Deficiency Records for Focused Care of Waxahachie
Updated as of October 01, 2016
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Keep all essential equipment working safely. | Health | 2016-04-14 | 2016-04-15 | 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 |
| 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 |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-04-13 | 2016-04-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-04-15 | 2015-06-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-15 | 2015-06-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-04-15 | 2015-06-25 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-15 | 2015-06-25 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Proper backup exit lighting. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Proper backup exit lighting. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-15 | 2015-05-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-04-17 | 2015-05-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-04-17 | 2015-05-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-17 | 2015-05-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-17 | 2015-05-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-04-17 | 2015-05-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-17 | 2015-05-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-04-17 | 2015-05-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-04-17 | 2015-05-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-04-17 | 2015-05-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-04-17 | 2015-05-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-17 | 2015-05-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-17 | 2015-05-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-04-17 | 2015-05-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-17 | 2015-05-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-04-17 | 2015-05-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-04-17 | 2015-05-13 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-05-29 | 2014-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-30 | 2014-06-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-05-30 | 2014-06-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-05-30 | 2014-06-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-05-30 | 2014-06-13 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-04-15 | Not Fixed | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-04-15 | Not Fixed | N |
