Pegasus Landing of Saddlebrook

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

Health VisitCited Apr 3, 2025Corrected —

The facility's plan failed to include the location of a current list of the facility's resident population.

Health VisitCited Apr 3, 2025Corrected —

The facility failed to notify the EMC of the facility's plan, take actions to coordinate with the EMC, and document communications with the EMC.

Health VisitCited Apr 3, 2025Corrected —

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.

Health VisitCited Apr 3, 2025Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Apr 3, 2025Corrected —

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

Health VisitCited Apr 3, 2025Corrected —

The facility failed to comply with Texas Food Establishment rules and local health ordinances and requirements.

Health VisitCited Apr 3, 2025Corrected —

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

Health VisitCited Apr 3, 2025Corrected —

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

Health VisitCited Apr 3, 2025Corrected —

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.

Health VisitCited Apr 3, 2025Corrected —

The facility failed to ensure flammable and combustible liquids were not stored in buildings used by residents.

Life Safety CodeCited Oct 7, 2021Corrected Oct 25, 2021

The facility failed to provide exhaust for odor-producing areas.

Life Safety CodeCited Oct 7, 2021Corrected Nov 5, 2021

The facility failed to protect hazardous areas as required by the referenced codes and standards.

Life Safety CodeCited Oct 7, 2021Corrected Oct 27, 2021