Based on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activities professional who was licensed or registered by the State for 1 of 1 facility reviewed for qualifications of activity professionals. The facility failed to have a qualified Activities Professional direct their activities program. This deficient practice could place residents at risk of not receiving approaches that were individualized to match the skills, abilities, and interests/preferences of each resident for activities. …
F680 citations in Texas
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F680 more often than its own record predicts
1.76 times the share F680 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F680 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 the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activity director for 1 of 1 (activities staff) reviewed for staff qualifications. The facility failed on 08/18/2026 to ensure the activities director (AD) hired 04/09/2026 had completed State approved training to direct facility activities. This failure could place residents who participated in facility activities at risk of physiological, psychological, social, and spiritual harm by receiving services from unlicensed personnel.Findings included: Record review of the AD's employee file on 08/19/2026 at 4:40 p.m. revealed hire date of 04/09/2026. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 1.35× |
| 2024 | 0.11% | 1.40× |
| 2025 | 0.12% | 1.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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