Complaint Investigation

The Villa At Mountain View

November 24, 2025 · Dallas, TX · 2918 Duncanville Rd

Citations 1

CMS Rating 2/5

Beds 120

Provider ID 675783

Healthcare Facility

The Villa At Mountain View

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

THE VILLA AT MOUNTAIN VIEW in DALLAS, TX — inspection on November 24, 2025.

Found 1 citation. 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

FF0550

Resident Rights Deficiencies

Potential for More Than Minimal Harm

the call lights were with the residents and the expectation was for the staff to make sure the call lights were with the residents every time they left the rooms. He said an in-service had been going around and that he would coordinate with the DON to randomly check if the call lights were with the residents. In an interview on 10/09/2025 at 11:28 AM, the DON stated the expectation was for the staff to make sure the call lights were with the residents at all times.

She said the call lights were used by the residents to call the staff if they needed something.

She said residents might try to go to the bathroom by themselves because she had no way to call the staff that might result to a fall and injuries.

She said all the staff were responsible for the call lights, including her.

The DON said an in-service was already initiated and she would monitor the staffs' compliance about call lights. In an interview on 10/09/2025 at 11:48 AM, the Administrator stated the staff should make sure the call lights were with the residents before they leave the room.

She said, for some residents, the call light was their sense of protection that if something happened to them, they would be able to call the staff for help.

She said without the call light the residents might feel helpless.

She said everybody was responsible in making sure the call lights were with the residents, whether the resident was independent or not.

She said the DON already started an in-service about call lights.

Record review of the facility's In-Service Training Report, dated 10/09/2025, reflected Call lights should be always be withing residents' reach/ability to push button/activate call light.

Use clip for positioning.

Everyone has the ability/responsibility to pick up call light and make sure it is in residents reach at all times.

Record review of the facility's policy entitled Answering the Call Light 2001 MED-PASS, Inc. revised October 2010 reflected Purpose: The purpose of this procedure is to respond to the resident's requests and needs .

General Guideline . 5.

When the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident.

Facility ID:

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.

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.