Based on observation, interview, and record review, the facility failed to ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 1 direct-care staff (CNA K) and 1of 1 resident (Resident #109) reviewed for proficiency of nurse aides.The facility failed to ensure CNA K was trained on fall protocol. On 6/28/26, CNA K performed incontinent care independently on Resident #109, which required a 2-person assist, that resulted in Resident #109 falling off the bed and sustaining a laceration to his head. …
F726 citations in Texas
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F726 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F726 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 have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services by failing to appropriately assess, manage, and respond to acute, extreme levels of pain for 1 of 8 residents (Resident #3). The facility failed to ensure nurses caring for Resident #3 accurately documented her long-term pain levels in PCC (electronic health record). After a fall on 07/13/2026 a nursing note by LVN B dated 08/04/2026 reflected Resident #3 began complaining of pain. Nurses' notes reflected that Resident #3's pain increased and her ADLs declined. Resident #3 was sent to the hospital on [DATE] and diagnosed with bilateral sacral fractures. …
Based on interview and record review, the facility failed to provide nursing services to assure resident's safety and attain or maintain the highest practicable physical well-being for one (Resident #8) of five residents' records reviewed for of Nursing Services. The facility failed to assess, evaluate, plan and implement resident care for Resident #8's hypertension (a common condition where blood pushes too forcefully against your artery walls) on 01/01/26, 01/07/26, 01/08/26 and 01/09/26. The failure could place residents at risk of not receiving the proper care required to attain or maintain the highest practicable physical well-being. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.62% | 1.01× |
| 2024 | 0.53% | 0.81× |
| 2025 | 0.57% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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