Serenity Oaks Assisted Living and Memory Care

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 post a copy of the most recent inspection report.

The facility failed to provide a locked area for all medications.

The provider failed to post the facility license as required.

The facility failed to provide every resident with a copy of the Resident Bill of Rights.

The facility failed to post the Resident Bill of Rights.

The facility failed to post an HHSC notice that states inspection reports are available at the facility for public inspection and provides a toll-free telephone number for information.

The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

The facility failed to keep current and complete personnel records

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

The facility failed to train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers.

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

The facility failed to have documented evidence showing that it had explained and provided a copy of the disclosure statement to the resident, family, or responsible party prior to admitting a resident.

The facility failed to ensure that menus were prepared to provide a balanced and nutritious diet, that food was palatable and varied, or that menus were planned one week in advance, followed, posted and kept for 30-days, with variations documented.

The facility failed to maintain in each resident's active clinical record a signed copy of the required form concerning Authorized Electronic Monitoring.

The facility failed to provide every resident's immediate family with the HHSC telephone hotline number to report suspected abuse, neglect, or exploitation and document that the family received it.

The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.