Complaint Investigation

Signature Pointe

August 12, 2025 · Dallas, TX · 14655 Preston Rd

Citations 2

CMS Rating 2/5

Beds 195

Provider ID 675757

Healthcare Facility

Signature Pointe

Dallas, TX · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

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

FF0558

Resident Rights Deficiencies

advised of Resident #1 not being assessed for being able to use a call light and he stated he had his

call light touch pad was needed for the resident to ensure she could contact staff if she was in

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.

675757 08/12/2025

Signature Pointe 14655 Preston Rd Dallas, TX 75254

FF0604

Freedom from Abuse, Neglect, and Exploitation 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.

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Dallas, TX, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Signature Pointe or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.