Reunion Plaza Senior Care: Transport Safety Failures - TX
Van Driver A didn't follow it.
Federal inspectors visited the facility on September 24, 2025, responding to a complaint. What they found earned the facility an Immediate Jeopardy citation, the most serious level of violation the government issues, reserved for situations where inspectors determine that residents faced a risk of serious harm or death.
The citation centered on what happened when a resident fell during transport, and what Van Driver A did next.
The facility terminated Van Driver A before inspectors arrived. But the circumstances of the firing, and what inspectors learned in the hours that followed, exposed how much the facility's own transportation safety depended on an assumption that drivers understood a rule that at least one of them had not followed.
Van Driver B, still employed and transporting residents on the day of the inspection, described the rule without hesitation. He said he had been told not to move a resident if they fall. He said if he was walking down the hall and saw a resident on the floor, he knew not to move them. He said if a resident fell while on the van, he was supposed to make sure he was in a safe location, call 911, and report to the facility immediately. He described it as the general rule of the whole facility: if you are not licensed, you are not allowed to pick a resident up. A nurse had to assess the resident before anyone moved them.
He also described part of his job as taking the time to make sure each resident was secure before the van moved.
Inspectors watched him do exactly that on September 24. At 12:25 p.m., they observed Van Driver B securing a wheelchair-bound resident inside the facility van, a vehicle just wide enough to fit a single wheelchair. The back tie-downs could be connected from inside the van. The front tie-downs required him to stand outside on the ground, reaching in through the open door to buckle them. He connected all four wheelchair tie-downs, strapped a shoulder belt and a lap belt across the resident, then released the wheelchair brakes and physically tried to push the chair side to side and forward and backward to confirm it wouldn't move. Then he re-locked the brakes.
Inspectors noted that when they tested the right wheel tie-down, the wheelchair shifted only two to four inches when tilted backward, and that for the chair to fall backward entirely, both the right and left tie-downs would need to fail simultaneously.
Two other residents who rode the van to dialysis three times a week, Resident 4 and Resident 5, told inspectors they had no complaints about either driver.
The administrator, interviewed at 12:50 p.m., said he believed the facility had done the right thing by terminating Van Driver A. He said a transportation company had been scheduled to come on September 22 to train new staff on safe and secure transport of residents, but the times had gotten crossed up somehow and the training hadn't happened. The company was now scheduled to arrive on September 29. He said Van Driver B and himself, who would serve as a backup driver, would both receive the training. He acknowledged they were already familiar with the facility's internal transportation policies and would be trained again as part of the company's procedures.
At 3:50 p.m. that same day, the administrator, the director of nursing, the assistant director of nursing, and the MDS coordinator were formally notified of the Immediate Jeopardy finding, verbally and by email.
The facility had fired the driver who broke the rule. The training that might have prevented the violation in the first place was still five days away.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Reunion Plaza Senior Care and Rehabilitation Cente from 2025-09-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 26, 2026 · Our methodology
Reunion Plaza Senior Care and Rehabilitation Cente in Texarkana, TX was cited for violations during a health inspection on September 24, 2025.
Federal inspectors visited the facility on September 24, 2025, responding to a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.