Brenda's Devine Heritage Residential, Inc. DBA BRENDAS RESIDENTIAL ASSISTED LIVING

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

Health VisitCited Aug 19, 2026Corrected —

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

Health VisitCited Aug 19, 2026Corrected —

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

Health VisitCited Aug 19, 2026Corrected —

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).

Health VisitCited Aug 19, 2026Corrected —

The facility failed to post the telephone number of the managing local ombudsman and the Ombudsman Program.

Health VisitCited Aug 19, 2026Corrected —

The facility failed to post HHSC telephone hotline number to report suspected abuse, neglect, or exploitation.

Health VisitCited Aug 19, 2026Corrected —

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

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to keep walls and ceilings in good condition.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to correct a site or building condition that was a fire, health, or physical hazard.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

Life Safety CodeCited Jun 6, 2025Corrected —

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 Jun 6, 2025Corrected —

The facility failed to keep floors in good condition and regularly cleaned.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to ensure the building electrical system met the referenced codes and standards.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to obtain pressure tests of gas piping in the facility.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to post an emergency evacuation floor plan where it was visible to residents.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

Life Safety CodeCited Jun 6, 2025Corrected —

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 Jun 6, 2025Corrected —

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

Life Safety CodeCited Jun 6, 2025Corrected —

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

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to ensure means of escape met the referenced codes and standards.

Life Safety CodeCited Jun 6, 2025Corrected —

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

Life Safety CodeCited Jun 6, 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.

Life Safety CodeCited Jun 6, 2025Corrected —

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

Life Safety CodeCited Jun 6, 2025Corrected —

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

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to provide the minimum required number of toilets and lavatories.

Life Safety CodeCited Jun 6, 2025Corrected —

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 Jun 6, 2025Corrected —

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.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to provide smoke detectors in the required locations.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to provide hot water with a temperature between 100 and 120 degrees F for lavatories and bathing units.

Life Safety CodeCited Jun 6, 2025Corrected —

The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives

Life Safety CodeCited Jun 6, 2025Corrected —