Based on observation, interview and record review, the facility failed to conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity for 1 of 7 residents (Resident #1) reviewed for accuracy of MDS assessments. The facility failed to complete Resident #1's Hearing, Speech, Vision (Section B), Cognitive Patterns (Section C), Mood (Section D) and Health Conditions - Pain Assessment (Section J) on his Quarterly MDS assessment dated [DATE]. These failures could affect residents by placing them at risk for inaccurate and incomplete MDS assessment which could prevent residents from receiving correct care and services. …
F636 citations in Texas
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F636 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F636 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 record review and interview, the facility failed to assess each resident annual assessment using the MDS form specified by the state and approved by CMS for 1 of 10 residents (Resident 52) reviewed for annual assessments. Resident #52's Annual MDS Assessment was not completed within 96 days of the previous MDS assessment. This failure could place all residents at-risk of not having their assessments completed timely. The findings included: Record review of Resident #52's Face Sheet dated 03/14/2024 revealed he was a [AGE] year-old male who admitted to the facility on [DATE] with diagnoses of anoxic brain damage (restricted blood flow to the brain), acute and chronic respiratory failure with hypoxia (low blood oxygen), aphasia, dysphagia (difficulty swallowing), unspecified,… …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.47% | 1.20× |
| 2024 | 0.27% | 0.91× |
| 2025 | 0.19% | 0.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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