F635 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F635 more often than its own record predicts
Versus expected share1.69×
1.69 times the share F635 takes of citations nationally.
Share of Texas citations0.09%
Of every deficiency written in Texas in 2025, this is the portion that was F635.
Texas0.09%
National0.06%
Share of all citations that were F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F635 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.
J · Immediate jeopardy, isolatedJuly 3, 2025
Based on observation, interview, and record review, the facility failed to ensure there were physician orders for a resident's immediate care at the time the resident was admitted for 1 of 5 (Resident #49) reviewed for admission orders.The facility failed to obtain physician orders for Resident #49's immediate care when he admitted to the facility on [DATE] with a Stage 2 pressure ulcer on his coccyx, which resulted in the resident not receiving physician-ordered wound treatment from 06/02/25-06/24/25 and the Stage 2 pressure ulcer worsening to a Stage 4. An IJ was identified on 07/02/25. The IJ template was provided to the facility on [DATE] at 4:10 PM. …
D · No harm, potential for more than minimal, isolatedSeptember 4, 2026
Based on record review and interview, the facility failed to obtain physician orders for the resident's immediate care at the time the resident was admitted for one of six residents (Resident #63) reviewed for admission orders in that:Resident #63 did not have orders on file for admission to the memory care (secure) unit at the facility upon her admission [DATE].This failure could place the residents at risk of not receiving necessary care that could result in worsening of conditions or declines in the resident's health.The findings include:Record review of Resident #63's's face sheet, dated 09/01/2026, revealed an [AGE] year-old female with an admission date of 07/03/2026. …
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