Signature Pointe
SIGNATURE POINTE in DALLAS, TX — inspection on August 12, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
at least every two hours.
She stated they would assess the resident to see if she was cognitively able to use the call light touch pad, and care plan it if the resident was not able to use the call light button or call light touch pad.
She stated there was no risk for the resident because they checked on the resident at least every two hours to ensure she was not in distress. In an interview on 08/12/25 at 12:50 PM, the Administrator was advised of Resident #1 not being assessed for being able to use a call light and he stated he had his maintenance director install a call light touch pad for the resident today, and they were able to assess the resident was able to use the call light touch pad to alert staff for any assistance. He stated the call light touch pad was needed for the resident to ensure she could contact staff if she was in distress.
Record review of the facility's policy on Call System, Residents (September 2022), reflected Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized workstation.
Each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor. If the resident has a disability that prevents him/her from making use of the call system, an alternative means of communication that is usable for the resident is provided and documented in the care plan.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/12/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Signature Pointe
14655 Preston Rd Dallas, TX 75254
SUMMARY STATEMENT OF DEFICIENCIES
The facility failed to ensure Resident #2 had physician orders for the for the bolster pads (bed padding) attached to the mattress on her bed.
This failure could failure could place residents at risk of not having an environment that was free of restraints which could result in injury.
Findings include:
Record review of Resident #2's face sheet, dated 08/12/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #2's relevant diagnoses included muscle weakness and lack of coordination.
Record review of Resident #2's Quarterly Minimum Data Set assessment, dated 07/24/25, reflected she had a BIMS score of 00, which indicated severe cognitive impairment. ADL care reflected the resident required extensive assistance.
Record review of Resident #2's Comprehensive Care Plan, dated 07/18/25, reflected the resident was a fall risk related to her recent admission to the community, but the interventions did not include the bolster pads.
Record review of Resident #2's physician orders, dated 08/12/25, reflected no physician orders for the bolster pads. In an observation on 08/12/25 at 10:10 AM, Resident #2 was observed lying in bed.
The resident's bed had bolster pads, that measured approximately six inches in height and six inches in thickness.
The resident could not freely exit the bed.
The pads were placed on all sides of the resident's bed. In an interview on 08/12/25 at 10: 45 AM, the DON and ADON stated Resident #2 transferred from another facility and had the bolster pads when she arrived.
They stated the resident did not have physician orders for the bolster pads, and they stated they did not think it was not a risk for the resident.
They stated hospice provided the resident the bolster pads, but they were unsure why the resident required it.
They stated she would contact the physician to obtain physician orders for the resident to have the equipment.
She stated she did not know physician orders were required for this equipment. In an interview on 08/12/25 at 12:50 PM, the Administrator was advised of Resident #2 not having physician orders for the bolster pads on her mattress and he stated he did not think there was any risk for the resident having the equipment. He stated Hospice provided the equipment to the resident prior to her being transferred to the facility.
Record review of the facility's policy USE OF RESTRAINTS AND SECLUSION (11/02/15) reflected All patients have the right to be free from physical or mental abuse and corporal punishment.
All patients have the right to be free from restraints or seclusion of any form, to include coercion, discipline, convenience, or retaliation by staff.
Restraint or seclusion may only be imposed to ensure the immediate physical safety of the patient, a staff member or others, and must be discontinued at the earliest possible time.
Interpretations and Definitions: ‘Physical restraints' are defined as any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or restricts normal access to one's body.
Practices that inappropriately utilize equipment to prevent resident mobility are considered restraints and are not permitted.
Facility ID: