Based on interview and record review, the facility failed to incorporate the recommendations from the PASRR level II determination and the PASRR evaluation report into a resident's assessment, care planning and transitions of care for 1 of 2 residents (Resident #1) reviewed for PASRR. The facility failed to submit NFSS forms timely for Resident #1. This failure could place residents at risk for not receiving specialized services in a timely manner. Findings included: Record review of Resident #1's admission record, dated 11/06/2023, revealed a [AGE] year-old female who admitted on [DATE] with diagnosis that included dementia, pain, schizophrenia, major depressive disorder, and bradycardia (slow heart rate). …
F644 citations in Texas
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F644 more often than its own record predicts
1.91 times the share F644 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F644 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 coordinate assessments with the pre-admission screening and resident review (PASARR) program. for 3 of 15 (Residents #40, #10 and #23) residents reviewed for PASARR: 1.Resident #40 had a negative PASARR level 1 on admission and did not include form 1012 from physician. 2. Resident #10 had a negative PASARR level 1 on admission, should be positive PL1. 3. Resident #23's recommendation of Therapy services were not completed. This failure could place residents at risk of not receiving specialized services and could result in loss of PASARR services. …
Based on observations, record reviews, and interviews, the facility failed to ensure that the facility coordinated with the appropriate, state-designated authority, to ensure that residents, diagnosed with a mental illness, received care and services in the most integrated setting appropriate to their needs for one resident reviewed for PASRR. (Resident #1) The facility failed to refer Resident #1 to the appropriate state designated mental health authority for evaluation for the need for specialized services. This failure placed residents who have a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.13% | 1.58× |
| 2024 | 0.84% | 1.31× |
| 2025 | 1.22% | 1.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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