Garland Serenity Home

The facility failed to conduct criminal history checks of employees and applicants.

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

The facility failed to ensure all employees providing services were screened for tuberculosis within two weeks of employment and annually.

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

The facility failed to ensure that each resident had a health examination by a physician performed within the required timeframe.

The facility failed to conduct required fire drills and document fire drills on the required form.

The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

The facility failed to keep current and complete personnel records

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

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

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

The facility failed to include a section addressing transportation in the emergency preparedness and response plan.

The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.

The facility failed to ensure compliance with smoking regulations in the licensing standards for assisted living facilities.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

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 written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

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