SOUTHWEST ASSISTED LIVING MEMORY CARE

2025 · 12 cited

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

   Health VisitCited Dec 10, 2025Corrected —

2. 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, 2025Corrected —

3. 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, 2025Corrected —

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

   Life Safety CodeCited Jun 4, 2025Corrected —

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

   Life Safety CodeCited Jun 4, 2025Corrected —

6. 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 Jun 4, 2025Corrected —

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

   Life Safety CodeCited Jun 4, 2025Corrected —

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

   Life Safety CodeCited Jun 4, 2025Corrected —

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

   Life Safety CodeCited Jun 4, 2025Corrected —

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

    Life Safety CodeCited Jun 4, 2025Corrected —

11. The facility failed to ensure the building electrical system met the references codes and standards.

    Life Safety CodeCited Jun 4, 2025Corrected —

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

    Life Safety CodeCited Jun 4, 2025Corrected —