Inspection Reports for
Serenity Gardens – Dickinson

1816 Gill Rd, Dickinson, TX 77539, United States, TX

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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/year

Deficiencies per year

12 9 6 3 0
2024

Inspection Report

Life Safety
Deficiencies: 10 Date: Jul 2, 2024

Visit Reason
State-compiled facility profile showing multiple inspections from 2019 and 2024 with deficiency history related to health and life safety codes.

Findings
The facility had multiple deficiencies in the 2024 inspection related to emergency preparedness and management training, and in the 2019 inspection related to sprinkler system maintenance and building repair. All cited violations were corrected by the indicated correction dates.

Deficiencies (10)
The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.
The facility failed to conduct required fire drills and document fire drills on the required form.
The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.
The manager failed to show evidence of HHSC training requirement.
The facility failed to include a section addressing direction and control in the emergency preparedness and response plan.
The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
The facility failed to ensure the building was kept in good repair.
The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.
Report Facts
Inspections on page: 2

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