side of the face on 01/27/23. RN A notified the NP of a change in condition on 01/27/23 at 12:43 p.m. via text message. When RN A did not receive a response to her text message, she did not follow-up for orders, instructions or monitor the resident's condition. Resident #1 was noted three days later on 01/30/23 with numbness to the face, slurred speech, and drooling. […]