41653 41871 41944 Based on observation, interview, and record review the facility failed to have enough qualified staff to provide adequate care for residents with mental and psychosocial disorders for 13 of 13 residents (Resident #6, Resident #9, Resident #15, Resident #36, Resident #38, Resident #40, Resident #43, Resident #53, Resident #57, Resident #74, Resident #83, Resident #88, and Resident #199) reviewed for staffing behavioral health needs. 1. The facility failed to ensure there was sufficient staffing with necessary competencies to maintain safety and highest practicable physical, mental and psychosocial well being for residents on Station 2/Hall 6 (women secured locked unit) to meet the needs of Resident #43, Resident #53 and Resident #74 to prevent a resident-to-resident… …
F741 citations in Texas
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F741 less often than its own record predicts
0.22 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F741 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 interviews and record review, it was determined the facility failed to ensure that staff who provided direct services to residents had the appropriate competencies and skills sets to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being for 2 of 6 residents (Residents #1 and #2) whose care was reviewed in that: The facility failed to adequately staff the secured unit resulting in a resident to resident altercation which resulted in major injuries for Resident #2. LVN A, who was alone on the secured unit with 22 residents, failed to notice Resident #1 moving in his wheelchair down the hallway to Resident #2's room. LVN A, who was sitting at the nurses station charting, heard a noise and thought someone fell . …
Based on observation, interviews and record review, the facility failed to ensure sufficient staff to meet the needs necessary to care for residents' behavioral health needs safely and in a manner that promoted each resident's rights, physical, mental, and psychosocial well-being for 1 of 2 (Resident #32) reviewed for behaviorally competent nursing staff. Resident #32 had orders for one-on-one monitoring and did not receive it. This failure could place other residents at risk of injury or harm from other residents' actions. …
What else Texas surveyors cite →
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