Remington Transitional Care Of Richardson

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 6 residents reviewed for quality of care. The facility failed to ensure Resident #1 received care in accordance with professional standards when the resident, who was diagnosed with type II diabetes, did not have any orders or monitoring tools to monitor for hyper/hypoglycemia when he re-admitted to the facility on [DATE]. This failure could place residents at risk of not receiving appropriate treatment, which could result in a decline in health and serious harm. Findings included: Record review of Resident #1's face sheet, dated 08/29/25, reflected the resident was a [AGE] year-old male admitted to the facility on [DATE]. Resident #1's diagnoses included Metabolic Encephalopathy (brain does not function properly due to underlying metabolic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure food items in the freezers were stored, sealed, and not exposed to air in accordance with the professional standards for food service. 2. The facility failed to ensure dented cans were placed in a separate storage area. These failures could place residents at risk for food-borne illness and cross contamination. Findings Included: Observation of the walk-in freezer and dry storage on 06/10/2025 at 9:20 am revealed the following: - 1 food service company name stamped on box with a date of 5/15, no other label on box to identify item, the bag of hot dog/sausage links was in a large bag inside of the box that was left open and it was not sealed. - 1 6 lb 15 oz can of Pinto Beans best by date March 2027 dented on the front top right. - 1 6 lb 15 oz can of Pinto Beans best by date April 2027 dented on the front top…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to develop a comprehensive care plan for each resident that includes measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and describes the services that are to be furnished to attain or maintain the resident's medical, nursing, and mental and psychosocial needs for one (Resident #282) of six residents reviewed for comprehensive care plans. The facility failed to develop a comprehensive person-centered care plan to address Resident #282's behaviors (pulling the pillows out under legs and feet and throwing on the floor) related to offloading of her heels to prevent pressure area to the heels. The family refusing to allow the pressure relieving mattress the wound care physician had ordered; instead used an inappropriate mattress overlay the family had brought from the hospital. This failure could place all residents at risk of not receiving…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for one (Resident #63) of three residents reviewed for adequate supervision to prevent accidents. The facility failed to ensure resident safety, as evidenced by: The facility failed to ensure supplies for glucometer testing (blood sugar) and intravenous supplies (to give medication through veins) were secured or attended by authorized staff when LVN A's medication cart for Hall 100 was left with glucose testing solution, glucose testing strips, alcohol swabs, and clave connectors (to connect tubing for intravenous medication delivery) sitting on top of the cart. This failure could result in resident access and ingestion of prescribed treatment medications and obtaining harmful supplies leading to a risk for harm. Findings included: An observation on 06/10/2025 at 10:20 a.m. revealed LVN A was preparing to administer an intravenous antibiotic to a Resident #29…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (Resident #29) of four resident's observed for infection control in that: LVN A failed to clean the scissors prior to or after usage during Resident #29's treatments. Placing the unclean scissors back on the treatment cart. This failure could place residents at risk for spread of infection through cross-contamination. Findings included: Review of Resident #29's 5-day MDS assessment, dated 05/26/2025, reflected he was a [AGE] year-old male admitted to the facility on [DATE], with the following diagnoses: diabetes, diabetic wound of the right heel, post-surgical wound of the right, and heart failure. Resident #29 BIMs score of 15 indicated the resident had intact cognition. Review of the Resident #29's plan of care dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record reviews the facility failed to ensure residents who entered the facility received care and treatment consistent with professional standards of practice to prevent pressure ulcers and a resident with pressure ulcers receives necessary treatment and service to promote healing and/or prevent further development of skin breakdown or pressure ulcers, for one (Resident #282) of four residents reviewed for prevention and maintenance of pressure ulcers. The facility failed to ensure Resident #282, who was identified as entered the facility with a pressure sore to the sacrum and was at risk of developing additional pressure ulcers, received necessary treatment and services thru use of a low air mattresses, which was chosen as prophylaxis by the Wound Care physician to prevent the development of or worsening of pressure ulcers. This failure could place residents at risk of developing pressure ulcers or worsening of existing pressure ulcers. The findings included: Record review of Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents received parenteral fluids administered consistent with professional standards of practice and in accordance with physician orders for 1 of 4 residents (Resident #1) reviewed for parenteral fluids. The facility failed to manage Resident #1's PICC line dressing per professional standards and per the physician's order. This failure placed residents at risk of developing an infection. Findings included: Record review of Resident #1's admission MDS Assessment revealed the resident was a [AGE] year-old male, who admitted to the facility on [DATE] with the following diagnoses: Sepsis, Osteomyelitis of Vertebra, Sacral and Sacrococcygeal Region; Pressure Ulcer of Sacral Region, Stage 4; and CKD. Resident #1 had a BIMS summary score of 15 which suggested intact cognition. The admission MDS Assessment revealed Resident #1 admitted with a Central IV Access. Record review of Resident #1's care plan, initiated 05/01/24, reflected…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, for 1 (Resident #16) of 1 resident's reviewed for dialysis. The facility failed to ensure post-dialysis assessments were completed for Resident #16 after thy returned from dialysis treatment. This failure could place residents at risk of inadequate post dialysis care. Findings included: Record review of Resident #16's, admission MDS assessment dated [DATE] reflected the resident was an [AGE] year-old female who was admitted to the facility on [DATE]. Resident #16 had diagnoses which included end stage renal failure (when kidneys suddenly become unable to filter waste products from blood), dependence on renal dialysis, (procedure to cleanse the blood), and Hypertension (increased blood pressure). Resident #16 had a BIMs score of 12, which reflected she was cognitively alert and oriented and able to make decisions for herself. The MDS…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for two of three staff members (CNA A and CNA B) reviewed for infection control procedures. CNA A failed to perform hand hygiene after direct contact with residents while serving meals on the hallways, and CNA B failed to perform hand hygiene while delivering water to three residents. This failure could place residents at risk for healthcare associated cross contamination and infections. Findings included: Record review of Resident #246's annual MDS assessment, dated 04/30/24, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #246 had diagnoses which included: septicemia (infection that has spread to the bloodstream), urinary tract infection (within the last 30 days), hypertension…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 (Resident #1) of 5 residents reviewed for clinical records. The facility failed to ensure staff documented need for Resident #1 to receive oxygen treatment. This failure could affect residents that received medications and place them at risk of inaccurate or incomplete clinical records. Findings included: Review of Resident #1's undated electronic face sheet a [AGE] year-old female admitted to the facility on [DATE] with diagnosis of hypokalemia (a lower-than-normal potassium level in your bloodstream), Hypernatremia (common electrolyte problem), hyperosmolality (loss of water also makes the blood more concentrated than normal), dementia without behavior disturbance, dysphagia (swallowing difficulties) Review of Resident #1's admission MDS Assessment, dated 10/18/23, reflected a BIMS score was not completed. The…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for two of six residents (Resident #35 and #210) observed for infection control. CNA A failed to perform hand hygiene during while providing incontinence care to Resident # 35. CNA B failed to perform hand hygiene during while providing incontinence care to Resident # 210. This failure could placed the residents at risk for infection. Findings include: Record review of Resident #35's face sheet dated 3/15/23 reflected he was [AGE] years old male. He was admitted to the facility on [DATE]. He was admitted with fracture of tibia (larger of the two bones in the lower leg), respiratory failure, heart failure, difficult walking and need for assistance with personal care. Review of Resident #35's care plan initiated 2/13/23 reflected the resident had an ADL self-care performance deficit related to Orthopedic surgery and the intervention was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.