Based on observation, interview and record review, the facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical, mental, or psychosocial status for 1 of 7 residents (Resident's #1) reviewed for a change of condition. 1. The facility failed to notify the physician and document an assessment and communication with the physician on 8/5/2026, 8/7/2026 and 8/8/2026 when Resident #1 was exhibiting symptoms of a stroke. 2. The facility failed to follow their Change of Condition Policy by utilizing the SBAR communication form to document the communication with the MD on 8/5/2026, 8/7/2026 and 8/8/2026. …
F580 citations in Texas
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F580 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F580 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 immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical, mental, or psychosocial status for one (Resident #50) of four residents reviewed for change of condition. The facility failed to recognize a change in condition in Resident #50 on 3/13/2026 after she was reported to the CNA to be experiencing stroke like symptoms and Resident #50 was not transported to the hospital until 3/14/2026. …
Based on interviews and record reviews, the facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical status for 1 (Resident #1) of 4 residents reviewed for resident rights.The facility failed to ensure LVN D notified Resident #1's physician when his blood glucose was 412 on 08/22/26.This deficient practice could affect residents with a change of condition and result in not receiving adequate and timely invention and decline in condition.Findings included: Record review of Resident #1's admission record, dated 08/26/26, reflected a [AGE] year-old male, admitted on [DATE]. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.35% | 0.95× |
| 2024 | 1.66% | 1.09× |
| 2025 | 1.45% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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