Based on observation, interview, and record review, the facility did not ensure residents were permitted to remain in the facility, and not transfer or discharge the resident from the facility unless the transfer or discharge was necessary for the resident's welfare and the resident's needs could not be met in the facility and failed to ensure a resident was not transferred or discharged while the appeal was pending for 1 of 5 residents (Resident #1) reviewed for discharges, in that: The facility failed to have a valid reason to discharge Resident #1 and failed to permit Resident #1 to remain in the facility while her discharge appeal was pending. This failure resulted in the identification of an Immediate Jeopardy (IJ) on 9/22/23 at 5:01 p.m. …
F622 citations in Texas
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F622 more often than its own record predicts
1.07 times the share F622 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F622 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 permit each resident to remain in the facility, and not transfer or discharge the resident from the facility for 1 of 7 (CR#1) residents reviewed for transfer and discharged rights being that: The facility failed to permit CR# 1 to remain in the facility, and not transfer or discharge the resident from the facility. CR #1 was not allowed to return to the facility following an eye doctor's appointment on 11/16/21 due to the facility no longer being able to meet CR #1's needs. After refusing CR#1 to enter back into the facility, CR#1 only had three personal gowns in her possession. …
Based on, interviews, and record reviews the facility failed to ensure each resident to remain in the facility, and not transfer or discharge the resident from the facility unless the transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility; the safety of individuals in the facility is endangered due to the clinical or behavioral status of the resident; and the health of individuals in the facility would otherwise be endangered for 1 of 3 (Resident #4) reviewed for discharge. Resident #4 was transferred to the hospital for a psychological evaluation on 3/25/2025 and was not allowed to return to the facility. The facility failed to document the bases of Resident #4's discharge. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.78× |
| 2024 | 0.27% | 0.83× |
| 2025 | 0.12% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction