Deficiencies (over last year)
Deficiencies (over last year)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
157% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 9
Date: Jul 9, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2018 to 2024 with deficiency and enforcement history.
Findings
The facility had multiple deficiencies across inspections including failure to train staff on emergency procedures, insufficient staffing for safe evacuation, and multiple life safety code violations related to fire safety and building compliance. Some violations were corrected after follow-up inspections.
Deficiencies (9)
The facility failed to train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities.
The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.
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 the building and structure complied with the 2000 edition 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 provide reasonable access and/or necessary equipment for maintenance, testing, and servicing of equipment.
The facility failed to provide a kitchen staff restroom that was in compliance with licensing standards for assisted living facilities.
The facility failed to provide record drawings of the fire detection and alarm system as installed as required.
The facility failed to ensure the smoke detectors were tested for sensitivity as required and failed to provide all required fire alarm documentation including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation.
Report Facts
Inspections on page: 3
Total fines: 3750
Loading inspection reports...
