Tender Loving Care Assisted Living Home

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 conduct required fire drills and document fire drills on the required form.

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

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

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

The facility failed to search the NAR and EMR annually.

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

The facility failed to provide the minimum levels of illumination required in the facility.

The facility failed to keep documentation about the fire alarm system onsite at the facility.

The facility's plan failed to document the contact information for the EMC for the area.

The facility failed to keep documentation about the fire sprinkler system onsite at the facility.

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 ensure doors in the facility met the referenced codes and standards.

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

The facility failed to ensure the power source for a fire alarm was a dedicated circuit in the facility's electrical system and that the fire alarm had a secondary, emergency power source.

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

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

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

The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

The facility failed to screen visitors in accordance with HHSC guidance.