Based on interviews and record review the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) level 1 residents with mental illness were provided with a PASRR level 2 evaluation for 1 of 4 residents (Resident#6) reviewed for resident assessments.Resident #6's PASRR Level I screening form did not reflect mental illness, and the resident did not have a PASRR Level II evaluation.This failure could place residents at risk of not receiving necessary specialized services to meet their individual needs.Findings included: Record Review of Resident #6's MDS assessment dated [DATE], reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident's BIMS score was 15, indicating no cognitive impairment. …
F645 citations in Texas
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F645 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 F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F645 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 with the state agency to ensure residents with mental illness receive care and services for two of two residents (Resident # 1 and Resident #2) reviewed for PASRR (Preadmission Screening and Resident Review). The facility failed to correctly complete the NFSS (Nursing Facility Specialized Screening) form and submit within 20 days for Resident # 1 and Resident #2 with a mental illness diagnosis. This failure could place residents at risk for not receiving specialized care and services to meet their unique needs. Findings include: Review of Resident # 1's face sheet revealed he was an [AGE] year-old male admitted on [DATE] with [DIAGNOSES REDACTED]. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.75% | 1.29× |
| 2024 | 0.74% | 1.16× |
| 2025 | 0.55% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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