Based on observation, interviews, and record reviews the facility failed to ensure that the resident environment remained safe, clean, comfortable, and homelike including keeping the facility comfortable and safe temperature levels. Facilities initially certified after October 1, 1990, must maintain a temperature range of 71 to 81 F; for 1 of 1 memory care unit.The facility failed to maintain comfortable and safe temperature levels in the memory care unit when the local temperatures were at 97 Degrees Fahrenheit (F) and the temperature inside the memory care unit was 93 degrees (F) on 08/09/2025. An IJ was identified on 08/09/2025. The IJ template was provided to the facility on [DATE] at 8:47pm. …
F584 citations in Texas
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F584 more often than its own record predicts
1.06 times the share F584 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F584 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 ensure the resident's right to a safe, clean, comfortable, and homelike environment for 1 (Resident #1's room) of 12 resident rooms reviewed for physical environment.The facility failed to ensure there were no pests in Resident #1's room on 9/5/25.This failure could place residents at risk of psychosocial harm due to diminished quality of life and/or physical harm. Findings included:Record review of Resident #1's admission Record, dated 9/20/25, revealed the resident was admitted on [DATE] with diagnoses which included: Need for Assistance with Personal Care, Muscle Weakness, Polyneuropathies (disorder affecting multiple peripheral nerves, causing damage/dysfunction), and history of other diseases of the nervous… …
Based on observation, interview, and record review, the facility failed to provide a safe, comfortable, and homelike environment for 1 of 9 residents (Resident #49) reviewed for a safe and comfortable environment.The facility failed to provide Resident #49 with a sanitary and clean bed after a bowel movement on 09/08/2026. This failure could place residents at risk of decreased resident satisfaction with their environment and a lack of a homelike environment.The findings included:Record review of Resident #49's admission Record, dated 09/10/2026, revealed a [AGE] year-old female admitted on [DATE]. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 2.26% | 1.01× |
| 2024 | 2.46% | 1.15× |
| 2025 | 2.24% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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