Based on observation, interview and record review the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 9 residents (Resident #1) reviewed for pain management. The facility failed to timely identify Resident #1's pain following a fall as a change in condition, failed to appropriately assess the pain, and failed to ensure ongoing monitoring and communication of the resident's pain status. …
F697 citations in Texas
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F697 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F697 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 that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 4 residents (CR#1) reviewed for pain management. The facility failed to provide CR#1 an adequate supply of scheduled hydrocodone-acetaminophen 10-325 mg during a 72-hour therapeutic leave, resulting in medication being unavailable for 4 scheduled doses. During that period, CR#1 reported pain of 8 on a scale of 0 to 10 (0 being no pain 10 being the worse pain), that interfered with her ability to sleep and function. This failure placed residents at risk for unmanaged pain and diminished quality of life. …
Based on interview, and record review, the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #2) of 5 residents reviewed for pain. The facility failed to administer Resident #2's Methadone HCI oral tablet 10MG ordered 4 times a day, each evening (6PM dose) on 08/03/26, 08/04/26, 08/05/26, 08/06/26, 08/07/26, 08/08/26, 09/09/26, 08/10/26, and 08/11/26. This resulted in Resident #2 not receiving the therapeutic effects of her combined pain medication which caused uncontrolled pain. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.47× |
| 2024 | 0.36% | 0.50× |
| 2025 | 0.35% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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