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Complaint Investigation

Denton Rehabilitation And Nursing Center

November 25, 2025 · Denton, TX · 3345 Medpark Dr.
Citations 2
CMS Rating 4/5
Beds 94
Provider ID 675136
Healthcare Facility
Denton Rehabilitation And Nursing Center
Denton, TX  ·  View full profile →
Inspection Summary

DENTON REHABILITATION AND NURSING CENTER in DENTON, TX — inspection on November 25, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

wipes were soaked in chemicals that could be harmful if ingested or used accidentally to wipe the eyes or used for incontinent care.

She said it could result to skin irritation and eye irritation.

She said the resident was immunocompromised and could have more severe reactions.

She said the germicidal wipes were used to destroy microorganisms and were used with gloves on.

She said the germicidal wipes should be inside the nurses' cart or the MAs' carts.

She said the DON already started an in-service with regards to not leaving germicidal wipes inside the resident's rooms. In an interview on 10/07/2025 at 12:53 PM, the DON stated the germicidal wipes should not inside the residents' rooms because they have chemicals that could cause adverse effects if consumed or had contact with the skin.

She said the container of germicidal wipes was closed but somebody could open it pull some wipes with their bare hand.

She said the wipes were handled with gloves on because they have chemical on them to eliminate germs on surfaces.

She said she was still asking who left it inside Resident #2's room so she could remind them not to leave any germicidal wipes inside the rooms of the residents.

She said the container of germicidal wipes was taken out of the room and was placed inside the cart.

She said she already started an in-service about not leaving any germicidal wipes inside the rooms for resident safety. In an interview on 10/07/2025 at 1:05 PM, the Administrator stated the container of germicidal wipes should not be left inside the rooms of the residents because they could take some and accidentally use them that could result to skin or eye irritation. He said the DON already started an in-service and he would personally check the rooms that there were no germicidal wipes inside the room.

Record review of the facility's policy entitled Storage Areas, Maintenance 2001 MED-PASS, Inc. revised December 2009 reflected 3.

Cleaning supplies, etc., must be stored in areas separate from food storage rooms and must be stored as instructed on the labels of such products.

Record review of the facility's policy entitled MEDICATION STORAGE Pharmacy Services Policies and Procedures revised 04/17/2024 reflected POLICY . potentially harmful substances (e.g. cleaning supplies and disinfectants) are clearly identified and stored away.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Denton Rehabilitation and Nursing Center

3345 Medpark Dr.

Denton, TX 76210

SUMMARY STATEMENT OF DEFICIENCIES

in-charged.

She said the collagen powders should not be inside because they were medications and should be inside the carts.

She said collagen powders were applied topically and could be harmful when ingested.

She said she already started an in-service about not leaving any medication inside the rooms of the residents. In an interview on 10/07/2025 at 1:05 PM, the Administrator stated the expectation was for the staff to be mindful not to leave any medication inside the room and to scan the room to make sure there were no medications inside the resident's rooms. He said the residents might consume the medications inappropriately. He said the DON already started an in-service about medication storage.

Record review of the facility's policy entitled MEDICATION STORAGE Pharmacy Services Policies and Procedures revised 04/17/2024 reflected POLICY . biologicals are stored safely, securely . the facility will store all drugs and biologicals in locked compartments . biological supply is only accessible to licensed nursing personnel, pharmacy personnel or authorized staff members.

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 DENTON, 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 DENTON REHABILITATION AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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