18
Citations
11
Health Code
7
Life Safety
2
Citation Dates
0
Enforcement Actions

The most recent comprehensive inspection of Twin Rivers Assisted Living and Memory Care occurred on March 06, 2025, 18 violations of state standards were cited.

Findings may include citations from previous inspections. A citation is a rule violation noted by a state surveyor; the tables below show each one and whether the facility has recorded a correction date.

Provider Information

Status
Licensed
Type
Type B
Type AResidents must be physically and mentally able to evacuate the facility unassisted, are capable of following directions in an emergency, and do not require routine attendance during nighttime sleeping hours.
Type BResidents may need staff help to evacuate, may not be able to follow directions in an emergency, and may require attendance during nighttime sleeping hours. These facilities are held to stricter staffing and fire safety requirements.
Type CA four-bed facility that meets the state's adult foster care requirements — a small, home-style setting rather than a larger institutional one.
County
Dallas
Licensee
Vop Twin Rivers, LLC
Phone
(972) 979-4333
Accepts Medicare
No
Accepts Medicaid
No
Alzheimer Certification
Yes

Findings

18 citations across 2 dates

Health Code

11 citations
DateCorrectedState Violation Cited
3/6/2025PendingThe facility failed to ensure that the manager was on duty and managing only one facility, or for small type A facilities responsible for no more than 16 residents in no more than four facilities and available when off- site.
3/6/2025PendingThe facility failed to conduct criminal history checks of employees and applicants.
3/6/2025PendingThe facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.
3/6/2025PendingThe facility failed to search the NAR and EMR annually.
3/6/2025PendingThe facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.
3/6/2025PendingThe facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.
3/6/2025PendingThe facility failed to store, serve, or reheat foods at the appropriate temperatures.
3/6/2025PendingThe facility failed to ensure effective hair restraints were worn to prevent food contamination.
3/6/2025PendingThe facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.
3/6/2025PendingThe facility failed to conduct required fire drills and document fire drills on the required form.
3/6/2025PendingThe facility failed to have documented evidence showing that it had explained and provided a copy of the disclosure statement to the resident, family, or responsible party prior to admitting a resident.

Life Safety Code

7 citations
DateCorrectedState Violation Cited
10/3/2022PendingNo description provided
10/3/202211/1/2022The facility failed to conduct required fire drills and document fire drills on the required form.
10/3/202211/14/2022The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.
10/3/202211/14/2022The facility failed to provide required emergency lighting.
10/3/202211/17/2022The facility failed to ensure heating, ventilating and air-conditioning equipment met the referenced codes and standards.
10/3/202211/11/2022The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
10/3/202211/11/2022The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.

Enforcement Actions

0 records
No enforcement actions found
The state has not taken formal action against this license.