Deficiencies (over last year)
Deficiencies (over last year)
13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
271% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 13
Date: Jul 4, 2024
Visit Reason
State-compiled facility profile showing multiple inspections including a comprehensive inspection on July 4, 2024, with deficiency and enforcement history.
Findings
The facility had multiple violations related to staff training, emergency preparedness, and medication administration across inspections. Enforcement actions included an administrative penalty for insufficient staffing during emergency evacuation.
Deficiencies (13)
The facility failed to conduct required fire drills and document them on the required form.
The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.
The facility failed to ensure that specific on-the-job training required for attendants was completed in the required timeframe.
The facility failed to conduct criminal history checks of employees and applicants.
The facility failed to search the NAR and EMR annually.
The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.
The facility failed to ensure that a licensed or trained authorized person administered medications according to physician's orders.
The facility failed to ensure that attendant's on-the-job training included training on how resident's health conditions can affect service provision.
The facility failed to ensure that attendant's on-the-job training included safety measures to prevent accidents and injuries.
The facility failed to ensure that attendant's on-the-job training included emergency first aide.
The facility failed to ensure the attendant's on-the-job training included the appropriate management of disruptive behaviors.
The facility failed to ensure that its staff completed required on-the-job training in behavior management including prevention and management of dangerous behaviors.
The facility failed to ensure that its staff completed the required on-the-job training in fall prevention.
Report Facts
Inspections on page: 2
Total fines: 1500
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