Based on interview and record review, the facility failed to use the services of a registered nurse of at least 8 consecutive hours a day, 7 days a week for 1 of 60 days reviewed for RN coverage (06/19/2026).The facility failed to ensure they had an RN charge nurse on duty on 06/19/2026.This failure could place the residents at risk of missed nursing assessments, interventions, care and treatment.Findings included:Record review of the June 2026 overall RN hours reflected less than 8 consecutive hours worked by an RN on 06/19/2026. Record reviews of timecard punches for 06/19/2026 reflected less than 8 hours worked by an RN. RN2 worked 5.75 hours on 06/19/2026 from 5:43 PM till 12:00 AM. …
F727 citations in Texas
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F727 more often than its own record predicts
1.43 times the share F727 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F727 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 use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 9 of 9 weekends and 2 weekdays reviewed for nursing services. - The facility failed to have registered nurse (RN) coverage for several weekends and some week days. This could place all residents at risk for not having their nursing care and medical needs assessed and met. Findings included: Record review of facility's sign in sheets dated November 2023, December 2023 and January 2024 revealed the facility had 2 shifts that runs from 6 a.m. to 6 p.m. and 6 p.m. to 6 a.m. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.30% | 1.91× |
| 2024 | 0.87% | 1.61× |
| 2025 | 0.61% | 1.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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