Based on observation, interview and record review, the facility must not use any individual working in the facility as a nurse aide for more than four months on a full-time basis unless that individual has completed a training and competency evaluation program for 3 of 12 (NA-A, NA-B, & NA-C) non-certified nurse aides reviewed. The facility failed to ensure full-time NA-A, NA-B, and NA-C were certified within four months of the date of hire.This failure placed residents at risk of receiving inappropriate care from an individual whose skill level was not known.Findings included:Record review of the facility's employee files reflected NA-A was hired on 11/24/2025, NA-B was hired on 11/24/2025, and NA-C was hired on 2/26/2026 as non-certified nurse aides. …
F728 citations in Texas
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F728 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F728 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.
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.35× |
| 2024 | 0.08% | 1.05× |
| 2025 | 0.04% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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