FIRST STREET ASSISTED LIVING AND ADULT DAY CARE

2025 · 16 cited

1. The facility failed to separate the facility from other occupancies.

   Life Safety CodeCited Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

4. 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 Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

6. 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 Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

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

   Life Safety CodeCited Mar 13, 2025Corrected —

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

    Life Safety CodeCited Mar 13, 2025Corrected —

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

    Health VisitCited Jan 31, 2025Corrected —

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

    Health VisitCited Jan 31, 2025Corrected —

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

    Health VisitCited Jan 31, 2025Corrected —

14. 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 Jan 31, 2025Corrected —

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

    Health VisitCited Jan 31, 2025Corrected —

16. The facility failed to report incidents of abuse, neglect, or exploitation to HHSC's state office, or failed to follow its own internal policies regarding abuse, neglect, or exploitation.

    Health VisitCited Jan 31, 2025Corrected —