Based on observation , interview and record review the facility failed to ensure the rights to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 1 of 5 residents (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1 had his communication device when he was temporarily transferred to another room. While in the room Resident#1 yelled for help, and Resident #1 was sexually assaulted. An Immediate Jeopardy (IJ) situation was identified on 08/23/23. …
F558 citations in Texas
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F558 more often than its own record predicts
1.62 times the share F558 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F558 findings written in Texas, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview and record review, the facility failed to accommodate the needs and preferences of one of five residents (Resident #1 ) reviewed for accommodation of needs in that: -Resident # 1 was not provided a bariatric bed as needed, which caused the resident to slide off the bed during incontinent care resulting in fractured knee and skin tears. This failure affected one resident and placed her at risk for not having her needs and preferences met and a decreased quality of life. Findings include: Intake # 5 Resident # 1 Record review of Resident # 1's medical records revealed an [AGE] year old female admitted to the facility on [DATE], and readmitted on [DATE]. Her [DIAGNOSES REDACTED]. …
Based on observations, interviews, and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of needs and preferences for 1 of 4 residents (Resident #59) reviewed for reasonable accommodation of needs. The facility failed to ensure Resident #59's call light was in a position accessible to the resident on 09/12/2026. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.80% | 1.65× |
| 2024 | 2.16% | 1.88× |
| 2025 | 1.80% | 1.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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