The Villa At Mountain View
Inspection Findings
F-Tag F0583
F 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
left. When queried about why the computer screen displayed resident information, she responded she had
a key, and the computer only showed the resident's name. (After she reviewed a picture of Resident #1's EMAR on the computer screen) she stated nobody should have access to the computer and there were no issues with the residents' information being disclosed to others. She stated it was a HIPAA violation for the resident's information to be displayed on the computer. She stated the plan to prevent this from re-occurring was to ensure she locked the computer before she walked away from it. Interview on 09/05/25 at 4:55 PM,
the Administrator (by phone) stated she was not aware of any of the nurses leaving the computer tablets unattended and unlocked today (09/05/25). She stated she could not say how it could affect the residents with unlocked computers displaying resident information. She stated it was against company policy to leave
the computer tablets unlocked. She stated their plan to address this was for LVN A to be counseled and written up on HIPAA non- compliance. She stated the DON started the trainings this morning (09/05/25) with all the nurses . Interview on 09/05/25 at 5:24 PM, the DON stated she was aware of LVN A leaving the computer screen unlocked today (09/05/25). She stated LVN A was given a 1:1 training and was written up for leaving her screen unlocked and displaying resident information. She stated what LVN A did was a HIPAA violation and all of the resident's private information could have been disclosed for family or anybody to see. Record review of LVN A's Employee Coaching and Counseling Record, dated 09/05/25, revealed a written warning: time of violation 6 - 2, location 500 hall, type of violation: Major Infraction.
Company/Supervisor remarks: It has come to the attention of management that the high standards that [This Company] espouses are not being met. Specifically 1. HIPPA compliance: b leaving resident information visible while unattended 2. Resident medication integrity/resident safety: Leaving medication cart unlocked care [sic]: our residents deserve great care. We want to give you an opportunity to correct this behavior, failure to do so can, and will lead to further disciplinary actions up to and including termination.
Signed by LVN A, Supervisor ADON B and witness HR C with signature dated 09/05/25. Record review of
the Facility's Resident Rights policy, revised date February 2021, revealed, Policy Statement Employees shall treat all residents with kindness, respect, and dignity. Policy Interpretation and Implementation - 1.
Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to. t. privacy and confidentiality. Record review of the Facility's HIPAA Training program, revised dated April 2007, revealed, Policy Statement: All facility personnel, including business associates, are required to attend out facility's HIPAA compliance training program. Policy Interpretation and Implementation - 1. To ensure the confidentiality of our resident's protected health information (PHI) and facility information, a HIPAA and data security training program will be provided for all employees and business associates who have access to protected health and facility information. Record review of the Facility's HIPAA Compliance Policy, revise dated February 23, 2007, revealed HIPAA Compliance - The Health Insurance Portability and Accountability (HIPAA) is a government effort to help protect the privacy and security of resident's medical information. The requirements are intended to ensure strong privacy protections without interfering with access to quality of care.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Villa at Mountain View
2918 Duncanville Rd Dallas, TX 75211
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0761
Federal health inspectors cited THE VILLA AT MOUNTAIN VIEW in DALLAS, TX for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-09-05.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of THE VILLA AT MOUNTAIN VIEW.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-06.
THE VILLA AT MOUNTAIN VIEW in DALLAS, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 THE VILLA AT MOUNTAIN VIEW or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.