Based on interview and record review, the facility failed to assess a resident using the quarterly review instrument specified by the State and approved by CMS not less frequently than once every three months for 1 (Resident #37) of 2 residents reviewed for MDS assessments. The facility failed to complete Resident #35's Quarterly MDS Assessment within three months of their most recent comprehensive assessment.This failure could lead to residents not receiving necessary, complete, or correct care due to lack of current information for their care plans.Findings include:Record review of Resident #35's admission Record, dated 06/17/2026, revealed resident admitted on [DATE] with diagnoses including Type 2 Diabetes Mellitus (chronic condition where your body does not use insulin properly or… …
F638 citations in Texas
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F638 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F638.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F638 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 assess each resident using the quarterly review instrument specified by the State and approved by CMS in a timely manner for 1 (Resident #42) of 8 residents reviewed for timely assessment, in that: The facility failed to complete Resident #42's quarterly MDS assessment by 2/6/26 This failure could lead to residents not receiving necessary, complete, or correct care due to lack of current information. The findings were: Record review of the admission Record, dated 2/26/26, reflected Resident #42 was a [AGE] year-old female admitted on [DATE] with diagnoses that included atherosclerotic heart disease of native coronary artery without angina pectoris (a condition in which plaque builds up in the coronary arteries that supply blood… …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.70× |
| 2024 | 0.18% | 1.02× |
| 2025 | 0.10% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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