Deficiencies (over last year)
Deficiencies (over last year)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
300% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 14
Date: Jun 14, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2020 to 2022 with deficiency history.
Findings
Multiple deficiencies were cited across inspections including failures in health code compliance such as medication security and food safety, and life safety code violations related to emergency preparedness and fire safety measures. All cited deficiencies have documented correction dates except one pending violation from the most recent inspection.
Deficiencies (14)
The facility failed to search the NAR and EMR annually.
The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.
The facility failed to provide a locked area for all medications.
The facility failed to prepare and serve food in the manner required to prevent cross- contamination.
One violation cited on 6/14/2022 remains pending correction.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
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 staff were trained in the methods for releasing the exit door device.
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 1/4-inch fixed safety glass or glazing view panel windows in steel frames in the doors between the kitchen and dining or serving areas.
The facility failed to ensure a positive air circulation for effective venting of the dry food storage area.
Report Facts
Inspections on page: 2
Violations cited: 14
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