Tulip Meadows, LLC

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 search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

The facility failed to conduct criminal history checks of employees and applicants.

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

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

The facility failed to provide residents and residents' legally authorized representative with a copy of the plan upon admission, on request, and when a significant change to the plan is made.

The facility failed to provide metal or other approved waste containers for kitchens, janitor closets, laundries, mechanical or boiler rooms, general storage, and similar places.

The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

The facility failed to ensure lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of North America.