Deficiencies (over last year)
Deficiencies (over last year)
17 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
386% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Deficiencies: 17
Date: May 30, 2024
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection on May 30, 2024, with deficiency history and enforcement actions.
Findings
The most recent inspection cited 17 violations of state standards with no health code violations found. Previous Life Safety Code inspections from 2019 revealed multiple corrected deficiencies related to fire safety, building maintenance, and compliance with NFPA 101 standards.
Deficiencies (17)
The facility failed to comply with Chapter 19 of NFPA 101.
The facility failed to provide exit signs with emergency power.
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 ensure the installation of the smoke detection system complied with applicable requirements.
The facility failed to provide the required sprinkler system to meet NFPA 13.
The facility failed to ensure that all operable windows had insect screens.
The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.
The facility failed to ensure the building was kept in good repair.
The facility failed to ensure lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of North America.
The facility failed to ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101.
The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.
The facility failed to ensure hazardous areas were constructed in compliance with licensing standards for assisted living facilities, and/or that volatile materials were not stored in the facility.
The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms.
The facility failed to provide adequate janitor closets.
The facility failed to maintain floor, ceiling, and wall finish materials to provide a sanitary and structurally safe environment.
The facility failed to provide a soiled linen receiving, holding, and sorting room with a floor drain and forced exhaust to the exterior that operated at all times there is soiled linen being held in this area.
The facility failed to ensure the outside areas, grounds, adjacent buildings, and all site features were maintained free of fire or health hazards; and/or failed to ensure that water would drain away from the facility to prevent standing water near the building.
Report Facts
Inspections on page: 2
Violations cited: 17
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