Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0921
E

Failure to Maintain Safe and Comfortable Resident Environment Due to Missing Vent Cover and Damaged Furniture

Dallas, Texas Survey Completed on 05-14-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents in one of five rooms observed. In the identified room, the metal vent cover was missing from the air conditioning opening in the ceiling, and a large amount of black substance was observed attached to the metal tubing inside the opening. Warm air was blowing out of the opening, and the room was warm with no air circulating. Additionally, the built-in dresser in the room was missing four drawers and two doors, leaving resident clothing exposed and metal brackets accessible, which could be hazardous. The resident occupying the room had a history of acute and chronic respiratory failure with hypercapnia, COPD with acute exacerbation, and essential hypertension. The resident required continuous oxygen and reported difficulty sleeping and breathing at night due to the room being too hot. During observation, the resident was using oxygen while in a wheelchair and stated the need for oxygen 24 hours a day. The care plan for the resident included interventions to monitor respiratory status and ensure adequate oxygenation. Interviews with facility staff revealed that the maintenance assistant, who was new to long-term care, was checking room temperatures due to high outdoor temperatures. The assistant noted that the vent cover had fallen off and acknowledged that the lack of a cover allowed warm air to enter the room, making it warmer. The administrator was unaware of the missing vent cover but was aware of the dresser's condition, stating it could not be repaired before the resident moved in. Facility policy on air conditioning failures was reviewed, but the observed deficiencies in the room environment were not addressed prior to the survey.

An unhandled error has occurred. Reload 🗙