Inspection Reports for
Belmont Village Senior Living West University
2929 W Holcombe Blvd, Houston, TX 77025, United States, TX, 77025
Back to Facility ProfileDeficiencies (over last year)
Deficiencies (over last year)
15 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
329% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 15
Date: Jun 26, 2024
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection in 2024 with deficiency history.
Findings
The most recent inspection in 2024 cited 15 violations of state standards. Previous inspections from 2021 revealed multiple life safety code violations, all corrected by June 2021. No health code violations or enforcement actions were found.
Deficiencies (15)
The facility failed to provide a monitoring station or details for the segregated unit.
The facility failed to ensure locked gates complied with licensing standards for assisted living facilities.
The facility failed to ensure locking devices on exit doors complied with Special Locking Arrangements in the Life Safety Code.
The facility failed to comply with Chapter 19 of NFPA 101.
The facility failed to ensure fire drills were conducted and documented per licensing standards for assisted living facilities.
The facility failed to ensure an emergency generator complied with licensing standards for assisted living facilities.
The facility failed to ensure the fire alarm panel had separate zones for each floor and/or smoke compartment with alarm and trouble signals.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained per NFPA 25.
The facility failed to provide the required sprinkler system to meet NFPA 13.
The facility failed to ensure an annual inspection was conducted by the local fire marshal.
The facility failed to provide an elevator.
The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented and replaced unserviceable extinguishers.
The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility failed to ensure the fire alarm and smoke detection system complied with licensing standards for assisted living facilities.
Report Facts
Inspections on page: 2
Violations cited: 15
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