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Complaint Investigation

Advanced Health & Rehab Center Of Garland

September 12, 2025 · Garland, TX · 1201 Colonel Drive
Citations 2
CMS Rating 2/5
Beds 139
Provider ID 455731
Healthcare Facility
Advanced Health & Rehab Center Of Garland
Garland, TX  ·  View full profile →
Inspection Summary

Advanced Health & Rehab Center of Garland in Garland, TX — inspection on September 12, 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

FF0620
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the facility's Introduction statement in their admission Packet undated reflected, State and federal regulations require nursing homes to have written policies covering the rights of residents.The nursing home's staff must implement these policies and explain them to you.This booklet describes your rights and the responsibilities nursing homes have for ensuring those rights.

The admission Packet also included 10 forms that were listed as requiring receipt and acknowledgement by the resident or the RP/POA to include:1.

Consent to Treat2.

Assignment of Benefits3.

Schedule of Charges for Ancillary Services4.

Information about Medicare and Medicaid Eligibility5.

Medicaid Estate Recovery Program6.

Resident Rights Under Federal Law7.

Ombudsman Services and Contact Information8.

Family Council Information9.

Policy for Criminal History Check for Employees10.

Drug Testing Policy11.

Advanced Directive Education and Advanced Care Planning Information12.

Privacy Act.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Health & Rehab Center of Garland

1201 Colonel Drive Garland, TX 75043

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

appointments, but for any destinations, including the ER.4. A trained CNA, or Licensed nurse will be assigned to supervise transportation if supervision is deemed necessary from the checklist.

The DON or Designee will arrange supervision if needed.5.

The supervising staff member will stay with the resident at the ER and check them in with ER personnel.6. If there is a behavioral emergency during transport staff are instructed to pull over to a safe place, stay with the resident and call 911.Education & Training1.

Regional Nurse DON/designee will educate DON on emergency transport vs non-emergency transport with posttest.

Completion by [DATE]. DON/designee will educate all licensed nurses on emergency transport vs non-emergency transport with posttest.

Completion by [DATE]. DON/designee will educate license nurses on the Return to Acute Checklist before calling non-emergency transport.

Completion by [DATE].

DON/designee will educate CNAs on recognizing and reporting line-pulling, fidgeting, and self-harm risks immediately to the charge nurse.

Completion by [DATE].

Staff unavailable to attend in service on [DATE] will receive personalized education and posttest prior to assuming their duties.

Monitoring:1. DON/Designee will audit 100% of all hospital/ER transfers for 30 days to verify:a.

Completion of Return to Acute Checklist for non-emergency transport.2.

Findings will be reviewed in QA/QI Committee meetings monthly for 3 months, then quarterly thereafterDate Facility Asserts Likelihood for Serious Harm No Longer Exists: [DATE].Monitoring interviews for the Immediate Jeopardy were started on [DATE] at 2:45 PM with nine nursing staff and management across multiple shifts to include: DON, ADM, RN B, ADON I, ADON J, RN K, LVN L, LVN M and LVN N.

All staff were able to provide competency of education on the new Resident Transfer Checklis

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 Garland, 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 Advanced Health & Rehab Center of Garland or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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