F658 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F658 less often than its own record predicts
Versus expected share0.04×
0.04 times the national share — cited less often here than elsewhere.
Share of Texas citations0.07%
Of every deficiency written in Texas in 2025, this is the portion that was F658.
Texas0.07%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F658 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.
J · Immediate jeopardy, isolatedNovember 8, 2024
Based on interview and record review, the facility failed to ensure that services provided or arranged by the facility met professional standards of quality for 1 of 8 (Resident #1) residents reviewed for care, in that:
The facility failed to provide care that included but not limited to assessing, evaluating, and responding to residents needs for Resident #1.
On [DATE], LVN D did not conduct a thorough assessment of Resident #1 when informed by CNA C that Resident #1's family informed her the resident had stopped talking while eating and spit out a piece of meat. LVN D did not have her stethoscope to check lung sounds.
LVN D, when the family requested 911 be called, responded that they (the family) could call 911 if they wanted. …
Based on interview and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, meet professional standards of quality for 1 of 5 residents (Residents #1) reviewed for following physician orders.The facility failed to obtain a specialty care follow up appointment to the urologist for Resident #1 ordered post hospitalization on 1/7/26 after the insertion of a supra pubic catheter. Resident #1 was transferred to the hospital on 6/23/26 related to a change in condition and was diagnosed with sepsis and a urinary tract infection while at the hospital.These failures could place the residents at risk of not having their individual needs met and of not receiving adequate care and medical interventions to maintain… …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview, and record review, the facility failed to ensure the services provided by the facility meet professional standards of quality for 1 of 6 residents (Resident # 1) reviewed for professional standards. The facility failed to ensure LVN A followed the physician's order to send Resident #1 out to the hospital by emergency transfer after a fall exposed residents' possible bloody stool on his bed on [DATE] at approximately 10:00 AM, which prevented Resident #1 from receiving preventative treatment subsequently leading to Resident #1's death six hours later in the facility. This failure could place the residents at the facility at risk for physical, verbal, and/or psychosocial harm. …
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