Based on interview and record review, the facility failed to ensure an encoded, accurate, and complete MDS assessment was electronically transmitted to the CMS System within 14 days after completion for 2 of 8 residents (Resident #3 and #35) reviewed for resident assessments. The facility failed, on 05/14/2026, to transmit a quarterly assessment to CMS for Resident #3 within 14 days of completion on 04/21/2026 by the MDS Coordinator. The facility failed, on 08/14/2026, to transmit a quarterly assessment to CMS for Resident #35 within 14 days of completion on 07/23/2026 by the MDS Coordinator. …
F640 citations in Texas
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F640 more often than its own record predicts
1.21 times the share F640 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F640 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 observation, interview and record review, the facility failed within 14 days after a facility completes a resident's assessment to transmit encoded, accurate, and complete MDS data to the CMS System for 5 of 14 residents (Residents #62, # 86, #107, #123, and #132) reviewed for MDS transmission. 1. Residents #62, #107, #123, and #132's, discharge MDS assessments were not transmitted within 14 days of completion. 2. Resident #86's admission MDS assessment on 03/20/2026 was not completed and not transmitted within 14 days since the resident was admitted to the facility on [DATE]. This deficient practice placed residents at risk of not having completed assessments and not having appropriate care. The findings were: 1. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 1.52× |
| 2024 | 0.35% | 1.09× |
| 2025 | 0.35% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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