The Hillcrest Of North Dallas

F-F689 Free of Accident Hazards/Supervision/Devices

On [DATE] during a complaint survey at The Hillcrest of North Dallas at 18648 Hillcrest Road, Dallas, TX 75252. On [DATE] the HHSC surveyor provided an IJ Template notification that the Survey Agency has determined that the conditions at the center constitute immediate jeopardy to resident health.

The facility allegedly failed to provide supervisory services.

When resident #1 was being transferred at his nursing facility he was dropped.

Has a deformity to the R anterior tibia.

The notification of the alleged immediate jeopardy states as follows:

An [AGE] year-old male with a BIMS of 13 admitted to the facility on [DATE].

His diagnoses include Age-related Osteoporosis, Osteopenia, Muscle Weakness, Lack of Coordination, Dementia, Acute Respiratory Failure, etc. He required a Hoyer when transferring and two therapists at bedside during therapy. An in-house Stat X-Ray was performed, and he was sent out prior to the results. EMS transferred the resident to Medical City [NAME] where the hospital paperwork states he presented with RLE pain.

Patient was being transferred at his nursing facility when he was dropped.

Has a deformity to the R anterior tibia.

Denies hitting his head and LOC.

Identify residents who could be affected.

All Residents who require assistance to be transferred have the potential to be affected.

Identify responsible staff/ what action taken.

1.

Physical Therapist Student was immediately removed from the facility.

676315

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676315 B.

Wing 06/14/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Hillcrest of North Dallas 18648 Hillcrest Rd Dallas, TX 75252