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Carrollton Health: Call System Safety Failures - TX
The violation affected some residents, according to the inspection record....
Latest reports, citations, and penalties from CMS data
The violation affected some residents, according to the inspection record....
The inspection record does not indicate she had done anything about it....
That account came from CNA F, the aide who was in the room when it happened and who pulled the two men apart....
For at least four residents, that hadn't happened in three months....
The resident, identified in inspection records only as Resident 1, was a man admitted to Valley Grande Manor on a date redacted from the public record....
The violation affected few residents but created potential for actual harm, according to the inspection report....
Residents requiring supplemental oxygen depend on properly calibrated equipment, clean delivery systems, and trained staff monitoring....
Nobody interviewed the staff who had been working that day....
Inspectors visiting Kadima Rehabilitation & Nursing at Greenville on January 27, 2026, found the bag beneath Resident R1's bed at 11:44 in the morning....
Nobody wrote down what happened or checked whether he had been harmed....
The resident, identified in inspection records only as Resident #1, left the building without staff authorization....
Physical Therapy Assistant A told inspectors the bed and all the equipment around it were broken or non-usable....
Federal inspectors cited the facility following a complaint inspection conducted January 29, 2026....
That is what federal inspectors documented at Citizens Care Center following a complaint survey completed January 29, 2026....
The resident could not make medical decisions independently....
The incident began simply enough....
The resident, identified in inspection records only as Resident B, has lived with Alzheimer's disease, dementia, and delusional disorder....
Inspectors cited the facility for failures in multiple areas governed by the home's own job descriptions and care standards....
The nursing assistant, identified in inspection records only as CNA #5, said she had no idea the resident's transfer status had changed....
The facility's own policy requires residents be provided with communication systems that directly call staff members or a centralized workstation....