Deficiencies (over last year)
Deficiencies (over last year)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
243% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 12
Date: Nov 20, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2021 with enforcement actions up to 2024 and deficiency history.
Findings
The facility had multiple deficiencies related to life safety code violations in 2019, including failures in fire safety and emergency preparedness. A 2021 inspection cited 12 violations of state standards, and an enforcement action in 2024 imposed an administrative penalty for failure to maintain infection control policies.
Deficiencies (12)
The facility failed to ensure that locking devices on control doors released when the fire alarm or sprinkler system were activated.
The facility failed to ensure that locking devices on control doors released when a switch or button was activated at the monitoring station and at the main staff station.
The facility failed to ensure that locking devices on exit doors released when the fire alarm or sprinkler system were activated.
The facility failed to ensure that locking devices on exit doors released when a switch or button was activated at the monitoring station and at the main staff station.
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 compliance with smoking regulations in the licensing standards for assisted living facilities.
The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.
The facility failed to provide exit signs with emergency power.
The facility failed to provide lighting levels in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
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 establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.
Report Facts
Inspections on page: 2
Enforcement actions on page: 1
Total fines: 3000
Violations cited: 12
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