Health inspection·January 7, 2026

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring and administering of all medications to meet the needs of each resident for one of three residents (Resident #1) reviewed for pharmacy services. Med Aide B failed to ensure Resident #2's 8 AM medications were given on time on 01/07/26 according to facility policy.Med Aide B failed to document Resident #2's 8 AM medications were given late on 01/07/26. These failures placed residents at risk of not receiving medications timely and as ordered by physician. Findings included: Review of Resident #2's Consolidated Physician Orders dated 01/07/26 reflected diagnoses of hypotension (low blood pressure), Hypertensive Heart Disease with Heart Failure, Atherosclerotic Heart Disease and Type 2 Diabetes. Resident #2 had the following current medication orders:Order date 03/12/25 with start date 03/13/25 for Dapagliflozin Propanediol Oral Tablet 5 MG (Dapagliflozin Propanediol) Give 1 tablet by mouth one time a day for diabetes.Order date 03/12/25 with start date 03/13/25 for MetFORMIN HCl Oral Tablet 1000 MG (Metformin HCl) Give 1 tablet by mouth two times a day for diabetes.Order and start dated of 09/12/25 for Midodrine HCl Oral Tablet 10 MG (Midodrine HCl) Give 1 tablet by mouth two times a day for HypotensionOrder date 03/12/25 with start date 03/13/25 Pantoprazole Sodium Oral Tablet Delayed Release 40 MG (Pantoprazole Sodium)Give 1 tablet by mouth two times a day for acid refluxObservation on 01/07/26 at 10:18 AM revealed Med Aide B checked Resident #2's blood pressure using the wrist cuff which reflected 104/46. Med Aide B put Resident #2's 8 AM and 9 AM medications of 6 pills including Dapagliflozin Propanediol 5 mg tablet, Pantoprazole sodium 40 mg tablet, Metformin 1000 mg tablet and Midodrine 10 mg in a small cup. At 10:24 AM Resident #2 was given the clear cup with the 6 pills by Med Aide B and Resident #2 took the 6 pills by mouth. Review of Resident #2's Medication Administration Record for January 2026 reflected Resident #2 was given 8 AM medications electronically signed off by Med Aide B on 01/07/26 of Dapagliflozin Propanediol 5 mg, Metformin 100 mg tablet, Pantoprazole 40 mg tablet and Midocrine HCl tablet 10 mg. Review of electronic record for Resident # 2 did not reflected a note of late medication. Interview on 01/07/26 at 12:45 PM with Med Aide B revealed he did give Resident #2's 8 AM and 9 AM medications late this morning. He stated he was supposed to give medications within 1 hour before the prescribed time for Resident # 2 to 1 hour after to ensure medications were within timeframes. Med Aide B did not notify the nurse or document he had given Resident #2's medications for 8 AM and 9 AM medication in the electronic record. He stated he was not aware there was a way to document if medications late. Interview on 01/07/26 at 3:56 PM with the DON revealed she expected Med Aide B to administer 8 AM medications within the time frame on the MAR of 1 hour before and/or 1 hour after. She stated medication times are in place to ensure medications were given on time and as ordered by the physician. She stated Resident #2's pantoprazole should have been given prior to breakfast and after 10 AM Resident #2 had already eaten their breakfast. She stated Med Aide B should notify the charge nurse if Resident #2's medications were not given on (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 4 Event ID: 676098 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 676098 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/07/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Plaza at Richardson 1301 Richardson Dr Richardson, TX 75080 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)