Graceland at Garden Ridge

2025 · 15 cited

1. 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 21, 2025Corrected —

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

   Life Safety CodeCited May 21, 2025Corrected —

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

   Life Safety CodeCited May 21, 2025Corrected —

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

   Life Safety CodeCited May 21, 2025Corrected —

5. 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 May 21, 2025Corrected —

6. The facility failed to provide smoke compartmentation where required.

   Life Safety CodeCited May 21, 2025Corrected —

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

   Life Safety CodeCited May 21, 2025Corrected —

8. 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 21, 2025Corrected —

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

   Life Safety CodeCited May 21, 2025Corrected —

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

    Health VisitCited May 16, 2025Corrected —

11. The provider failed to properly post or disclose to prospective residents the facility's normal 24-hour staffing pattern.

    Health VisitCited May 16, 2025Corrected —

12. The facility either failed to provide required counseling to residents who self-administer medications or failed to maintain a written counseling record.

    Health VisitCited May 16, 2025Corrected —

13. 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 16, 2025Corrected —

14. The facility failed to ensure direct care staff completed 12 hours of annual in- service education regarding Alzheimer's disease.

    Health VisitCited May 16, 2025Corrected —

15. 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 May 16, 2025Corrected —