Based on observation, interview and record review, the facility failed to ensure that when the facility anticipated discharge of one (Residents #1) of three residents reviewed, there was a discharge summary that included a recapitulation of the resident's stay. The closed records for Residents #1 that were reviewed did not contain facility discharge summaries that included a recapitulation of the residents' stay, signature of FM S/RP/POA confirmation of aftercare services for a resident that was impaired cognitively on 03/31/2025. An Immediate Jeopardy (IJ) situation was identified on 04/25/2025 at 5:57 PM. The ADM and DON was notified and provided an IJ template, and a POR (Plan of Removal) was requested. …
F661 citations in Texas
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F661 less often than its own record predicts
0.82 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F661 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 record review and interviews, the facility failed to ensure completion of a discharge summary including a recapitulation of the resident's stay, and final status at discharge for 1 of 3 residents (Resident #76) reviewed for discharge summary. The facility failed to ensure Resident #76's discharge summary was accurately completed. This failure could place residents at risk of not having complete records after permanent discharge from the facility. Findings included: Record review of Resident #76 face sheet dated 03/29/25, indicated a [AGE] year-old male who admitted to the facility on [DATE] with diagnoses which included metabolic encephalopathy (alteration in consciousness caused due to brain dysfunction), muscle weakness, chronic kidney disease (longstanding disease of the… …
Based on interview and record review, the facility failed to ensure a discharge summary was completed for 2 of 2 residents reviewed for discharge summaries. (Residents #7 and #56) Residents #7 and #56's closed records did not include discharge summaries. This failure could result in incorrect, incomplete, or misleading information being recorded regarding discharged residents. Findings included: Review of Resident #7's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #7's clinical record revealed the record did not include a discharge summary. Review of Resident #56's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.61× |
| 2024 | 0.18% | 0.77× |
| 2025 | 0.05% | 0.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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