Based on interview and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality care for 2 (Resident's #17, #22) of 6 residents reviewed for baseline care plans. The facility failed to ensure Resident #17's and Resident #22's baseline care plans addressed their mobility abilities.The facility failed to complete Resident #27 and Resident #44's baseline care plans.This failure could place residents at risk of getting insufficient care, not having personal needs not met resulting in hospitalizations and injuries related to falls. An IJ was identified on 09/04/25. …
F655 citations in Texas
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F655 more often than its own record predicts
1.38 times the share F655 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F655 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 to develop a base-line person-centered care plan for each resident to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 9 residents (CR #1) reviewed for base-line care plans. The facility failed to provide CR #1 with a base-line personal-centered care that addressed, monitored, and managed the development of wounds to CR #1's posterior area. This failure places residents at risk for appropriate care, treatment, monitoring, and timely assessment for the development of infections, resulting in hospitalization, a decline in health, or death. …
Based on record review and interview, the facility failed to develop a baseline care plan that included the instructions needed to provide effective and person-centered care of the residents for one (Resident #63) of six residents reviewed for baseline care plans for newly admitted residents in that: The facility did not initiate a baseline careplan for Resident #63 for six days after she was admitted on [DATE]. This failure could place residents at risk of not having their needs met and increases the risk for residents to experience adverse events, exacerbations or complications from medical conditions.The findings include:Record review of Resident #63's face sheet, dated 09/01/2026, revealed an [AGE] year-old female with an admission date of 07/03/2026. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.37% | 1.71× |
| 2024 | 1.17% | 1.70× |
| 2025 | 0.90% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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