BOARDING WITH TENDER CARE INC

2025 · 37 cited

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

   Life Safety CodeCited Sep 18, 2025Corrected —

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

   Life Safety CodeCited Sep 18, 2025Corrected —

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

   Life Safety CodeCited Sep 18, 2025Corrected —

4. 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 Sep 18, 2025Corrected —

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

   Life Safety CodeCited Sep 18, 2025Corrected —

6. 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 Sep 18, 2025Corrected —

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

   Life Safety CodeCited Sep 18, 2025Corrected —

8. The facility failed to have evidence showing that the manager completed the required training in the management of assisted living facilities.

   Health VisitCited Apr 16, 2025Corrected —

9. The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

   Health VisitCited Apr 16, 2025Corrected —

10. The facility failed to ensure that the manager was on duty and managing only one facility, or for small type A facilities responsible for no more than 16 residents in no more than four facilities and available when off- site.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

12. The facility failed to train all staff in reporting abuse and neglect prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

13. The facility failed to train all staff in maintaining the confidentiality of resident information prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

14. The facility failed to train all staff in the use of universal precautions prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

15. The facility failed to train all staff in which conditions to report to the facility manager prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

16. The facility failed to train all staff in resident's rights prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

17. The facility failed to train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities.

    Health VisitCited Apr 16, 2025Corrected —

18. 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 Apr 16, 2025Corrected —

19. The facility failed to ensure that its staff completed required on-the-job training in behavior management including the prevention and management of dangerous behaviors.

    Health VisitCited Apr 16, 2025Corrected —

20. The facility failed to ensure that its staff completed the required on-the-job training in fall prevention.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

22. The facility failed to provide the required annual in-service training to its licensed nurses, certified nurse aides, or certified medication aides.

    Health VisitCited Apr 16, 2025Corrected —

23. The facility failed to keep current and complete personnel records.

    Health VisitCited Apr 16, 2025Corrected —

24. 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 16, 2025Corrected —

25. The facility hired or continued to employ a person who is listed on the EMR or NAR as unemployable.

    Health VisitCited Apr 16, 2025Corrected —

26. The facility failed to provide notification about the EMR to the employee.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

28. The facility failed to keep a copy of the initial or annual search of the NAR and EMR in the employee's personnel file.

    Health VisitCited Apr 16, 2025Corrected —

29. The facility failed to maintain clear and precise written policies regarding the implementation of advance directives.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

31. The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —

34. The facility failed to establish, implement, enforce, and maintain a written policy and procedures for making a rapid influenza diagnostic test, as defined in §553.3 of this chapter, available to a resident who is exhibiting flu like symptoms.

    Health VisitCited Apr 16, 2025Corrected —

35. The facility failed to establish, implement, enforce and maintain a written policy to protect a resident from vaccine preventable diseases in accordance with Texas Health and Safety Code, Chapter 224.

    Health VisitCited Apr 16, 2025Corrected —

36. The facility failed to post an HHSC notice that states inspection reports are available at the facility for public inspection and provides a toll-free telephone number for information.

    Health VisitCited Apr 16, 2025Corrected —

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

    Health VisitCited Apr 16, 2025Corrected —