Inspection Reports for
Walnut Creek Assisted Living and Memory Care
2281 Country Club Dr, Mansfield, TX 76063, United States, TX, 76063
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
20 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
471% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Deficiencies: 20
Date: May 12, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2021-2022 with deficiency history for Walnut Creek Assisted Living and Memory Care Community.
Findings
The facility had 21 violations cited in the most recent 2022 inspection and multiple deficiencies related to emergency preparedness and life safety code issues in the 2021 inspection, all of which were corrected by late 2021 or pending as of 2022.
Deficiencies (20)
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility failed to develop and maintain an emergency preparedness and response plan.
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 warning in the emergency preparedness and response plan.
The facility failed to include a section addressing communication in the emergency preparedness and response plan.
The facility failed to include a section addressing sheltering arrangements 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 include a section addressing transportation in the emergency preparedness and response plan.
The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.
The facility failed to include a section addressing resource management 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 provide a manual fire alarm pull within five feet of each exit door with a sign stating, "Pull to release door in emergency."
The facility failed to comply with Chapter 19 of NFPA 101.
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 exit signs with emergency power.
The facility failed to provide lighting levels in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.
The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms.
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 ensure that staff were trained in the use of each type of extinguisher.
Report Facts
Inspections on page: 2
Violations cited: 21
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