Inspection Reports for
Acorn Manor Assisted Living
25807 Budde Rd, The Woodlands, TX 77380, TX, 77380
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
19 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
443% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Deficiencies: 19
Date: Jun 18, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2024 with deficiency history for Acorn Manor Assisted Living.
Findings
The most recent inspection in June 2024 cited 19 violations related to state standards, including failure to perform required annual searches. Previous 2019 life safety inspections revealed multiple corrected violations related to fire safety, emergency planning, building maintenance, and pest control.
Deficiencies (19)
The facility failed to search the NAR and EMR annually.
The facility failed to ensure the building and structure complied with the 2000 edition of the Life Safety Code, NFPA 101.
The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.
The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.
The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.
The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
The facility failed to ensure the water supply was of safe, sanitary quality; adequate in quantity and pressure; and obtained from an approved water supply system.
The facility failed to ensure that all operable windows had insect screens.
The facility failed to provide an effective, less toxic, less flammable, ongoing pest control program.
The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms.
The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.
The facility failed to ensure the building was kept in good repair.
The facility failed to provide an initial gas pressure test of the gas lines from the meter; and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted; and/or that all gas heating systems were documented.
The facility failed to provide a bedroom of the required size and/or arrangement in compliance with licensing standards for assisted living facilities of this type.
The facility failed to ensure hot water for resident use was maintained between 100 degrees Fahrenheit and 120 degrees Fahrenheit.
The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.
The facility failed to provide record drawings of the fire detection and alarm system as installed as required.
The facility failed to provide copies of the fire sprinkler system approval, and/or a copy of the hydraulic calculations, alarm configuration, above ground and underground Contractor's Material and Test Certificate proper manufacturing instructions.
Report Facts
Inspections on page: 2
Violations cited: 19
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