The Chatfield Assisted Living

The facility failed to follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation.

The facility failed to immediately make an oral report of alleged ANE or send a written report of the investigation to HHSC when required.

The facility failed to report incidents of abuse, neglect, or exploitation to HHSC's state office, or failed to follow its own internal policies regarding abuse, neglect, or exploitation.

The facility failed to keep current and complete personnel records

The facility failed to develop and maintain a written emergency preparedness and response plan based on its risk assessment under subsection (b) of this section and that is adequate to protect facility residents and staff in a disaster or emergency.

The facility failed to maintain electrical, heating, and cooling systems so they worked safely.

The facility failed to provide a manual fire alarm system that met the referenced codes and standards.

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

The facility failed to have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system.

The facility failed to meet the requirements for a limited care facility.

The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives

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

The facility failed to ensure the building electrical system met the referenced codes and standards.

The facility failed to ensure egress routes through living rooms and dining rooms were kept clear of obstructions.

The facility failed to store oxygen provided by the facility in a safe and sanitary manner.

The receiving facility's plan failed to include procedures for accommodating a temporary emergency placement of one or more residents during a disaster or emergency.

The facility failed to provide a restroom facility for kitchen staff that was directly accessible to kitchen staff without entering resident-use areas of the facility, or was in close proximity to the kitchen if it serves a neighborhood or household, and failed to ensure the restroom did not open directly in the kitchen.

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

The facility failed to provide a staff area on each floor and in each separate building containing resident bedrooms with all the required features.

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

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 fire sprinkler system that met the referenced codes and standards.

The facility failed to have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system.

The facility failed to ensure doors in the facility met the referenced codes and standards.