Retreat at Carrollton, LLC

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

Health VisitCited Mar 25, 2026Corrected —

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

Health VisitCited Mar 25, 2026Corrected —

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

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to provide smoke compartmentation where required.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to ensure that all alarm initiating devices would automatically activate an audible or visual alarm at the facility.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to provide smoke detectors in the required locations.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to provide a janitorial facility in the kitchen area and exclusively for the kitchen and failed to provide a can or cart washing area with hot and cold water.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

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

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to ensure corridors met the Life Safety Code.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

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

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to provide a staff area on each floor and in each separate building containing resident bedrooms with all the required features.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to provide a communication system when resident bedrooms or living units were located on two or more floors or in multiple buildings.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to ensure that, if laundry was co-mingled and processed in a single central location in the facility, the laundry facility provided all the required fire protection and sanitization features.

Life Safety CodeCited Mar 5, 2024Corrected Apr 29, 2024

The facility failed to ensure that interior wall and ceiling finishes met required surface burning characteristics.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

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

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to protect hazardous areas as required by the referenced codes and standards.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed provide the minimum fire-resistant construction based on the height of the building.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

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

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure doors to resident rooms and living units could be closed by the occupants.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure equipment using natural gas or propane met the referenced codes and standards.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide a telephone for use by residents and staff with emergency telephone numbers posted at or near the telephone.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure openings between floors were protected to prevent the spread of fire and smoke from one floor to another.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure a bedroom had a floor area of at least 100 square feet for a single-occupancy bedroom or at least 80 square feet per resident in bedrooms occupied by more than one resident.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide a janitorial facility in the kitchen area and exclusively for the kitchen and failed to provide a can or cart washing area with hot and cold water.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide at least two separate stairs between the ground floor and other floors and that all stairs used as a means of egress meet the Life Safety Code.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide required emergency lighting.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure corridors met the Life Safety Code.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide smoke compartmentation where required.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide additional smoke detectors and heat detectors in living units with ranges or stoves.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

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

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure the fire alarm system automatically notified emergency forces.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024

The facility failed to ensure a generator that provided emergency power for required emergency systems met the referenced codes and standards.

Life Safety CodeCited Dec 14, 2023Corrected Mar 5, 2024