Deficiencies (over last year)
Deficiencies (over last year)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
214% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 11
Date: Aug 23, 2022
Visit Reason
State-compiled facility profile showing multiple inspections including a comprehensive inspection in 2022 and life safety inspections in 2021 with enforcement actions in 2023.
Findings
The facility had 12 violations cited in the most recent 2022 inspection and multiple life safety code violations in 2021 related to emergency preparedness and hazardous area protections, most of which were corrected. An enforcement action in 2023 cited failure to ensure residents were free from abuse, neglect, and exploitation.
Deficiencies (11)
The facility failed to protect hazardous areas as required by the referenced codes and standards.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.
The facility failed to include a section addressing warning in the emergency preparedness and response plan.
The facility failed to include a section addressing communication in the emergency preparedness and response plan.
The facility failed to include a section addressing sheltering arrangements in the emergency preparedness and response plan.
The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
The facility failed to include a section addressing transportation in the emergency preparedness and response plan.
The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.
The facility failed to include a section addressing resource management in the emergency preparedness and response plan.
The facility failed to ensure each resident was free from abuse, neglect, and exploitation.
Report Facts
Inspections on page: 3
Total fines: 2250
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