Colonial Oaks Senior Living at Campbell Park

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

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

The facility failed to assure freezers and refrigerators were kept at the proper temperatures.

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 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 Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 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 Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

The facility failed to follow its policies regarding the screening of residents upon admission and after exposure to tuberculosis.

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

The facility failed to document that staff were competent and trained prior to assuming their responsibilities.

Health VisitCited Nov 6, 2025Corrected —

The facility failed to ensure that specific on-the-job training required for attendants in this type facility was completed in the required timeframe.

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

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

Health VisitCited Nov 6, 2025Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Nov 6, 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 Nov 6, 2025Corrected —

The facility either failed to provide required counseling to residents who self-administer medications or failed to maintain a written counseling record.

Health VisitCited Nov 6, 2025Corrected —

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.

Health VisitCited Nov 6, 2025Corrected —

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

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

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

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

The facility failed to provide required emergency lighting.

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

The facility failed to protect cooking operations according to the Life Safety Code.

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

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

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

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.

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

The facility failed to provide an approved outdoor area for the segregated unit.

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

The facility failed to provide proper locking devices

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

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.

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023

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

Life Safety CodeCited Mar 15, 2023Corrected Apr 29, 2023