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: Feb 17, 2022
Visit Reason
State-compiled facility profile showing multiple inspections from 2019 to 2022 with deficiency history.
Findings
The facility had 10 violations cited in the most recent 2022 inspection and multiple life safety code violations in 2019, all of which were corrected by late 2019. No enforcement actions were found.
Deficiencies (10)
The facility failed to ensure fire drills were conducted and documented in compliance with licensing standards for assisted living facilities.
The facility failed to ensure an emergency generator was in compliance with licensing standards for assisted living facilities.
The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.
The facility failed to ensure smoke detectors were tested for sensitivity as required and failed to provide all required fire alarm documentation for examination by DADS.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
The facility failed to provide the required sprinkler system to meet NFPA 13.
The facility failed to ensure an annual inspection was conducted by the local fire marshal.
The facility failed to ensure the building was kept in good repair.
The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented and that unserviceable extinguishers were replaced.
Ten violations of state standards were cited in the February 17, 2022 inspection.
Report Facts
Inspections on page: 2
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