Deficiencies (over last year)
Deficiencies (over last year)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
186% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 10
Date: Dec 13, 2021
Visit Reason
State-compiled facility profile showing multiple inspections from 2020 to 2021 with deficiency history.
Findings
The facility had multiple violations including failure to conduct and document fire drills, noncompliance with Life Safety Code requirements, and inadequate building maintenance. All cited deficiencies were corrected within the specified time frames.
Deficiencies (10)
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101.
The facility failed to ensure that locking devices on exit doors complied with Special Locking Arrangements in the Life Safety Code.
The facility failed to comply with Chapter 19 of NFPA 101.
The facility failed to ensure the building was kept in good repair.
The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10.
The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.
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 provide a soiled linen receiving, holding, and sorting room with a floor drain and forced exhaust to the exterior that operated at all times there is soiled linen being held in this area.
The facility failed to provide a way to separate dryer make-up air from the habitable work areas of the laundry and exhaust heat from dryers.
Report Facts
Inspections on page: 2
Loading inspection reports...
