F689 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F689 more often than its own record predicts
Versus expected share1.04×
1.04 times the share F689 takes of citations nationally.
Share of Texas citations5.74%
Of every deficiency written in Texas in 2025, this is the portion that was F689.
Texas5.74%
National5.53%
Share of all citations that were F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F689 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, isolatedAugust 20, 2026
Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 5 residents (Resident #3) reviewed for accidents and supervision.The facility failed to provide adequate supervision to prevent Resident #3, a resident with severe cognitive impairment, from exiting the facility through the front entrance during the night, and being located by local law enforcement in the roadway near a local business before being returned safely to the facility on 7/20/2026 at approximately 5:23 a.m.An Immediate Jeopardy (IJ) was identified on 08/18/2026. The IJ template was provided to the facility on [DATE] at 3:56 p.m. …
Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and failed to ensure each resident received adequate assistance devices to prevent accidents for 1 (Resident #1) of 4 residents reviewed for accidents and hazards. The facility failed to ensure CNA E properly transferred Resident #1 without a gait belt causing significant bruising and pain to her left upper arm. The noncompliance was identified as PNC. The non-compliance began on 08/14/26 and ended on 08/27/26. The facility had corrected the noncompliance before the survey began. …
D · No harm, potential for more than minimal, isolatedSeptember 17, 2026
Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as is possible for one (200 hall) of four halls reviewed for hazards.The facility failed to ensure there were no hazards to 200 halls when two mechanical lifts were left parked and unlocked near resident's rooms on 09/15/26. This failure could place residents at risk of injury if they met or attempted to use an unsecured lift for support.Findings Included:Observation of the 200 Hall on 09/15/2026 at 5:46 AM, revealed an unlocked mechanical lift parked in the hallway between resident rooms. …
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