Deficiencies (over last year)
Deficiencies (over last year)
20 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
471% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Life Safety
Deficiencies: 20
Date: May 27, 2022
Visit Reason
State-compiled facility profile showing a comprehensive inspection from May 27, 2022 with deficiency history related to life safety code compliance.
Findings
The facility had no health code violations but multiple life safety code violations were cited on May 27, 2022, mostly corrected by July and August 2022. No enforcement actions were found.
Deficiencies (20)
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to have and enforce a smoking policy.
The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.
The facility failed to inspect, test, and maintain fire sprinkler system components.
The facility failed to keep walls and ceilings in good condition.
The facility failed to test and maintain an emergency generator that provides power to emergency lighting.
The facility failed to ensure doors in the facility met the referenced codes and standards.
The facility failed to ensure resident room doors would latch in their frames.
The facility failed to ensure doors to resident rooms and living units could be closed by the occupants.
The facility failed to provide required exit signs.
The facility failed to ensure corridors met the Life Safety Code.
The facility failed to provide a manual fire alarm system that met the referenced codes and standards.
The facility failed to ensure openings between floors were protected to prevent the spread of fire and smoke from one floor to another.
The facility failed to provide smoke compartmentation where required.
The facility failed to provide a fire sprinkler system that met the referenced codes and standards.
The facility failed to protect hazardous areas as required by the referenced codes and standards.
The facility failed to protect cooking operations according to the Life Safety Code.
The facility failed to provide exhaust for odor-producing areas.
The facility failed to meet the requirements for a limited care facility.
The facility failed to provide proper locking devices.
Report Facts
Inspections on page: 1
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