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The Rehabilitation & Wellness Centre Of Dallas Llc

πŸ“ 4200 Live Oak St, Dallas, TX 75204 πŸ“ž (214) 821-0050 πŸ›οΈ 136 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 9, 2025 Complaint Investigation

Fines and Penalties by Year

2022 3 penalties totaling $3,976

$1,657
Mar 21, 2022

Fine

$1,325
Mar 14, 2022

Fine

$994
Mar 7, 2022

Fine

2021 1 penalties totaling $655

$655
Apr 5, 2021

Fine

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Health Violations by Year

2025 1 violations

Tag 0686 K May 9, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: May 20, 2025

2024 15 violations

Tag 0550 E May 30, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 31, 2024
Tag 0677 E May 30, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0689 E May 30, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0732 E May 30, 2024

Post nurse staffing information every day.

Tag 0759 E May 30, 2024

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 31, 2024
Tag 0760 E May 30, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: May 31, 2024
Tag 0761 D May 30, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: May 31, 2024
Tag 0865 E May 30, 2024

Have a plan that describes the process for conducting QAPI and QAA activities.

Tag 0880 E May 30, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 31, 2024
Tag 0925 E May 30, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: May 31, 2024
Tag 0812 D Mar 25, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 15, 2024
Tag 0790 G Mar 19, 2024

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Apr 15, 2024
Tag 0791 G Mar 19, 2024

Provide or obtain dental services for each resident.

Tag 0609 D Feb 20, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0644 D Jan 4, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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2023 4 violations

Tag 0761 D Aug 25, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Aug 26, 2023
Tag 0921 E Aug 25, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Aug 26, 2023
Tag 0698 D Feb 24, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Mar 22, 2023
Tag 0761 D Feb 24, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Mar 22, 2023

2022 2 violations

Tag 0725 E Oct 28, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Oct 31, 2022
Tag 0812 E May 16, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 17, 2022
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2021 1 violations

Tag 0657 E Dec 8, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Feb 5, 2022

2020 5 violations

Tag 0644 D Sep 30, 2020

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Oct 30, 2020
Tag 0693 D Sep 30, 2020

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Oct 30, 2020
Tag 0757 D Sep 30, 2020

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Oct 30, 2020
Tag 0812 F Sep 30, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 15, 2020
Tag 0880 D Feb 6, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 4, 2020
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2019 6 violations

Tag 0657 D Mar 28, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 11, 2019
Tag 0661 D Mar 28, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: May 11, 2019
Tag 0812 F Mar 28, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 11, 2019
Tag 0814 D Mar 28, 2019

Dispose of garbage and refuse properly.

βœ“ Corrected: May 11, 2019
Tag 0842 D Mar 28, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: May 11, 2019
Tag 0849 D Mar 28, 2019

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: May 11, 2019

2018 11 violations

Tag 0880 E Dec 22, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 28, 2019
Tag 0644 E Mar 16, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Mar 31, 2018
Tag 0661 F Mar 16, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Apr 20, 2018
Tag 0690 E Mar 16, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Apr 20, 2018
Tag 0758 E Mar 16, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Apr 20, 2018
Tag 0812 F Mar 16, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 20, 2018
Tag 0849 D Mar 16, 2018

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Apr 20, 2018
Tag 0880 E Mar 16, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 20, 2018
Tag 0947 F Mar 16, 2018

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Apr 20, 2018
Tag 0655 E Feb 9, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Mar 16, 2018
Tag 0656 F Feb 9, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 16, 2018
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2017 7 violations

Tag 0283 F Apr 6, 2017

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.

βœ“ Corrected: May 3, 2017
Tag 0309 E Apr 6, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: May 6, 2017
Tag 0315 E Apr 6, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: May 6, 2017
Tag 0431 E Apr 6, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: May 6, 2017
Tag 0441 E Apr 6, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: May 6, 2017
Tag 0465 E Apr 6, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: May 4, 2017
Tag 0514 E Apr 6, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: May 6, 2017
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