Remington Transitional Care of Richardson

Inspectors wroteBased 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.

Inspectors wroteBased 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: [...]

Inspectors wroteBased 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; [...]

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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.