Based on observation, interview, and record review the facility failed to protect the resident's right to be free from physical or chemical restraints imposed for purposes of discipline or convenience, and that are not required to treat the resident's medical symptoms for 1 of 7 residents (Resident #1) reviewed for physical restraint/chemical restraints. The facility failed to protect Resident #1 from physical restraint when LVN A, RN B, N/A C, and Laundry Staff D grabbed Resident #1 by his arms and legs which restricted his movement and dragged the resident across the floor and carried him by holding onto his arms and legs down to his room. The staff placed Resident #1 in his room and held the door closed so that he could not leave his room. …
F604 citations in Texas
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F604 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F604 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 ensure residents the right to be free from any physical restraints imposed for purposes of convenience, and not required to treat the resident's medical symptoms for 1 (CR #134) of 1 resident reviewed for restraints. Staff applied socks on both of CR #134's hands to restrict her movement during the night and did not remove the socks until family's intervention. This failure could place residents at risk of a decline in the ability to participate in activities of daily living (ADLs). Findings Included: Record review of CR #134's undated Face Sheet reflected a [AGE] year-old female who admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
Based on interview, and record review, the facility failed to ensure residents had the right to be treated with respect and dignity, including the right to be free from any physical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for one (Resident #2) of five residents observed for physical restraints.The facility failed to ensure Resident #2 was free from physical restraints on 08/17/26 when staff physically restrained Resident #2 during episodes of physical aggression to complete care. This failure could place residents at risk for physical and psychosocial harm, and decreased quality of life. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.69× |
| 2024 | 0.23% | 0.62× |
| 2025 | 0.34% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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