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
Deficiencies: 10
Date: Aug 11, 2021
Visit Reason
State-compiled facility profile showing multiple inspections from 2020-2021 with deficiency history.
Findings
Multiple deficiencies were cited across inspections in 2020 and 2021, including failures in food safety protocols and compliance with Life Safety Code requirements. All cited violations were corrected within a short timeframe after each inspection.
Deficiencies (10)
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
The facility failed to ensure effective hair restraints were worn to prevent food contamination.
The facility failed to ensure that locking devices on exit doors complied with Special Locking Arrangements in the Life Safety Code.
The facility failed to comply with Chapter 19 of NFPA 101.
The facility failed to ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101.
The facility failed to ensure an emergency generator was in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the installation of the smoke detection system complied with applicable requirements.
The facility failed to ensure the smoke detectors were to be tested for sensitivity as required and failed to provide all required fire alarm documentation including installation drawings, manuals, and sequence of operation.
The facility failed to provide an initial gas pressure test of the gas lines from the meter and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted and/or that all gas heating systems were documented.
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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