Inspections
The most recent comprehensive inspection of Primrose of Tyler occurred on March 12, 2024, 21 violations of state standards were cited.
Findings
(May include findings from previous inspections)
Health Code
| Date | Corrected | State Violation Cited |
|---|---|---|
| No Health Code violations found | ||
Life Safety Code
| Date | Corrected | State Violation Cited |
|---|---|---|
| 11/20/2020 | 5/27/2021 | The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25. |
| 11/20/2020 | 7/16/2021 | The facility failed to provide the required sprinkler system to meet NFPA 13. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide copies of the fire sprinkler system approval, and/or a copy of the hydraulic calculations, alarm configuration, above ground and underground Contractor's Material and Test Certificate proper manufacturing instructions. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure an emergency generator was in compliance with licensing standards for assisted living facilities. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide each bedroom with at least one operable window with outside exposure and/or of the required size and/or accessibility. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide lighting levels in compliance with licensing standards for assisted living facilities. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure ramps did not exceed a slope of 1:12, and/or failed to provide all acceptable features of ramps, guardrails, fences, and handrails. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide and maintain heating and cooling systems in compliance with licensing standards for assisted living facilities. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide reasonable access and/or necessary equipment for maintenance, testing, and servicing of equipment. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure a positive air circulation for effective venting of the dry food storage area. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure lighting levels were in compliance with licensing standards for assisted living facilities and the Illumination Engineering Society of North America. |
| 11/20/2020 | 7/2/2021 | The facility failed to ensure the building and structure complied with Chapter 18, New Health Care Occupancies, of the Life Safety Code, NFPA 101. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide adequate janitor closets. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide a soiled linen receiving, holding, and sorting room with a floor drain and forced exhaust to the exterior that operated at all times there is soiled linen being held in this area. |
| 11/20/2020 | 5/27/2021 | The facility failed to provide record drawings of the fire detection and alarm system as installed as required. |
| 11/20/2020 | 5/27/2021 | The facility failed to ensure the installations were completed on the fire alarm and sprinkler systems, and/or emergency power and lighting systems, and/or failed to ensure the systems functioned as required. |
Enforcement Actions
Date of Action
12/18/2023
Action Taken
Administrative Penalty
Final Assessed Amount
$2250.00
Related Violations
| TAC | State Violation Cited |
|---|---|
| 553.267(a)(3)(E)(ii) | The facility failed to ensure each resident was free from abuse, neglect, and exploitation. |