Based on interview and record review, the facility failed to ensure all written grievance decisions included the date the grievance was received, a statement of the resident's grievance, the steps taken to investigate the grievance and a summary of the pertinent findings or conclusions for 1 of 4 (Resident #1) of reviewed grievances.The facility did not ensure a complaint and grievance form was filled out and followed up with after Resident #1 reported he was missing $200.00 on 08/08/2026. 2. The facility did not ensure resident's grievance was documented on the grievance log for the month of August after Resident #1 reported he was missing $200.00 on 08/08/2026. These deficient practices could place the residents at risk for decreased quality of life and feelings of neglect. …
F585 citations in Texas
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F585 more often than its own record predicts
1.10 times the share F585 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F585 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 observations, interviews, and record review, the facility failed to notify residents or their representatives on how to file a grievance or complaint in an anonymous manner.The facility failed to notify residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner.These failures could affect resident's ability to file a grievance without the fear of discrimination, reprisal, retribution, and their right to anonymously file their grievance.Findings included:Observation on 03/04/26 at 2:45 PM the State Surveyor observed there were no grievance forms available in any common areas nor indications of places where grievance forms were normally kept. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.43% | 0.71× |
| 2024 | 0.55% | 0.87× |
| 2025 | 0.71% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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