Inspection Report — Jun 11, 2025
Citations: 11
Date: Jun 11, 2025
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State-compiled facility profile showing 11 citations from 2 inspection dates with deficiency history for Bethesda Gardens Frisco.
Findings
The facility was cited for 11 violations across two inspection dates, including health code and life safety code deficiencies. Some violations remain pending correction while others have been corrected.
Citations (11)
The facility failed to search the NAR and EMR annually.
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
State violation cited on 2022-03-28 — deficiency details not yet published by the state (correction status: Pending).
The facility failed to correct a site or building condition that was a fire, health, or physical hazard. (cited 2022-03-28)
The facility failed to conduct required fire drills and document fire drills on the required form. (cited 2022-03-28)
The facility failed to notify HHSC in writing prior to the start of building rehabilitation. (cited 2022-03-28)
The facility failed to provide required emergency lighting. (cited 2022-03-28)
The facility failed to develop and maintain a written emergency preparedness and response plan based on its risk assessment under subsection (b) of this section and that is adequate to protect facility residents and staff in a disaster or emergency. (cited 2022-03-28)
The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management. (cited 2022-03-28)
The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy. (cited 2022-03-28)
The facility failed to ensure means of egress met the referenced codes and standards. (cited 2022-03-28)
Report Facts
Inspections on page: 2
Total citations: 11
Health Code citations: 2
Life Safety citations: 9
Enforcement actions: 0
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