Inspection Reports for
Windhaven Senior Living

The facility failed to conduct a name-based criminal history check on an applicant for employment who indicated on the disclosure statement that they have lived in another state within the past five years, or the facility failed to ensure that an employee did not have direct contact with residents pending the results of the name-based criminal history check.

The facility failed to report incidents of abuse, neglect, or exploitation to HHSC's state office, or failed to follow its own internal policies regarding abuse, neglect, or exploitation.

The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.

State violation cited on 2022-06-09 — deficiency details not yet published by the state (correction status: Pending).

The facility failed to conduct required fire drills and document fire drills on the required form.

The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.

The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.

The facility failed to keep buildings clean and free of hazards.

The facility failed to have policies about storing oxygen owned by residents in a safe and sanitary manner.

The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.

The facility failed to ensure doors in the facility met the referenced codes and standards.

The facility failed to ensure resident room doors would latch in their frames.

The facility failed to ensure doors to resident rooms and living units could be closed by the occupants.

The facility failed to protect commercial cooking equipment according to the standard for ventilation control and fire protection of commercial cooking operations.

The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

The facility failed to include a section addressing communication in the emergency preparedness and response plan.

The facility failed to include a section addressing evacuation in the emergency preparedness and response plan.