Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Remington Transitional Care Of Richardson during CMS and state inspections, most recent first.
A resident admitted with an unstageable sacral pressure ulcer and at high risk for further skin breakdown did not receive the ordered low air loss mattress, as the family insisted on using a hospital-provided overlay that lacked adequate pressure protection. Despite staff attempts to offload the resident's heels with pillows, the resident removed them, leading to the development of new heel pressure ulcers. The failure to implement the physician's order and ensure effective offloading measures resulted in additional pressure injuries.
A nurse failed to clean scissors before and after use during wound care for a resident with diabetes and multiple wounds. The scissors were used to open wound care supplies and remove gauze, then returned to the treatment cart without being sanitized, contrary to facility policy and recent infection control training.
A facility failed to manage a resident's PICC line according to professional standards and physician orders, leading to a deficiency. The resident, with a history of sepsis and other conditions, was observed with a PICC line missing a needleless connector and disinfectant cap, essential for preventing contamination. The ADON and LVN could not explain the missing components, and the DON was unable to provide IV management policies, highlighting a failure in scheduled maintenance and documentation.
The facility failed to maintain an infection prevention and control program as two CNAs did not perform proper hand hygiene while serving meals and delivering water to residents. This non-compliance was observed despite the facility's policy requiring hand hygiene between resident interactions.
The facility failed to ensure that a resident requiring dialysis received consistent post-dialysis assessments, as mandated by their care plan and physician's orders. Interviews with staff and the resident revealed that vital signs and the dialysis access area were not consistently monitored, placing the resident at risk of inadequate post-dialysis care.
Failure to Provide Ordered Pressure Ulcer Prevention Device Resulting in New Pressure Ulcers
Penalty
Summary
A deficiency occurred when a resident who was admitted with an unstageable pressure ulcer to the sacrum and identified as high risk for developing additional pressure ulcers did not receive care and treatment consistent with professional standards of practice. The resident, who was severely cognitively impaired, dependent for transfers and bathing, and incontinent of bowel and bladder, was ordered by the Wound Care physician to have a group two pressure reduction mattress (low air loss rotating mattress) as a preventive and therapeutic intervention. However, the resident continued to use a hospital-provided mattress overlay that did not offer the required pressure protection, as preferred by the family, and the ordered mattress was never implemented during the resident's stay. Despite the care plan and physician orders specifying the use of a low air loss mattress and interventions such as repositioning every two hours and offloading the heels, the resident was not provided with the prescribed mattress. Staff attempted to offload the resident's heels with pillows, but the resident, who was mobile in bed, consistently removed and discarded the pillows, leaving her heels exposed to the hard surface of the mattress overlay. This lack of effective offloading and failure to use the ordered pressure redistribution device contributed to the development of new pressure ulcers on both heels during the resident's stay. Interviews with the Wound Care physician, RN, and DON confirmed that the resident was never placed on the ordered low air loss mattress due to the family's insistence on using the hospital mattress. The facility's policy required systematic assessment and intervention for pressure injury prevention, including the use of appropriate support surfaces as ordered. The failure to implement the physician's order for a group two mattress and to ensure effective offloading measures resulted in the resident developing additional pressure ulcers while under the facility's care.
Failure to Clean Reusable Equipment During Wound Care
Penalty
Summary
A deficiency occurred when LVN A failed to properly clean scissors before and after use during wound care treatments for a male resident with diabetes, a diabetic wound on the right heel, and a post-surgical wound on the right plantar foot. The LVN used the scissors to cut open wound care supplies and to remove gauze from the resident's wounds without cleaning the scissors before or after use. The unclean scissors were then placed back on the treatment cart and returned to the drawer without being sanitized. This was observed during a wound care procedure, and the LVN acknowledged not cleaning the scissors, stating she believed they were already clean and admitted to being nervous about completing the treatments correctly. The facility's policy and the DON's statements confirmed that all reusable equipment, including scissors, should be cleaned before and after use on residents. The DON also indicated that infection control in-services had been provided, and records showed that LVN A had attended a recent in-service on infection control and equipment cleaning. Despite this, the required cleaning protocol was not followed during the observed treatment, resulting in a failure to maintain the facility's infection prevention and control program.
