CASTLEROCK ASSISTED LIVING, LP

The facility failed to have and enforce a smoking policy.

Life Safety CodeCited Jun 4, 2026Corrected —

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 4, 2026Corrected —

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 4, 2026Corrected —

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 4, 2026Corrected —

The failed to provide safe waste containers in smoking areas.

Life Safety CodeCited Jun 4, 2026Corrected —

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

Life Safety CodeCited Jun 4, 2026Corrected —

The facility failed to test and maintain an emergency generator that provides power to emergency lighting.

Life Safety CodeCited Jun 4, 2026Corrected —

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 Jun 4, 2026Corrected —

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

Life Safety CodeCited Jun 4, 2026Corrected —

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

Life Safety CodeCited Jun 4, 2026Corrected —

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

Life Safety CodeCited Jun 4, 2026Corrected —

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

Life Safety CodeCited Jun 4, 2026Corrected —

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

Health VisitCited Feb 26, 2025Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Feb 26, 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 Feb 26, 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 Feb 26, 2025Corrected —

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

Health VisitCited Feb 26, 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 Feb 26, 2025Corrected —

The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

Health VisitCited Feb 26, 2025Corrected —

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

Health VisitCited Feb 26, 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 Feb 26, 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 Feb 26, 2025Corrected —

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

Health VisitCited Feb 26, 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 Feb 26, 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.

Health VisitCited Feb 26, 2025Corrected —