Nissi Home of Texas

The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.

The facility failed to keep personnel records on all staff.

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

The facility failed to ensure that the service plan was approved and signed by the resident or a person responsible for the resident's health care decisions, or that it was updated annually and upon a significant change in condition, based upon an assessment of the resident, or that care was provided to the resident based on that assessment.

The facility failed to post a copy of the most recent inspection report.

The facility failed to ensure compliance with ADA, TAS, and TDLR standards; and/or failed to provide evidence of plan submittal to the Elimination of Architectural Barriers Program of the TDLR.

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 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 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 that the top of portable extinguishers were not higher than the required maximum height above the floor, and/or that the clearance between the bottom of the extinguisher and the floor was not less than four inches.

The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.

The facility failed to ensure compliance with smoking regulations in the 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 ramps did not exceed a slope of 1:12, and/or failed to provide all acceptable features of ramps, guardrails, fences, and handrails.

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.