47215 Based on observation, interview, and record review the facility failed to provide the necessary services to maintain grooming and personal care for 5 (Resident #8, Resident #12, Resident #18, Resident #20, Resident #30) of 73 residents reviewed for ADL care, in that: The facility failed to ensure residents at the facility were provided with hot water and baths/showers for a month, that would allow them to maintain cleanliness and access to activities of daily living. There had been no hot water in the facility for over a month. …
F677 citations in Texas
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F677 more often than its own record predicts
1.15 times the share F677 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F677 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 ensure a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain nutrition, grooming and personal and oral hygiene for 1 of 4 residents (CR #1) reviewed for ADLs. The facility failed to ensure CR #1, a resident with wounds, was provided with personal grooming, showers, and bed baths on the 2:00 p.m. to 10:00 p.m. shift. These failures could place residents at risk for skin breakdown, offensive odors, or infections, resulting in a decline in health, hospitalization, or dealth. …
Based on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 resident (Resident #119) of 6 residents reviewed for ADLs. The facility failed to ensure Resident #119 had her fingernails trimmed and cleaned on both hands on 09/15/2026. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and skin breakdown, and a decreased quality of life.Record Review of Resident #119's Quarterly MDS assessment dated [DATE] reflected a [AGE] year-old female with initial admission date of 04/21/2025 to the facility. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 3.01% | 1.08× |
| 2024 | 2.87% | 1.19× |
| 2025 | 2.60% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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