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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 →
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.

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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.


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