Deficiencies (over last year)
Deficiencies (over last year)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
214% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Deficiencies: 11
Date: Jun 20, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2021-2022 with deficiency history for health and life safety codes.
Findings
The facility had multiple deficiencies cited in health and life safety codes across inspections in 2021 and 2022, including infection control and fire safety issues. Most deficiencies were corrected except for some pending health code violations as of the latest inspection.
Deficiencies (11)
The facility failed to develop and enforce policies and procedures for infection control and include standard and transmission-based precautions.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
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 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 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 provide a site and/or building free of fire, health, or physical hazards.
The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms.
The facility failed to ensure that staff were trained in the use of each type of extinguisher.
The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.
Report Facts
Inspections on page: 2
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