Universal Assisted Living Homes

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 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 ensure that resident records included the required information and documentation.

The facility failed to request a copy of the current court order appointing a guardian for a resident or a resident's estate and letters of guardianship for a resident from a resident's legally authorized representative or the person responsible for the resident's support.

The facility failed to request an updated copy of the court order and letters of guardianship at each annual assessment and retain documentation of any change.

The provider failed to properly post or disclose to prospective residents the facility's normal 24-hour staffing pattern.

The facility failed to list each resident's medications on a specific medication profile record documenting the required medication details (e.g., strength and dosage).

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

The facility failed to keep simple resident financial records of charges, receipts and expenditures, issue receipts for payment upon request, or failed to make these records available to HHSC.

The facility failed to request the court order and letters of guardianship when it admitted an individual or when it became aware a guardian was appointed after the facility admitted a resident.

The provider failed to post the facility's normal 24- hour staffing patterns.

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 ensure each resident was free from abuse, neglect, and exploitation.

The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

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 check gas heating systems prior to the heating season and to maintain records of the those checks.

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 have evidence showing that the manager completed the required 12 hours of annual continuing education.

The facility failed to keep current and complete personnel records

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 provider did not make all facility books, records, and documents accessible to HHSC staff upon request.

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

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

The facility failed to keep buildings clean and free of hazards.

The facility failed to ensure resident room doors in a building that does not have fire sprinklers were solid doors that were at least 1-3/4 inches thick or had an opening protection rating of at least 20 minutes, that the doors were self-closing or automatic-closing, and that the doors would latch in their frames.