Failure in PICC Line Management
Penalty
Summary
The facility failed to ensure the safe and appropriate administration of parenteral fluids for a resident, specifically in managing the resident's PICC line dressing according to professional standards and physician orders. The resident, a male with a history of sepsis, osteomyelitis, stage 4 pressure ulcer, and chronic kidney disease, was admitted with a central IV access. The care plan required routine inspection and dressing changes for the PICC line, with specific physician orders to monitor the site for signs of infection and to change the dressing and needleless connectors weekly. During an observation, it was noted that the resident's PICC line was missing a needleless connector on one lumen and a disinfectant cap on the other, which are essential for preventing contamination. The ADON and LVN involved could not explain the missing components, and the DON was unable to locate the facility's IV management policies. The deficiency was identified as a failure to adhere to the scheduled maintenance and documentation of the PICC line, placing the resident at risk of infection.
Failure to Perform Hand Hygiene by CNAs
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program, as evidenced by the actions of two CNAs who did not perform proper hand hygiene. CNA A was observed serving meals to residents without washing hands or using hand sanitizer between each resident interaction. Specifically, CNA A touched door handles, set up lunch trays, adjusted overbed tables, and fed a resident without performing hand hygiene. Similarly, CNA B was observed delivering water to residents without performing hand hygiene between each interaction, touching door handles, bedside tables, and using a water scoop without washing hands or using hand sanitizer. Resident #246, who had a history of septicemia, urinary tract infection, and other serious conditions, was one of the residents affected by CNA A's failure to perform hand hygiene. Resident #196, with a history of coronary heart disease and pulmonary fibrosis, and Resident #85, with Parkinson's disease and cellulitis, were among the residents affected by CNA B's actions. Both CNAs admitted to not consistently performing hand hygiene, citing time constraints and the use of gloves as reasons for their non-compliance. The Director of Nursing (DON) confirmed that CNAs are expected to complete hand hygiene between each resident interaction, whether they are passing trays or administering water. The facility's policy on infection prevention and control, dated 5/13/23, mandates that all staff assume all residents are potentially infected and that hand hygiene should be performed in accordance with established procedures. The observations and interviews revealed a clear deviation from these policies, leading to the identified deficiency.
Failure to Perform Post-Dialysis Assessments
Penalty
Summary
The facility failed to ensure that residents who required dialysis received appropriate post-dialysis assessments, consistent with professional standards of practice. Specifically, Resident #16, who had diagnoses including end-stage renal failure and hypertension, did not receive consistent post-dialysis assessments. The resident's care plan and physician's orders required monitoring of vital signs and assessment of the dialysis access area, but these were not consistently documented or performed from 04/20/24 through 05/07/24. The resident herself confirmed that nurses often did not assess her access area upon her return from dialysis, despite her requests. Interviews with staff, including LVNs and the DON, revealed a lack of adherence to the expected protocols for dialysis care. LVN C acknowledged the importance of sending and receiving dialysis communication forms and performing pre- and post-dialysis assessments, but noted that these were not consistently done. The DON confirmed that it was the nurses' responsibility to perform these assessments and document them, emphasizing the risks of not doing so, such as bleeding or infection. The facility's failure to perform and document post-dialysis assessments for Resident #16 was evident in the inconsistent nursing documentation and dialysis communication forms. The DON admitted that there was no available policy for dialysis or dialysis documentation, highlighting a gap in the facility's procedures. This deficiency placed Resident #16 at risk of inadequate post-dialysis care, as vital signs and the condition of the access area were not reliably monitored.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Richardson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lindan Park Care Center Lp | 1.3 mi | ★★★★★ | 0 | 0 |
| The Reserve At Richardson | 1.8 mi | ★★★★★ | 19 | 0 |
| The Plaza At Richardson | 2 mi | ★★★★★ | 3 | 0 |
| San Remo | 2.2 mi | ★★★★★ | 23 | 0 |
| Richardson Nursing And Rehabilitation | 2.6 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.