Williamsburg Village Healthcare: Incontinence Care Failures - TX
That is what a May 2026 complaint inspection at Williamsburg Village Healthcare Campus found. The facility sits on Scotland Drive in DeSoto, Texas. Inspectors documented that Resident #1 had been left in wet bedding, that a licensed vocational nurse had been in the room at roughly 1:00 AM and helped reposition her, and that the nurse left without recognizing the resident's condition.
The LVN, identified in the report as LVN C, was working the 10:00 PM to 6:00 AM shift. She told inspectors she had gone to Resident #1's room because the resident had her call light on. She said CNA B helped her pull the resident up in bed. She said she did not notice the resident was wet. She also said she could not recall anyone asking her for help with incontinence care that night.
The certified nursing assistant assigned to the hall, identified as CNA A, told inspectors they were trained to do rounds every two hours. Whether those rounds happened that night, the report does not say. What it does say is that a resident was wet, a nurse was in the room, and nobody caught it.
LVN C told inspectors directly that it was her responsibility to go behind the CNAs and make sure they were rounding every two hours and changing residents in a timely way. She acknowledged that residents left wet for long periods were at risk of skin irritation and urinary tract infections. She said it anyway, as a statement of fact about what she knew, not as a defense.
The Assistant Director of Nursing said her expectation was the same: CNAs round every two hours, nurses monitor. The risk of skipping those rounds, she said, was skin breakdown. The Director of Nursing said the same thing, in almost the same words, and added that if a resident required two-person assistance, she expected CNAs to call a nurse rather than skip the care. She also told inspectors she had already done training with staff on providing incontinence care every two hours.
That training had apparently not reached the night in question.
The facility's own perineal care policy, revised in April 2024, states that staff will provide perineal care in accordance with the standard of practice to prevent skin breakdown and infection. The policy existed. The training had been done, according to the DON. The call light was on. A nurse was in the room.
Resident #1 was still wet when the shift ended.
The inspection was classified at a level of minimal harm or potential for actual harm, with few residents affected. That classification sits at the lower end of the federal deficiency scale. It does not mean nothing happened. It means inspectors judged that what happened had not yet produced serious injury, or that the evidence of injury was not documented in what they reviewed.
Skin breakdown from prolonged moisture exposure is not abstract. It begins as redness, moves to open sores, and in older adults with limited mobility can deepen into wounds that take months to heal and carry their own infection risk. The DON named it. The ADON named it. LVN C named it. Everyone interviewed understood the stakes and described the same standard that was not met.
What the report does not contain is any account of what CNA A actually did or did not do between the start of the shift and 1:00 AM, or what happened after LVN C left the room. It does not say how long Resident #1 had been wet before the call light went on, or how much longer she remained that way afterward.
The inspection was completed May 28, 2026.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Williamsburg Village Healthcare Campus from 2026-05-28 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: August 8, 2026 · Our methodology
Williamsburg Village Healthcare Campus in Desoto, TX was cited for violations during a health inspection on May 28, 2026.
That is what a May 2026 complaint inspection at Williamsburg Village Healthcare Campus found.
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.