Health inspection·December 8, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for three of ten residents (Residents #1, #2, and #3) reviewed for resident rights. The facility failed to ensure the call light system in Residents #1, #2, and #3's rooms were adequately equipped to allow residents to call for staff assistance through a communication system on 11/04/25. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings include: 1. Record review of Resident #1's Face Sheet, dated 11/04/25, reflected she was an [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included difficulty walking and muscle weakness. Record review of Resident #1's Quarterly MDS assessment, dated 9/30/25, reflected a BIMS score of 03, which indicated severe cognitive impairment. For ADL care, it reflected the resident was dependent on staff to provide all care. She had active diagnoses of a lack of coordination and muscle weakness. Record review of Resident #1's Comprehensive Care Plan, dated 9/25/25, reflected the resident was a fall risk, and included an intervention of ensuring call light was available to the resident. In an interview and observation on 11/04/25 at 8:19 AM, Resident #1's call light was observed hanging from the side of the bed, on the floor and out of her reach. She was asked if she knew where her call light was located and she stated no. In an interview on 11/04/25 at 10:58 AM, LVN F stated the DON told her about Resident #1 not having her call light within her reach. She stated the call light should be in reach of the resident in case she needed assistance and for her safety. She stated they did rounds every 1-2 hours, and they checked to ensure call lights were in the residents' reach. She stated they were supposed to clip it to ensure that it did not fall on the floor. In an interview on 11/04/25 at 11:22 AM, CNA D stated she was told by one of the nurses that Resident #1 did not have her call light within her reach. She stated she did clip the call light to the resident's gown in the morning prior to breakfast. She stated she checked to ensure call lights were within the residents' reach throughout her shift. She stated there were a lot of risk if the call light was not within reach of the resident. She stated the resident would not be able to contact anyone if help was needed. 2. Record review of Resident #2's Face Sheet, dated 11/04/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included muscle weakness and unsteadiness on feet. Record review of Resident #2's Quarterly MDS assessment, dated 8/29/25, reflected a BIMS score of 0, which indicated severe cognitive impairment. For ADL care, it reflected the resident required total assistance. She had active diagnoses of muscle wasting and age-related physical debility. Record review of Resident #2's Comprehensive Care Plan, dated 6/03/25, reflected the resident was a fall risk. In an interview and observation on 11/04/25 at 8:30 AM, Resident #2's call light was observed hanging from the side of the bed, on the floor and out of her reach. She was asked if she Residents Affected - Some (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675757 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675757 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Signature Pointe 14655 Preston Rd Dallas, TX 75254 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)