All citations for Duncanville Healthcare and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Duncanville Healthcare and Rehabilitation Center

Last standard health inspection on record

August 14, 2025

Showing 1 to 25 of 63 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 20, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 19, 2025).

  2. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 13, 2024).

  3. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 13, 2024).

  4. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 13, 2024).

  5. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  6. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2025).

  7. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

  9. No harm, with potential for more than minimal harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0839, Administration Deficiencies. Inspection of July 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 23, 2026).

  10. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2025).

  11. No harm, with potential for more than minimal harm

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0773, Administration Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2025).

  12. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2025).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2025).

  14. No harm, with potential for more than minimal harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0839, Administration Deficiencies. Inspection of May 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 21, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 7, 2025).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 17, 2025).

  18. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 17, 2025).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2024).

  20. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  22. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  23. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0835, Administration Deficiencies. Inspection of February 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 26, 2024).

  24. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

  25. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 28, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.