Victoria Gardens of Frisco

In the surveyor’s words

From the most serious findings on record at Victoria Gardens of Frisco, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 25, 2025

  Based on observation, interview and record review the facility failed to ensure that each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 4 residents reviewed for accidents. On 2/22/2025 Certified Nurse Aide (CNA) A attempted to perform a 1-person transfer, with a Hoyer lift, on Resident #1 who required a 2-person transfer with a Hoyer lift. CNA A was unable to complete the transfer and dropped Resident #1 on the floor. This was determined to be past non-compliance immediate jeopardy from 2/22/2025 to 2/22/2025 due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. […]

• Immediate jeopardy, isolatedF604Oct 23, 2024

  Based on interviews and record reviews, the facility failed to ensure residents the right to be free of any physical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for one (Resident #1) of five residents reviewed for restraints. The facility failed on 09/09/24 to ensure Resident #1 remained free of any physical restraint in that: the movement of Resident #1's head and mouth were restricted by physical force applied by the hands of OT A. The noncompliance was identified as past noncompliance (PNC). The Immediate Jeopardy (IJ) began on 09/09/24 and ended on 09/09/24. The facility had corrected the noncompliance before the state's investigation began. […]

• Immediate jeopardy, isolatedF689Dec 9, 2021

  Based on observation, interview, and record review the facility failed to ensure residents receive adequate supervision and assistance to prevent accidents for one (Resident #25) of one resident for elopement. 1 B failed to provide supervision by not conducting required rounds every two hours to count the residents at the beginning of her shift from 10:00 PM to 6:00 AM and every two hours which resulted in Resident #25 eloping and not being found for approximately 8 hours. 2. The Kitchen Staff failed to prevent access to kitchen area which lead to an exit door that exited to an unsecured outside area which resulted in Resident #25 eloping and not being found for approximately 8 hours These failures placed the residents at risk for falls with injuries, hospitalization and even death. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen.The facility failed to ensure the dry storage food items were dated, labeled and securely stored.The facility failed to ensure the refrigerator food items were dated, labeled and securely stored.The facility failed to ensure the freezer food items were dated, labeled and securely stored.The facility failed to ensure that canned good food items were free of dents.The facility failed to ensure that the kitchen equipment (steam tray table, floors, ovens, drain) was clean.The facility failed to ensure that dishwashing protocol was followed for the 3-compartment sink.The facility failed… […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2021

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices were maintained in the kitchen as follows: uncovered bulk containers of food and an unsealed food container, past date leftovers. These failures could place residents who eat from the kitchen at risk for cross-contamination and food-borne illness. Findings include: 1. Observation on 12/05/21 at 9:36 a.m. revealed, in the dry storage area a bulk container of cornmeal had no lid and was partially covered with saran wrap. A bulk container of sugar had a lid that was ajar. […]