Inspection Reports for
The Lodge at Leon Springs

TX

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Deficiencies (over last year)

Deficiencies (over last year) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

157% worse than Texas average
Texas average: 3.5 deficiencies/year

Deficiencies per year

12 9 6 3 0
2024

Inspection Report

Deficiencies: 9 Date: May 23, 2024

Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection on May 23, 2024, with deficiency history.

Findings
The most recent inspection cited 9 violations of state standards. Previous inspections from 2019 revealed multiple life safety code violations, all of which were corrected.

Deficiencies (9)
The facility failed to ensure the common wall between the facility and another occupancy had a fire rating of at least two hours.
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 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 the smoke detectors were to be tested for sensitivity as required and failed to provide all required fire alarm documentation including installation drawings and manuals.
The facility failed to provide operable windows or powered exhaust required for all odor-producing rooms.
The facility failed to ensure the building was kept in good repair.
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 ensure lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of North America.
The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10.
Report Facts
Inspections on page: 2

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