Based on interview, observation and record review the facility failed to provide the necessary care and services for 1 of 11 (Resident #8) residents reviewed for transfer status. The facility failed to ensure that Resident #8, who was a 2 person assist in May 2025 and was changed to a mechanical transfer on 8/14/2025, did not suffer a decline in mobility. An Immediate Jeopardy (IJ) was identified on 8/15/2025. The IJ template was provided to the facility on 8/15/2025 at 4:45PM. While the IJ was removed on 8/16/2025, the facility remained out of compliance at a scope of pattern and a severity level of no actual harm with potential for more than minimal harm that was not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. …
F676 citations in Texas
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F676 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F676 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 provide, based on the comprehensive assessment of a resident and consistent with the resident's needs and choices, the necessary care and services to ensure that a resident's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable for 1 of 12 resident (Resident # 17) reviewed for activities of daily living. The facility failed to ensure Resident #17 was provided care and services in her primary language, which was Spanish. …
Based on observation, interview, and record review, the facility failed to provide the necessary care and services to ensure that a resident's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable based on the comprehensive assessment and consistent with the resident's needs and choices for 2 of 5 residents (Resident #25 and Resident #60) reviewed for activities of daily living. 1. The facility failed to provide a communication assistance device to effectively communicate with Resident #25 on 08/31/26 and 09/01/26. 2. The facility failed to provide translation assistance to effectively communicate with Resident #60 from 08/31/26 through 09/03/26. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.26× |
| 2024 | 0.06% | 0.16× |
| 2025 | 0.07% | 0.24× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction