Deficiencies (over last year)
Deficiencies (over last year)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 4
Date: Sep 13, 2023
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection in 2023 and enforcement actions in 2025 with related violation history.
Findings
The most recent comprehensive inspection in 2023 cited one violation of state standards. Previous inspections found no Health Code violations but a 2019 Life Safety Code violation was corrected. Enforcement actions in 2025 included administrative penalties related to staffing and medication administration violations.
Deficiencies (4)
The facility failed to ensure the building and structure complied with Chapter 18, New Health Care Occupancies, of the Life Safety Code, NFPA 101.
553.253(c)(3)(F) — The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.
553.253(d)(1)(F) — The facility failed to train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities.
553.261(a)(1)(A) — The facility failed to ensure that a licensed person or a trained, authorized, and delegated person administered medications according to physician's orders.
Report Facts
Inspections on page: 3
Total fines: 3750
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