Williamsburg Village Healthcare Campus
Williamsburg Village Healthcare Campus in Desoto, TX — inspection on April 27, 2026.
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
community. If the resident still wishes to leave AND the resident has the ability to make his/her own
675756 04/27/2026
Williamsburg Village Healthcare Campus 941 Scotland Dr Desoto, TX 75115
was being treated under an [NAME] name. Resident #1 remained at the local hospital, pending return,
jeopardy to resident health or One on One Education Form, dated 04/24/26, reflected The Interim Administrator, Assistant safety Administrator, and DONs were educated by the Regional Director of Operations on the facility's policy and procedures regarding elopements and exit-seeking behaviors.
Record review of an in-service
following exit-seeking behaviors, dated 04/24/26, reflected staff were educated by the staff development nurse on the facility's policy and procedures regarding elopements and exit-seeking behaviors.
Record review of a document provided by the Interim Administrator, dated April 2026, reflected the facility initiated daily rounds on the memory care units to ensure that all doors and windows remained secure.
Record review of a document provided by the Interim Administrator, dated 04/24/26, reflected a QAPI meeting was held to discuss the correction plan for the facility's deficiency in quality of care.
Record review of a document provided by the Interim Administrator, dated April 2026, reflected the DON initiated audits of nurses notes to identify residents exhibiting changes and exit-seeking behaviors.
Record review of elopement binders at the nurses' stations reflected they were updated with face sheets and elopement assessments of residents who were considered at risk for elopement. An Immediate Jeopardy (IJ) was identified on 04/24/26 at 12:02 p.m. and an IJ Template was provided to the Interim Administrator at 12:45 PM.
While the Interim Administrator was informed on 04/27/26 at 12:46 p.m. that the IJ was removed, the facility remained out of compliance at a scope of isolated with the severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
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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.