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5200 HARRY HINES BLVD DALLAS, TX 75235 | Government - Hospital District or Authority

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Aug 22, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Jan 4, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT SAFETY
Oct 12, 2016	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM
Oct 3, 2016	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL SCREENING EXAM
Oct 16, 2014	8	0	0	8	Read full report
Deficiencies cited in this report: CHIEF EXECUTIVE OFFICER PATIENT RIGHTS: PERSONAL PRIVACY NURSING CARE PLAN INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM PATIENT RIGHTS: PERSONAL PRIVACY INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM
Sep 3, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING ADMINISTRATION OF DRUGS
Aug 14, 2014	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Jul 30, 2014	7	0	0	7	Read full report
Deficiencies cited in this report: GOVERNING BODY CONTRACTED SERVICES DISCHARGE PLANNING REASSESSMENT OF A DISCHARGE PLAN HHA AND SNF REQUIREMENTS CONTRACTED SERVICES REASSESSMENT OF A DISCHARGE PLAN
Jun 19, 2014	4	0	0	4	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM APPROPRIATE TRANSFER
Jun 18, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 MEDICAL SCREENING EXAM
Jul 19, 2013	4	0	0	4	Read full report
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: INFORMED CONSENT QUALITY IMPROVEMENT ACTIVITIES INFECTION CONTROL PROFESSIONAL
Jun 18, 2013	0	16	0	16	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jun 15, 2012	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE
May 17, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
May 8, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL SCREENING EXAM
Apr 2, 2012	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT CONTENT OF RECORD: INFORMED CONSENT
Jan 25, 2012	3	0	0	3	Read full report
Deficiencies cited in this report: NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN
Jan 24, 2012	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION
Nov 4, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
Sep 9, 2011	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: ACCESS TO MEDICAL RECORD No Description Available DISCHARGE PLANNING REASSESSMENT OF A DISCHARGE PLAN OUTPATIENT SERVICES INTEGRATION OF OUTPATIENT SERVICES DATA COLLECTION & ANALYSIS PATIENT SAFETY INTEGRATION OF OUTPATIENT SERVICES
Aug 30, 2011 Follow-up to inspection on 2011-07-21*	1	0	0	1	Read full report
Deficiencies cited in this report: EMERGENCY SERVICES
Jul 21, 2011	30	0	0	30	Read full report
Deficiencies cited in this report: COMPLIANCE WITH LAWS GOVERNING BODY MEDICAL STAFF - ACCOUNTABILITY NURSING SERVICES STAFFING AND DELIVERY OF CARE MEDICAL RECORD SERVICES CONTENT OF RECORD: ORDERS,NOTES,REPORTS SECURE STORAGE UNUSABLE DRUGS NOT USED FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM EMERGENCY SERVICES POLICIES RESPIRATORY CARE SERVICES POLICIES COMPLIANCE WITH 489.24 POSTING OF SIGNS ON CALL PHYSICIANS MEDICAL SCREENING EXAM APPROPRIATE TRANSFER INFECTION CONTROL PROGRAM MEDICAL RECORD SERVICES COMPLIANCE WITH LAWS MEDICAL STAFF - ACCOUNTABILITY STAFFING AND DELIVERY OF CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS EMERGENCY SERVICES POLICIES ON CALL PHYSICIANS MEDICAL SCREENING EXAM APPROPRIATE TRANSFER NURSING SERVICES
Jul 20, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: IMPLEMENTATION OF A DISCHARGE PLAN
Jul 14, 2011	0	6	0	6	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jul 1, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING STAFFING AND DELIVERY OF CARE
May 12, 2011	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE
Jan 21, 2011	5	0	0	5	Read full report
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY No Description Available MEDICAL RECORD SERVICES MEDICAL STAFF - ACCOUNTABILITY PATIENT SAFETY
Jun 10, 2010	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts