Based on observations, interviews and record review, the facility failed to ensure a registered nurse signed and certified that the MDS assessment was completed for 3 (Resident #1, #6, and #7) of 8 residents reviewed for completion, in that: 1. The facility failed to ensure Resident #1 admission MDS was completed, reviewed, and signed by the designated RN/DON, and discharge MDS was completed prior to discharge on [DATE]. 2. The facility failed to ensure Resident #6's admission MDS was completed after admission on [DATE]. 3. The facility failed to ensure Resident #7's quarterly section GG was completed, reviewed, and signed by all disciplines. …
F642 citations in Texas
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F642 more often than its own record predicts
1.88 times the share F642 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F642 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.
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 1.58× |
| 2024 | 0.04% | 2.18× |
| 2025 | 0.01% | 1.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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