Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Victoria Gardens of Frisco

FRISCO, TX · 118 certified beds · Last Life Safety survey July 9, 2026

CMS Certification Number 675811 · first certified November 1999

Ownership

Operated by PRIORITY MANAGEMENT · Government - Hospital district

  • Ownership changed April 1, 2024 (change of ownership)from PM MANAGEMENT - FRISCO NC, LLC
26
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
6
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within TX

26 citations — more than 97% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 8 citations; the earlier surveys on file averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,923 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations in CMS's current file

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility26TX median7National median11
Citations in CMS's current file, compared
MeasureCitations
This facility26
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
142024-0442025-0582026-07
Citations at each Life Safety survey
Survey dateCitations
April 18, 202414
May 29, 20254
July 9, 20268

Most-cited tags

Most-cited tags at this facility
K-03213K-03533K-03452K-03242K-09182K-05112E-00361K-07111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32026-07-09
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-07-09
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-07-09
K-0324Provide properly protected cooking facilities.22026-07-09
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-07-09
K-0511Have properly installed electrical wiring and gas equipment.22026-07-09
E-0036Establish emergency prep training and testing.12024-04-18
K-0711Provide a written emergency evacuation plan.12024-04-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Emergency Preparedness Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Emergency Preparedness Deficiencies5
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 9, 2026 — 8 citations

Citations issued on July 9, 2026
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 21, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 21, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 21, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 21, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 21, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 21, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 21, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 21, 2026)

May 29, 2025 — 4 citations

Citations issued on May 29, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 19, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 19, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 19, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 19, 2025)

April 18, 2024 — 14 citations

Citations issued on April 18, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 1, 2024)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (June 1, 2024)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (June 1, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (June 1, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 1, 2024)
K-0222Add 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.Deficient, Provider has date of correction (May 17, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 29, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 1, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 23, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 1, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 1, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 1, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.