Vista Ridge Nursing & Rehabilitation Center
Vista Ridge Nursing & Rehabilitation Center in Lewisville, TX — inspection on November 26, 2025.
Found 3 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
The facility failed to ensure Resident #3 had physician orders for the bolster mattresses on her bed.
This failure could place residents at risk of not having an environment free from physical restraints.
Findings included:
Record review of Resident #3's Face Sheet, dated 10/07/25, reflected she was a [AGE] year-old male admitted to the facility on [DATE].
Relevant diagnoses included lack of coordination and seizures (uncontrolled movements).
Record review of Resident #3's Quarterly MDS assessment, dated 9/01/25, reflected a BIMS score of 9 indicating moderate cognitive impairment.
The resident had active diagnoses of muscle weakness and seizures.
Record review of Resident #3's Comprehensive Care Plan, dated 10/05/25, reflected a plan of care for risk of falls and seizures.
None of the care plans reflected an intervention for the use of a bolster mattress.
For ADL care, it reflected the resident required total assistance
Record review of Resident #3's physician orders, dated 10/07/25, reflected no physician order for the bolster mattress. In an observation on 10/07/25 at 8:26 AM, Resident #3 was observed with a bolster mattress on her bed. In an interview and observation on 10/07/25 at 8:30 AM, LVN I stated she was not sure if Resident #3 had physician orders for the bolster mattress but would check.
LVN I checked and she stated the resident had the bolster mattress care planned but she did not have physician orders. In an interview on 10/07/25 at 8:45 AM, the Interim DON and LVN I stated they were not sure if Resident #3 needed physician orders for the bolster mattress on her bed.
The DON stated hospice may have orders for the device.
They stated they were not aware of any risk to the resident if she did not have the physician orders but would work on obtaining orders for the bolster mattress.
The facility's policy, Physical Restraints Application, dated October 2010, reflected, The purpose of this procedure is to provide safety or postural support of a resident to prevent injury to the resident or others when the resident has medical symptoms that warrant the use of restraints.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Vista Ridge Nursing & Rehabilitation Center
700 E Vista Ridge Mall Dr Lewisville, TX 75067
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's policy Oxygen Use (Respiratory Therapy) Prevention of Infection, dated November 2011, reflected, The purpose of this procedure is to guide prevention of infection associated with the respiratory tasks and equipment, including ventilators, among residents and staff.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Vista Ridge Nursing & Rehabilitation Center
700 E Vista Ridge Mall Dr Lewisville, TX 75067
SUMMARY STATEMENT OF DEFICIENCIES
of the resident when they made their rounds.
She stated she could not predict if something would happen to the resident, so she did not know the risk of not having the call light within reach of the resident, however the expectation was for the residents to have their call light within reach if they need anything.
Record review of the facility's policy on Answering Call Lights, dated September 2022, revealed, The purpose of this policy is to assure timely responses to the resident's requests and needs.
Ensure the call light is assessable to the resident when in bed.
Facility ID: