Avalon Memory Care Hughes Circle

The facility failed to provide a site and/or building free of fire, health, or physical hazards.

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

The facility failed to provide a manual fire alarm pull within five feet of each exit door with a sign stating, "Pull to release door in emergency."

The facility failed to provide each bedroom with at least one operable window with outside exposure and/or of the required size and/or accessibility.

The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.

The facility failed to register with 2-1-1 Texas to assist the state in identifying persons who may need assistance in a disaster.

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

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 annual inspection was conducted by the local fire marshal.

The facility failed to provide at least one telephone for use in an emergency, and/or that emergency numbers were posted at or near the telephone.

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 residents and residents' legally authorized representative with a copy of the plan upon admission, on request, and when a significant change to the plan is made.

The facility failed to ensure that staff were trained in the use of each type of extinguisher.

The facility failed to conduct and document a risk assessment for potential emergencies or disasters.

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

The facility failed to ensure the water supply was of safe, sanitary quality; adequate in quantity and pressure; and obtained from an approved water supply system.

The facility failed to ensure the building was kept in good repair.

The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.