Deficiency Index

F678 citations in Texas

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F678 in Texas. Pick another state for the same tag.

Against expectation — 2025

Texas cites F678 less often than its own record predicts

Versus expected share0.86×

0.86 times the national share — cited less often here than elsewhere.

Share of Texas citations0.16%

Of every deficiency written in Texas in 2025, this is the portion that was F678.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Texas surveyors wrote

F678 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, isolatedJuly 17, 2026

Based on interview and record review, the facility failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 3 residents (Resident #2) reviewed for death. The facility failed to provide immediate basic life support interventions for Resident #2 upon finding Resident #2 unresponsive on [DATE], and Resident #2 was declared deceased on [DATE]. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 5:33 PM. …

Normandy Terrace Nursing & Rehabilitation Center

G · Actual harm, isolatedDecember 2, 2021

Based on interview, and record review the facility failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to ensure Resident #3 received CPR, according to her wishes and physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This was determined to be past-noncompliance due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the investigation. …

Estates Healthcare and Rehabilitation Center

D · No harm, potential for more than minimal, isolatedMay 14, 2025

Based on observation, interview, and record review, the facility failed to ensure personnel provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 4 (Emergency Response Cart 1) emergency crush carts reviewed for emergency preparedness. Facility failed to check inventory daily on an Emergency Response Cart 1 on C hallway from [DATE] to [DATE]. These failures could place residents at risk for delayed emergency response care. The findings included: Review of Emergency Response Cart 1's daily log inventory check off on [DATE] at 09:46 AM, revealed no check off was completed from [DATE] to [DATE] on Emergency Response Cart 1. …

Five Points at Lake Highlands Nursing and Rehab

The short window

Recent years

YearShare of Texas citationsvs expected
20230.13%0.70×
20240.26%1.22×
20250.16%0.86×

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