Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 7 residents reviewed for quality of care.1. The facility failed to address Resident #1's history of a stroke and disorder of brain circulation as a medical diagnoses in the facility's EMR. Resident #1's medical records did not include signs or symptoms of a stroke or brain circulation complication to monitor for.2. The facility failed to document assessments/findings on Resident #1 related to displayed stroke symptoms on 8/5 per the facility's change of condition policy.3. …
F684 citations in Texas
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F684 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F684 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 interview and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 3 resident (Resident #1) reviewed for quality of care.The facility failed to identify and intervene timely after Resident #1 had an unwitnessed fall on 08/16/2026 at 5:45 AM. Resident #1 was found to have left hip pain on assessment and was not sent to the hospital until approximately 3.5 hours later at 9:10 AM. This failure could place residents at risk of delayed treatment and not receiving needed care. …
Based on observation, interview, and record review, the facility failed to ensure residents with wounds received care and treatment consistent with professional standards of practice to promote healing and prevent further development of skin breakdown and infection for one of four residents (Resident #5) reviewed for quality of care. The facility failed to ensure LVN J did not clean Resident #5's wound with the gauze that was already used on 08/25/2026. This failure could place the residents with wounds at risk of infection.Findings included: Record review of Resident #5's Face Sheet, dated 08/25/2026, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with hemiplegia and hemiparesis. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.92% | 0.53× |
| 2024 | 2.36% | 0.59× |
| 2025 | 2.19% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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