Deficiencies (over last year)
Deficiencies (over last year)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
214% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 11
Date: Jun 6, 2024
Visit Reason
State-compiled facility profile showing inspections from June 2024 with deficiency history.
Findings
Multiple deficiencies were cited in both Health Code and Life Safety Code areas during inspections in June 2024, all of which were corrected within a few weeks. No enforcement actions were found.
Deficiencies (11)
The facility did not develop a baseline care plan, or comprehensive care plan with necessary information within 48 hours of the resident's admission.
The facility did not act when the pharmacist reports something unusual and failed to ensure the pharmacist reports unusual findings to the doctor on duty and the director of nursing.
The facility failed to make sure that the QA committee meets every three months and corrects identified issues.
The facility failed to make sure that its staff and consultants working with Alzheimer's residents are properly trained.
The facility allowed a resident to be given psychotropic drugs on an expired PRN order or without a proper evaluation from the attending physician/prescribing practitioner.
The facility failed to comply with all applicable codes, regulations, and standards, including local ordinances regarding smoking, smoking areas, and smoking safety.
The facility failed to make sure the nursing home complies with the applicable section of the Life Safety Code.
The facility failed to make sure smoke compartmentation met the requirements of NFPA 101.
The facility failed to meet applicable requirements for fire protection systems and wiring and circuitry alarm systems.
The facility failed to make sure the electrical systems meet the National Electrical Code.
The facility failed to provide emergency power for exit signs when the power goes off.
Report Facts
Inspections on page: 2
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