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Complaint Investigation

Williamsburg Village Healthcare Campus

May 28, 2026 · Desoto, TX · 941 Scotland Dr
Citations 2
CMS Rating 2/5
Beds 242
Provider ID 675756
Healthcare Facility
Williamsburg Village Healthcare Campus
Desoto, 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

Williamsburg Village Healthcare Campus in Desoto, TX — inspection on May 28, 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

FF0677
Quality of Life and Care Deficiencies

breakdown. CNA A stated they were trained to do rounds every two hours.

During an interview on

helped her pull Resident #1 up in bed, and she did not notice Resident #1 was wet.

She said it was her

residents timely.

She said she could not recall CNA A asking her for assistance.

She stated CNAs were supposed to perform incontinence care rounds every two hours and as needed.

She stated residents were at risk of skin irritation and urinary tract infections if they were left wet for long periods.

During an interview on 05/28/26 at 10:58 AM, the ADON revealed her expectation was the CNAs performed rounds every two hours and as needed, and the nurses were responsible for monitoring the CNAs during their shifts.

She stated the risk of not performing every two-hour rounds was it could lead to skin breakdown.

During an interview on 05/28/26 at 11:19 AM, the DON revealed her expectation was CNAs performed rounds every two hours and as needed, and the nurses were responsible for monitoring the CNAs during their shifts to ensure residents were checked for wetness.

She stated if a resident required two-person assistance, she expected the CNAs to call nurses for assistance with care.

She stated the risk of not performing two-hour rounds was it could lead to skin breakdown and infections.

The DON stated she had done training with staff on providing incontinence care every two hours.

Record review of the facility's Perineal Care policy, revised April 2024, reflected the following: .Staff will provide perineal care in accordance with the standard of practice to prevent skin breakdown and infection .

675756 05/28/2026

Williamsburg Village Healthcare Campus 941 Scotland Dr Desoto, TX 75115

gloves.

She said staff were expected to perform hand hygiene to prevent the spread of infection.

The

purpose of this procedure is to reduce the spread of infection with proper hand hygiene '1.Hand

as articles that are contaminated with body fluids.B.

Resident contact.D.

Toileting or assisting others with toileting, or after personal grooming.H.

Removal of medical/surgical or utility gloves.

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 Desoto, 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 Williamsburg Village Healthcare Campus 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.