Based on observation, interview, and record review, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one of six residents (Resident #1) reviewed for range of motion. The facility failed to implement interventions to prevent further decline of Resident #1's contracture to her left hand after discharge from occupational therapy on [DATE]. This failure could result in a decline in range of motion and worsening of contractures to the residents. Findings included: Record review of Resident #1's quarterly MDS assessment, dated [DATE], reflected a [AGE] year-old female with an admitted [DATE]. …
F688 citations in Texas
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F688 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F688 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 residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for 1 of 2 residents (Resident #42) reviewed for range of motion. The facility failed to ensure Resident #42 had a carrot (soft, cone shaped device) applied to the left hand per physician orders for contracture management. The failure could place residents at risk for decline in range of motion, decreased mobility, pain, and worsening of contractures. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.43× |
| 2024 | 0.31% | 0.35× |
| 2025 | 0.28% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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