Brythaven Willow Creek

The provider failed to post the facility license as required.

The facility failed to post the telephone number of the managing local ombudsman and the Ombudsman Program.

The facility failed to post HHSC telephone hotline number to report suspected abuse, neglect, or exploitation.

The facility failed to post the Resident's Bill of Rights or provide a copy to each resident.

The provider failed to post the facility's normal 24- hour staffing patterns.

The facility failed to post an HHSC sign that specifies how complaints may be be filed with HHSC.

The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, 13R, or meet the requirements of Chapter 33.

The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10.

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

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 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 lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of North America.

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.