WILLOW BEND ASSISTED LIVING AND MEMORY CARE

2025 · 32 cited

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

   Life Safety CodeCited Oct 21, 2025Corrected —

2. 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.

   Life Safety CodeCited Oct 21, 2025Corrected —

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

   Life Safety CodeCited Oct 21, 2025Corrected —

4. 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.

   Life Safety CodeCited Oct 21, 2025Corrected —

5. The facility failed to inspect, test, and maintain fire sprinkler system components.

   Life Safety CodeCited Oct 21, 2025Corrected —

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

   Life Safety CodeCited Oct 21, 2025Corrected —

7. The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.

   Life Safety CodeCited Oct 21, 2025Corrected —

8. The facility failed to provide required exit signs.

   Life Safety CodeCited Oct 21, 2025Corrected —

9. The facility failed to provide required emergency lighting.

   Life Safety CodeCited Oct 21, 2025Corrected —

10. The facility failed to provide smoke compartmentation where required.

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

19. The facility failed to include a section addressing health and medical needs in the emergency preparedness and response plan.

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

21. The facility failed to have and enforce a smoking policy.

    Life Safety CodeCited Oct 21, 2025Corrected —

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

    Life Safety CodeCited Oct 21, 2025Corrected —

23. The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.

    Life Safety CodeCited Oct 21, 2025Corrected —

24. The facility failed to ensure each resident was free from abuse, neglect, and exploitation.

    Health VisitCited Apr 17, 2025Corrected —

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

    Health VisitCited Apr 17, 2025Corrected —

26. The facility failed to search the NAR and EMR annually.

    Health VisitCited Apr 17, 2025Corrected —

27. The facility failed to store, serve, or reheat foods at the appropriate temperatures.

    Health VisitCited Apr 17, 2025Corrected —

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

    Health VisitCited Apr 17, 2025Corrected —

29. The facility failed to ensure that medications were administered according to physician's orders.

    Health VisitCited Apr 17, 2025Corrected —

30. The facility failed to appropriately supervise the medication regimen of a resident who was incapable of self- administering without assistance.

    Health VisitCited Apr 17, 2025Corrected —

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

    Health VisitCited Apr 17, 2025Corrected —

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

    Health VisitCited Apr 17, 2025Corrected —