Based on observation, interview, and record review the facility failed to protect the resident's right to be free from involuntary seclusion for 1 of 5 residents (Resident #1) reviewed for involuntary seclusion.The facility failed to ensure Resident #1 was not secluded when Resident #1 was placed in a vacant bathroom that was 60 degree Fahrenheit for approximately 5 hours. CNA A and LVN B knew Resident #1 was in the bathroom when the Surveyor found Resident #1 alone and cold. These failures resulted in an Immediate Jeopardy (IJ) situation on 02/21/2026. The IJ template was provided to the facility on [DATE] at 5:20 AM. …
F603 citations in Texas
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F603 more often than its own record predicts
1.38 times the share F603 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F603 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 did not ensure residents had the right to be free from involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms for 1 of 4 (Resident #1) residents reviewed for involuntary seclusion. The facility failed to follow their policy for residents refusing the test for COVID-19 resulting in Resident #1 being placed in isolation from 7/18/23 through 8/18/23 (32 days), 10/3/23 through 10/16/23 (13 days), and 11/6/23 through 11/11/23 (6 days). This failure could place residents at risk for increased depression and emotional and psychological harm. …
Based on observation, record review, and interview, the facility failed to ensure admission to the secured unit was free from involuntary seclusion for 3 of 7 residents (Resident #29, Resident #57, and Resident #68) reviewed for involuntary seclusion. The facility failed to include in Resident #29, Resident #57, and Resident #68s' record:1. Documentation of the clinical criteria met for placement in the secured/locked area by the resident's physician along with information provided by members of the interdisciplinary team on (dated) at (time).2. Documentation that reflected whether placement in the secured/locked area was the least restrictive approach that was reasonable to protect the resident and assure his/her health and safety on (date) at (time). 3. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.01% | 0.67× |
| 2024 | 0.05% | 0.97× |
| 2025 | 0.06% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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