Deficiencies (over last year)
Deficiencies (over last year)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Oct 12, 2023
Visit Reason
State-compiled facility profile showing multiple inspections from 2023 with deficiency history.
Findings
Multiple deficiencies were found across health and life safety codes during inspections in October 2023, all of which were corrected within days to weeks after citation.
Deficiencies (7)
The facility did not store, cook, and give out food in a safe and clean way.
The facility failed to report in the LTC Online Portal a significant change in the mental or physical condition of a resident.
A facility failed to search the NAR and EMR each year during an employee's hire month to determine whether the employee has become unemployable and keep a copy in personnel files.
The facility failed to maintain resident-use hot water at the appropriate temperature.
The facility failed to make sure generator components are inspected, tested and maintained according to NFPA standards.
The facility failed to make sure generators are operated under load at least 30 minutes each week.
The facility failed to keep smoke doors, fire doors, or doors to hazardous rooms closed or used an unapproved device to hold open a door.
Report Facts
Inspections on page: 2
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