The Villa At Mountain View
THE VILLA AT MOUNTAIN VIEW in DALLAS, TX — inspection on September 5, 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
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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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Villa at Mountain View
2918 Duncanville Rd Dallas, TX 75211
SUMMARY STATEMENT OF DEFICIENCIES
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.