Deficiency Records for Focused Care of Waxahachie
Updated as of November 01, 2018
This is not the most recent data for Focused Care of Waxahachie. For the most recent information, click here.
A list of the most recent deficiencies for Focused Care of Waxahachie. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-31 | 2018-07-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-31 | 2018-07-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-31 | 2018-06-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-01 | 2018-06-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-06-01 | 2018-06-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-01 | 2018-06-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-01 | 2018-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-01 | 2018-06-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-01 | 2018-06-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-01 | 2018-06-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-01 | 2018-06-29 | Y |
| Keep all essential equipment working safely. | Health | 2018-06-01 | 2018-06-29 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-31 | 2018-06-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-31 | 2018-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-31 | 2018-06-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-06-01 | 2018-06-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-05-25 | 2017-07-09 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-05-25 | 2017-07-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-07-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-05-25 | 2017-07-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-05-25 | 2017-07-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-25 | 2017-07-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-10 | 2017-04-11 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-10 | 2017-03-02 | Y |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-13 | 2016-05-14 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-14 | 2016-05-14 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-04-14 | 2016-05-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-04-14 | 2016-05-14 | Y |
| Keep all essential equipment working safely. | Health | 2016-04-14 | 2016-04-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-04-13 | 2016-04-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-04-14 | 2016-04-14 | N |
