Landmark of Plano: Therapy Withheld After Evaluation - TX
The findings came from a complaint inspection completed in November 2025. Inspectors focused on a single resident, identified in the report as Resident #1, whose case exposed something that went beyond one missed appointment. It revealed a facility that, when pressed, admitted it had no written policy governing rehabilitation services at all.
The occupational therapy evaluation had been completed and a plan of treatment developed. The recommendation was clear: Resident #1 should receive occupational therapy. What happened next was not. On the same day the evaluation was finished, a staff member initiated an occupational therapy discharge summary, a document typically used to close out a course of treatment. No treatment had taken place.
The Director of Therapy told inspectors he did not know why the discharge summary had been started that day. He did not know why Resident #1 never received the recommended services. The person who completed the evaluation and initiated the discharge paperwork, he said, was out of the country and could not be reached.
That was the explanation. The therapist was abroad.
The Director of Therapy did say one thing clearly: the risk of a resident not receiving therapy services was "no progression in their skills and abilities." He offered that assessment without apparent awareness of how directly it applied to the resident whose chart was sitting in front of the inspectors.
What the discharge summary represented, in practical terms, was a closing of the file. Therapy had been evaluated. Therapy had been recommended. And then, on paper, therapy was done, without ever having started. Whether Resident #1 understood what had happened, whether anyone told them they had been discharged from services they never received, the inspection report does not say.
When inspectors asked the administrator for any policy related to rehabilitation services, the request was made on October 14, 2025, at 1:30 in the afternoon. No policy was provided. The administrator's explanation was direct: the facility did not have one.
A nursing and rehabilitation center without a written policy on rehabilitation is not a paperwork problem. Policies are how facilities train new staff, investigate failures, and answer the basic question of what is supposed to happen when a resident is evaluated and found to need care. Without one, there is no internal standard against which to measure what went wrong with Resident #1, no document to determine whether this was an isolated lapse or a pattern, and no procedure requiring anyone to follow up when a discharge summary appears on the same day as an initial evaluation.
The Director of Therapy acknowledged the gap and could not fill it. The person with direct knowledge was overseas. The policy that might have guided the process did not exist.
Federal inspectors cited the facility under F0825, which covers the right of residents to receive the services they are assessed as needing. The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting few residents. That designation reflects the regulatory floor, not a conclusion that nothing of consequence occurred.
For Resident #1, the consequence was concrete. They were evaluated. A clinician determined occupational therapy was the right course of treatment. Then a discharge summary was opened, the therapist left the country, and the Director of Therapy was left explaining to inspectors that he simply did not know what had happened or why.
He did know what it meant to miss therapy. He said so himself. No progression in skills. No advancement in abilities. He described the risk without describing what the facility intended to do about it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Landmark of Plano Rehabilitation and Nursing Cente from 2025-11-26 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: August 21, 2026 · Our methodology
Landmark of Plano Rehabilitation and Nursing Cente in Plano, TX was cited for violations during a health inspection on November 26, 2025.
The findings came from a complaint inspection completed in November 2025.
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.