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Complaint Investigation

Duncanville Healthcare And Rehabilitation Center

April 30, 2026 · Duncanville, TX · 419 S Cockrell Hill Rd
Citations 2
CMS Rating 1/5
Beds 124
Provider ID 676178
Healthcare Facility
Duncanville Healthcare And Rehabilitation Center
Duncanville, 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

Duncanville Healthcare and Rehabilitation Center in Duncanville, TX — inspection on April 30, 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

FF0628
Resident Rights Deficiencies

investigation. A record review of the facility's Transfer or Discharge Notice reviewed and revised

representative.

676178 04/30/2026

Duncanville Healthcare and Rehabilitation Center 419 S Cockrell Hill Rd Duncanville, TX 75116

During an interview on 04/30/26 at 2:45 p.m., Resident #2 stated (via the Account Manager who translated) she was unsure, but she thought she was not changed today and no one asked if she needed to be changed.

During an interview on 04/30/26 at 1:20 p.m., the CNA stated she was assigned to Resident #2.

The CNA stated incontinent care was provided every 2 hours or when needed.

The CNA stated Resident #2 was last changed before breakfast.

The CNA stated she gave other residents bed baths and got them up and she didn't get around to changing Resident #2 again.

The CNA stated delayed incontinence care placed residents at risk for skin breakdown.

During an interview on 04/30/26 at 2:23 p.m. the RN stated incontinent care was provided every 2 hours and PRN.

She stated that a delay placed residents at risk of skin breakdown.

She stated that charge nurses were responsible for checking residents every 2 hours to ensure they were provided with incontinent care.

She stated the nurse would go specifically to the patient to check on them.

She stated she was busy and didn't check Resident #2 for incontinent care.

During an interview on 04/30/26 at 4:10 p.m., the DON stated the expectation was for CNAs to check if residents were incontinent and change when needed every 2 hours.

She stated charge nurses were responsible for ensuring residents were changed by rounding every 2 hours.

She stated delayed incontinence care placed residents at risk for infection, skin breakdown, dignity issues, and pain from sitting.

Review of the facility's Activities of Daily Living (ADL) Policy, revised March 2018, reflected, Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care including appropriate support and assistance with: elimination (toileting).

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 Duncanville, 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 Duncanville Healthcare and Rehabilitation Center 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.