Carrara
CARRARA in PLANO, TX — inspection on February 20, 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
The facility failed to ensure LVN A introduced herself and spoke to Resident #1 while administering pain medication.
The facility failed to ensure LVN A introduced herself and spoke to Resident #2 while moving his call light.
These failures could place residents at risk of not being treated with respect and dignity.
Findings included: Review of Resident #1's admission MDS Assessment, dated 02/20/26, reflected the resident was a [AGE] year-old female admitted to the facility on [DATE].
Her BIMS score was 14, which indicated she was cognitively intact.
Her diagnoses included arthritis and pelvic fracture. An observation and interview on 02/19/26 at 11:15 AM with Resident #1 revealed she was lying in bed.
She was groaning, grimacing and said she was in pain. LVN A walked into the room.
She had a cup of water and a cup with a pill in it.
She handed it to Resident #1. LVN A did not speak to the resident.
She did not introduce herself or explain what medication she was giving to the resident. Resident #1 said she was used to the nurse not introducing herself. An interview on 02/19/26 at 11:25 AM, LVN A revealed she had been trained to introduce herself to residents and explain the medication she was giving, but this time she just did not.
She said it was important to introduce herself and explain medication to residents for assessment.
Review of Resident #2's admission MDS Assessment, dated 11/09/25, reflected the resident was a [AGE] year-old male admitted to the facility on [DATE].
His cognitive skills were severely impaired.
His diagnoses included non-Alzheimer's dementia and Parkinson's disease. An observation and interview on 02/19/26 at 11:35 AM, Resident #2 did not answer questions. He was lying in bed awake and alert.
His call light was at the end of the bed. LVN A was asked about the call light being out of reach. LVN A walked into the room and did not speak or introduce herself. LVN A went to the resident, picked up the call light and tossed it up to the resident.
The resident was looking at the LVN.
The LVN straightened the resident's blanket and walked away from the resident. Resident #2 did not reach for the call light. An interview on 02/19/26 at 11:40 AM with LVN A, Resident #2 would move around a lot and the call light would be moved.
She said she did not speak to the resident because she was just in her head.
She said she had been trained to introduce herself and interact with residents.
She said it was important to interact with residents because it was their right. An interview on 02/19/26 at 11:30 AM, the DON revealed nurses were supposed to introduce themselves and explain the medication they were administering to the residents.
She said failure to do so could keep the residents from having the right to be informed.
Record review of the facility policy, Resident Rights, revised 12/01/25, reflected: .10.
All residents will be treated equally.11.
The facility will ensure that all direct care.are educated on the rights of residents and the responsibility of the facility to properly care for its residents.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
676429 02/20/2026
Carrara 4501 Tradition Trail Plano, TX 75093
The facility failed to ensure LVN A assessed the pain level for Resident #1.
This failure could place residents at risk of not having their pain managed.
Findings included: Review of Resident #1's admission MDS Assessment, dated 02/20/26, reflected the resident was a [AGE] year-old female admitted to the facility on [DATE].
Her cognitive skills for daily decision making were not impaired.
Her BIMS score was 14.
Her diagnoses included arthritis and pelvic fracture.
Review of Resident #1's Comprehensive Care Plans, dated 02/16/26, reflected:The resident was on pain medication therapy.Facility interventions included: Monitor/document/report adverse reactions to analgesic therapy: altered mental status, anxiety, constipation, depression, dizziness, lack of appetite, nausea, vomiting, pruritus, respiratory distress/decreased respirations, sedation, urinaryretention.
Review of Resident #1's Physician Orders for February 2026 reflected:02/16/26: Oxycodone 15 milligrams every 6 hours as needed for pain02/16/26: Methocarbamol (muscle relaxer) 1000 milligrams four times [NAME] scheduled Review of Resident #1's Medication Administration Record reflected:02/19/26 - Oxycodone 15 milligrams administered by LVN A at 11:18 AM.
Pain Scale Score: 5 02/19/26 Methocarbamol administered as ordered. An observation and interview on 02/19/26 at 11:15 AM, Resident #1 was lying in bed.
She was groaning, grimacing and said she was in pain. Resident #1 said her pain level was a 12 on a scale of 1-10. It hurts so bad if I move around. LVN A walked into the room.
She had a cup of water and a cup with a pill in it.
She handed it to Resident #1. LVN A did not introduce herself. LVN A did not ask Resident #1 what her pain level was. LVN A walked back out of the room. An interview on 02/19/26 at 11:25 AM, LVN A gave Resident #1 oxycodone for her pain. LVN A said she did not assess Resident #1's pain level because she just did not.
She said she did not know Resident #1 had a pain level of 12.
LVN A said the resident would ask for the pain medicine every six hours and the nurses would administer it to her.
She said she was supposed to ask what the pain level was to see if the medicine was working.
She said she would call the physician because Resident #1 said her pain level was a 12.
A follow-up interview on 02/20/26 at 4:15 PM, Resident #1 was lying in bed.
She said her pain was at a good level.
She said staff offered additional pain medicine (Tylenol), but she did not want to take it.
An interview on 02/19/26 at 11:30 AM, DON said nurses were supposed to assess the pain level of residents to see if pain medicine was working.
Record review of the facility policy, Pain Management, dated 12/01/25, reflected: .Pain Assessment.Asking the patient to rate the intensity of his/her pain using a numerical scale, a verbal or visual descriptor that is appropriate and preferred by the resident.
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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.