Deficiencies (over last year)
Deficiencies (over last year)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 7
Date: Feb 28, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2022 with deficiency history.
Findings
The facility had multiple violations including failure to ensure service plans were properly approved and updated, medication administration errors, incomplete fire drill documentation, and failure to conduct required employee background checks. Life Safety Code violations included failure to correct hazardous site conditions and maintain electrical and HVAC systems.
Deficiencies (7)
The facility failed to ensure that the service plan was approved and signed by the resident or responsible person, updated annually or upon significant change, and care was based on assessment.
The facility failed to ensure that a licensed or authorized person administered medications according to physician's orders.
The facility failed to conduct and document fire drills in compliance with licensing standards for assisted living facilities.
The facility failed to search the employee misconduct and nurse aide registries before hiring to determine unemployability.
The facility failed to conduct criminal history checks of employees and applicants.
The facility failed to correct a site or building condition that was a fire, health, or physical hazard.
The facility failed to maintain electrical, heating, and cooling systems so they worked safely.
Report Facts
Inspections on page: 2
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