Based on observation, interview and record review, the facility to ensure that the residents had the right to self determination and that the facility promoted and facilitated resident self-determination for 1 (Resident #9) of 23 resident who were reviewed for resident rights. The facility failed to ensure Resident #9's right to make choices about aspects of his life that were significant to the resident by not ensuring his right to have access to a working debit card attached to his personal funds for his own daily use. The facility failed to prevent the Administrator from purchasing a pre-need funeral plan in the amount of $13, 034.41 when Resident #9 had expressed to his family member he did not want a pre-need funeral plan. An IJ was identified on 05/09/25 at 06:24 PM. …
F561 citations in Texas
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F561 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F561 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 interview and record review the facility failed to promote and facilitate resident self-determination through support of resident choice about aspects of his or her life in the facility that are significant to the resident for 1 of 26 residents (#14) whose records were reviewed for resident rights. The SW did not follow up with the psychiatric NP to ensure that Resident #14 completed the necessary assessment for discharge planning. Resident #14 experienced prolonged emotional distress when she wanted to seek community placement but was led to believe she could not, due to a NP's order indicating the resident would be considered leaving against medical advice if she sought discharge from the facility. …
Based on observation, interview and record review, the facility failed to promote and facilitate resident self-determination through support of resident choice including the right to choose activities and schedules (including sleeping and waking times) for 1 of 4 residents (Resident #1) reviewed for Residents Rights in that: Resident #1 was left in bed all 6:00 a.m. - 6:00 p.m. shift on 8/9/26 despite asking CNA A to get up out of bed. This failure could place all residents at risk for diminished quality of life, skin integrity breakdown, and hospitalization.Findings included: Record review of Resident #1's face sheet dated 8/12/26 indicated Resident #1 was a [AGE] year-old male originally admitted on [DATE] and readmitted on [DATE] with diagnoses of quadriplegia (partial paralysis of all… …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 0.55× |
| 2024 | 0.20% | 0.48× |
| 2025 | 0.25% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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