Deficiencies (over last year)
Deficiencies (over last year)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
157% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 9
Date: Jul 19, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2024 with deficiency history.
Findings
The facility had multiple violations in the most recent 2024 inspection related to resident assessment, service plans, food establishment rules, and medication supervision. Earlier 2019 inspections revealed failures in emergency planning, hazardous area compliance, lighting, sprinkler system maintenance, gas pressure testing, and oxygen storage procedures.
Deficiencies (9)
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 comply with Texas Food Establishment rules and local health ordinances and requirements.
The facility failed to appropriately supervise the medication regimen of a resident who was incapable of self-administering without assistance.
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 hazardous areas were constructed in compliance with licensing standards for assisted living facilities, and/or that volatile materials were not stored in the facility.
The facility failed to provide lighting levels in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
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 implement procedures that assure safe and sanitary use and storage of oxygen.
Report Facts
Inspections on page: 2
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