Denton Village by PureHealth: Missing Diagnoses, No Policy - TX
That admission came at the end of a November complaint inspection that found a hospice resident's diagnoses were missing from both his face sheet and his care plan, the two documents that tell staff who a patient is and what he needs.
The resident is identified in inspection records only as Resident #1. He was on hospice, which means staff and outside providers were supposed to be coordinating his care around a shared, accurate picture of his medical history. That picture had gaps nobody had caught.
The Director of Nursing told inspectors he wasn't sure how it happened. He said the MDS Coordinator was responsible for making sure all diagnoses appeared on face sheets. Then he said what missing diagnoses could mean for a patient: improper care, or no care at all, with complications as the end result.
The administrator said something similar, then pulled back from it. She said she wasn't a nurse and couldn't have been expected to notice what was missing from a resident's records. She said the clinical leadership team owned that responsibility. She said the hospice provider bore some of it too, since they were supposed to be feeding accurate information to the facility. She said the interdisciplinary team was responsible for keeping records correct. When inspectors asked her directly how inaccurate records could affect residents, she said she didn't know how to answer that, but that the facility had a protocol they followed.
The protocol, it turned out, did not exist on paper.
A staff member interviewed earlier that day had been more direct about what was at stake. He said his role was to review documentation and make sure what staff recorded was accurate and complete. He said the Director of Nursing had told leadership they had all the information on residents and should flag anything that needed attention. Then he said he did not want to say what could happen to a resident if their medical records were wrong.
He didn't have to. The Director of Nursing had already said it: improper care, lack of care, several complications as the end result.
The violation was cited at a level of minimal harm or potential for actual harm, affecting a few residents. That is not the most serious category in the federal inspection system. But the inspection captured something beyond a documentation lapse. Three people in leadership positions, interviewed within roughly 40 minutes of each other on the evening of November 18, each described a different person or team as responsible for the accuracy of resident records. The MDS Coordinator. The clinical leadership team. The hospice provider. The interdisciplinary team. No one described a system with a clear owner, a clear process, or a written policy to point to.
The administrator's answer the following afternoon, that no such policy existed, landed against that backdrop.
Resident #1's diagnoses were missing from the documents that would have told any staff member, any visiting nurse, any hospice worker walking into his room exactly what they were dealing with. How long they had been missing, the inspection report does not say. Whether any care decision had already been made without them, the report does not say. What it says is that when inspectors asked the person running the building to explain how this was supposed to be prevented, she said she didn't know how to answer the question, and then could not produce the policy she had promised to retrieve.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Denton Village By Purehealth from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 2, 2026 · Our methodology
Denton Village by PureHealth in DENTON, TX was cited for violations during a health inspection on November 18, 2025.
The resident is identified in inspection records only as Resident #1.
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.