Deficiencies (over last year)
Deficiencies (over last year)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
186% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Deficiencies: 10
Date: Aug 18, 2024
Visit Reason
State-compiled facility profile showing multiple inspections from 2023-2024 with deficiency history related to health and life safety codes.
Findings
The facility had multiple deficiencies across inspections primarily related to failure to meet National Electrical Code, fire safety system issues, generator operation and documentation, door safety, kitchen exhaust installation, and smoking policy enforcement. All cited violations were corrected within a few months after the December 2023 inspections.
Deficiencies (10)
The facility failed to meet the National Electrical Code and to follow lighting guidelines in the Lighting Handbook.
The facility failed to make sure the fire alarm and fire sprinkler systems are installed and working correctly.
The facility failed to make sure air conditioners shutoff to prevent the spread of smoke when the fire alarm goes off.
The facility failed to make sure no flammable or volatile chemicals are stored in the nursing home.
The facility failed to make sure generators are operated under load at least 30 minutes each week.
The facility failed to make sure each required operation of the generator was documented, including information necessary to verify total times for load pickup, operation under load, and power transfer.
The facility failed to keep smoke doors, fire doors, or doors to hazardous rooms closed or used an unapproved device to hold open a door.
The facility failed to meet Life Safety Code requirements for an existing Health Care Occupancy.
The facility failed to make sure the kitchen exhaust system was installed correctly.
The facility failed to formulate, adopt, and enforce smoking policies that also take into account non-smoking residents.
Report Facts
Inspections on page: 1
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