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Source: Texas Health & Human Services Commission
Key Findings
The facility has a history of regulatory violations related to health codes and life safety standards, including issues with fire safety documentation, emergency preparedness, and building maintenance. While several issues were noted in previous years, there are currently no active enforcement actions listed.
Health Code (6 violations)
The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.
The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
The facility failed to provide the required emergency preparedness and response plan training and conduct drills.
The facility failed to search the NAR and EMR annually.
The facility failed to ensure an annual inspection was conducted by the local fire marshal.
The facility failed to have evidence showing that the manager completed the required training in the management of assisted living facilities.
Life Safety Code (10 violations)
The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.
The facility failed to ensure the building was kept in good repair.
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 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 ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101.
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 that all operable windows had insect screens.
The facility failed to ensure the outside areas, grounds, adjacent buildings, and all site features were maintained free of fire or health hazards; and/or failed to ensure that water would drain away from the facility to prevent standing water near the building.
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 fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.
Geraldine Raphael
for profit
GERALDINE RAPHAEL
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TX HHSC — View Official Record
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