Inspection Reports for
Silverado Hermann Park Memory Care Community
TX, 77004
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 7
Date: Oct 29, 2019
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 with deficiency history.
Findings
The facility had multiple violations across inspections in 2019, including failures in resident assessment, care planning, sprinkler inspection, fire alarm maintenance, emergency preparedness, and staff training. All cited violations were corrected shortly after the inspections.
Deficiencies (7)
The facility failed to conduct, initially and periodically, a comprehensive resident assessment and transmit the assessment records and resident-entry-and-death-in-facility tracking records to CMS.
The facility did not develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
The facility failed to inspect individual sprinkler heads and maintain them in compliance with the requirements of the NFPA code.
The facility failed to perform a risk assessment according to defined risk assessment procedures; failed to install new systems or equipment to meet the requirements for Category 2 risk; failed to review and update the assessment annually or when resident care needs changed.
The facility failed to maintain the fire alarm system components in compliance with the requirements of the NFPA code.
The facility failed to include a risk assessment, a description of the resident population including services and assistance they require, a section for each core function of emergency management, a fire safety plan in their emergency preparedness and response plan, or a section for self reporting incidents.
The facility failed to train staff on their responsibilities under the emergency preparedness and response plan.
Report Facts
Inspections on page: 2
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