F641 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F641 more often than its own record predicts
Versus expected share1.19×
1.19 times the share F641 takes of citations nationally.
Share of Texas citations2.19%
Of every deficiency written in Texas in 2025, this is the portion that was F641.
Texas2.19%
National1.84%
Share of all citations that were F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F641 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.
K · Immediate jeopardy, patternFebruary 8, 2019
Based on interviews, record reviews, and observations the facility failed to accurately make a comprehensive assessment for 1 of 2 (Resident #1) residents in that:
The facility failed to accurately assess the resident's corneal transplant upon admission.
The facility discontinued a critical medication when staff entered the physician orders [REDACTED].#1's antibiotic and steroid eye drops prescribed to prevent an infection to the resident's right eye corneal transplant. The Resident missed 32 doses of his [MEDICATION NAME] (used to treat eye infection such as [MEDICAL CONDITION] and 19 does of his [MEDICATION NAME] Acetate (Steroid used to treat eye swelling by allergy, infections, injury, and surgery). …
Based on observation, interview and record review, the facility failed to ensure the assessment accurately reflected the status for 1 of 4 residents reviewed for assessments. (Resident #1)
LVN A did not include an unwitnessed fall in the assessment of Resident #1 on 11/16/19. Resident #1 was not able to bear weight, she complained of leg pain and told staff her legs were broken. The resident who usually walked to the bathroom had incontinent episodes and refused care. After 2 days (11/16/19 at 2:15 a.m. until 11/18/19 at 2:30 p.m.) LVN D notified the nurse practitioner of the resident's fall on 11/18/19. The resident was sent to the hospital and was diagnosed with [REDACTED]. …
D · No harm, potential for more than minimal, isolatedSeptember 12, 2026
Based on observation, interview and record review the facility failed to ensure the assessment accurately reflected the residents' status for 1 of 9 (Resident #37) residents whose records were reviewed for assessments.1. Nursing staff failed to accurately code Resident #37's assessment of mental status, daily preferences, activity preferences, and that he had behavioral symptoms on his MDS assessment to reflect progress notes being documented.2. This deficient practice could place residents at risk of not identifying care areas and result in residents not receiving needed care and services.The findings included:Record review of Resident #37's admission Record, dated 09/10/2026, revealed a [AGE] year-old male admitted [DATE], he was listed as his own responsible party. …
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