Deficiencies (over last year)
Deficiencies (over last year)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
243% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 12
Date: Jan 13, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2020 and 2022 with deficiency history.
Findings
The facility had multiple deficiencies related to staff training and Life Safety Code compliance across inspections in 2020 and 2022. All cited violations were corrected within a few weeks to months after each inspection.
Deficiencies (12)
The facility failed to train all staff in maintaining the confidentiality of resident information prior to their assuming any job responsibilities.
The facility failed to train all staff in which conditions to report to the facility manager prior to their assuming any job responsibilities.
The facility failed to train all staff in resident's rights prior to their assuming any job responsibilities.
The facility failed to train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities.
The facility either failed to provide required counseling to residents who self-administer medications or failed to maintain a written counseling record.
The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.
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 and structure complied with other applicable chapters of the Life Safety Code, NFPA 101.
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 ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.
The facility failed to provide the required sprinkler system to meet NFPA 13.
Report Facts
Inspections on page: 2
Loading inspection reports...
