Deficiencies (over last year)
Deficiencies (over last year)
13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
271% worse than Texas average
Texas average: 3.5 deficiencies/year
Deficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 13
Date: Jun 7, 2022
Visit Reason
State-compiled facility profile showing multiple inspections with deficiency history for Tulia Senior Living LLC from 2020 to 2022.
Findings
The facility had multiple violations across inspections including failure to maintain fire safety equipment, inadequate food sourcing and handling, incomplete resident records, and deficiencies in emergency preparedness and oxygen storage procedures. All cited violations were corrected within days or weeks following the inspections.
Deficiencies (13)
The facility failed to provide portable fire extinguishers that met the referenced codes and standards.
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
The facility failed to ensure that resident records included the required information and documentation.
The facility failed to ensure the smoke detectors were tested for sensitivity as required and failed to provide all required fire alarm documentation including installation drawings, manuals, and operation sequence.
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 failed to ensure additional gas pressure tests were performed when gas service was interrupted and that all gas heating systems were documented.
The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.
The facility failed to ensure that portable extinguishers were installed or mounted as required.
The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented and that unserviceable extinguishers were replaced.
The facility failed to review the emergency preparedness plan at least annually and within 30 days following a disaster, drill, or change in rule or policy.
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.
The facility failed to provide a site and/or building free of fire, health, or physical hazards.
The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.
Report Facts
Inspections on page: 2
Violations cited: 14
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