Victoria Gardens Of Allen

Inspection findings

1. Jun 28, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 29, 2026 · CMS health inspection

2. Apr 14, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Apr 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Apr 15, 2026 · CMS health inspection

3. Feb 11, 2026 Health · 9 findings
   • Not serious Scope/severity E

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Feb 13, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 23, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0100 Construction Deficiencies

     Meet other general requirements.

     Corrected Feb 16, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Mar 10, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 16, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     CMS fire safety

4. Jan 20, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 22, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jan 22, 2026 · CMS health inspection

5. Dec 7, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Dec 8, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 8, 2024 · CMS health inspection

6. Nov 20, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 27, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Nov 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Dec 10, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 19, 2024 · CMS fire safety

7. Sep 28, 2023 Health · 14 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0807 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 23, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 10, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Oct 2, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Oct 2, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Oct 2, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Oct 2, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Oct 30, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AHMED, MD JEWEL — operational/managerial control, NOT APPLICABLE, since 09/06/2021
• AHMED, MD JEWEL — adp of the snf, NOT APPLICABLE, since 09/06/2021
• BAUDER, KELLY — 5% or greater indirect ownership interest, since 04/01/2024
• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER, MADISON — 5% or greater indirect ownership interest, since 04/01/2024
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 04/01/2025
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 04/01/2025
• BAUDER, PARKER — 5% or greater indirect ownership interest, since 04/01/2025
• BAUDER, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• BOULWARE, DOUGLAS — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE, SANDRA — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE, THOMAS — 5% or greater indirect ownership interest, since 04/01/2024
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 04/01/2024
• DOHLMAN, JOHN — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• DOHLMAN, JOHN — adp of the snf, NOT APPLICABLE, since 04/01/2024
• MILLER, BOBBIE — adp of the snf, NOT APPLICABLE, since 04/01/2024
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 04/01/2024
• WALKER, KATIE — 5% or greater indirect ownership interest, since 04/01/2024
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater direct ownership interest, 33%, since 04/01/2024
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE ST JAMES LLC — 5% or greater direct ownership interest, 33%, since 04/01/2024
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• BRIDGEPOINTE FINANICAL SERVICES, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• INNOVATIVE NURSE CONSULTING, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• PMG REALCO - ALLEN, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2024
• PMG REALCO - ALLEN, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• PRIORITY MANAGEMENT GROUP, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 05/20/2025
• PROGRESSIVE REHAB SOLUTIONS, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — 5% or greater direct ownership interest, 33%, since 04/01/2024