Deficiencies (over last year)
Deficiencies (over last year)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
157% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 9
Date: Jun 12, 2024
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection on June 12, 2024, with deficiency history.
Findings
The most recent inspection cited 9 violations of state standards. Previous inspections, including a 2021 life safety code inspection, identified multiple deficiencies related to emergency preparedness, fire safety, and equipment maintenance, all of which were corrected.
Deficiencies (9)
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility failed to ensure that locking devices on exit doors complied with Special Locking Arrangements in the Life Safety Code.
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 ensure an emergency generator was in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the installation of the smoke detection system complied with applicable requirements.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
The facility failed to ensure an annual inspection was conducted by the local fire marshal.
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 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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