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Avalon Memory Care

4551 BOAT CLUB RD, Fort Worth, TX, 76135 · Tarrant County

State violations cited

2026 · 27 cited

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

    Life Safety CodeCited May 13, 2026Corrected —

  2. The facility's plan failed to document the contact information for the EMC for the area.

    Life Safety CodeCited May 13, 2026Corrected —

  3. The facility failed to have a complete fire safety plan for the protection of everyone in the facility in the event of a fire.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

  7. The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

  11. 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 May 13, 2026Corrected —

  12. The failed to provide safe waste containers in smoking areas.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

  16. The facility failed to provide required emergency lighting.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

  19. The facility's plan failed to include a process that ensures communication with the EMC.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

  21. 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 May 13, 2026Corrected —

  22. The facility failed to notify each resident, next of kin, or legally authorized representative how to register for evacuation assistance with 2-1-1 Texas.

    Life Safety CodeCited May 13, 2026Corrected —

  23. The facility failed to register with 2-1-1 Texas to assist the state in identifying persons who may need assistance in a disaster.

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

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

    Life Safety CodeCited May 13, 2026Corrected —

2025 · 9 cited

  1. The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

    Health VisitCited May 14, 2025Corrected —

  2. The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.

    Health VisitCited May 14, 2025Corrected —

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

    Health VisitCited May 14, 2025Corrected —

  4. 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 May 14, 2025Corrected —

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

    Health VisitCited May 14, 2025Corrected —

  6. The facility's plan failed to document the contact information for the EMC for the area.

    Health VisitCited May 14, 2025Corrected —

  7. 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 May 14, 2025Corrected —

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

    Health VisitCited May 14, 2025Corrected —

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

    Health VisitCited May 14, 2025Corrected —

Enforcement actions

  • Administrative Penalty

    Oct 14, 2024

    name:
    EVT-0000458390
    action:
    Administrative Penalty
    agenyName:
    Avalon Memory Care
    rsEventId:
    a2ccv00000fCFr3AAG
    imposedDate:
    10/14/2024
    imposedAmount:
    2250.00
    penaltyWrapperLst:
    [object Object]

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