New Hope Assisted Living

2025 · 28 cited

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

   Health VisitCited Oct 30, 2025Corrected —

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

   Health VisitCited Oct 30, 2025Corrected —

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

   Health VisitCited Oct 30, 2025Corrected —

4. The facility failed to ensure effective hair restraints were worn to prevent food contamination.

   Health VisitCited Oct 30, 2025Corrected —

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

   Health VisitCited Oct 30, 2025Corrected —

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

   Health VisitCited Oct 30, 2025Corrected —

7. The provider failed to post the facility's normal 24- hour staffing patterns.

   Health VisitCited Oct 30, 2025Corrected —

8. The facility manager and designee failed to enroll in an emergency communication system in accordance with instructions from HHSC.

   Health VisitCited Oct 30, 2025Corrected —

9. The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

   Health VisitCited Oct 30, 2025Corrected —

10. The facility failed to ensure means of escape met the referenced codes and standards.

    Life Safety CodeCited Sep 3, 2025Corrected —

11. The facility failed to provide a fire sprinkler system that met the referenced codes and standards.

    Life Safety CodeCited Sep 3, 2025Corrected —

12. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited Sep 3, 2025Corrected —

13. 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 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

19. The facility failed to correct a site or building condition that was a fire, health, or physical hazard.

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

21. 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 Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

24. 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 Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

26. 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 Sep 3, 2025Corrected —

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

    Life Safety CodeCited Sep 3, 2025Corrected —

28. The facility failed to have an ongoing and effective pest control program and to provide insect screens on operable windows.

    Life Safety CodeCited Sep 3, 2025Corrected —