Based on interviews and record reviews, the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 6 residents (R#1). 1. The facility failed to ensure a thorough investigation was completed in regard to the validity of witness statements alleged against R#1 on [DATE]. R#1 was discharged from the facility on [DATE] had nowhere to go from [DATE] through [DATE] and was hospitalized on [DATE].2. The facility failed to take immediate action to ensure the safety of all residents when there is a credible threat to the health and safety of residents alleged against R#1 on [DATE]. An IJ was identified on [DATE]. …
F835 citations in Texas
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F835 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F835 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 reviews, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable well-being of each resident for for 9 of 11 residents ( Residents #1, #2, #3, #4 #5, #6, #7,#8 and #11). 1. The facility Administration failed to ensure an effective system to monitor for adequate staffing to provide Resident #6 needed care to prevent feelings of helplessness and pain from prolonged exposure to diarrhea for 3 hours while unable to obtain assistance. Residents #4 and #7 needed care including incontinent care and repositioning on 1/23/2025 for an unknown amount of time. 2. …
Based on observation, record review and interview, the facility failed to be administered in to maintain the highest practicable well-being of each resident reviewed for administration.Administration failed to notify staff and residents that a tree had fallen during the storm the night of 08/28/2026 and was blocking the exit door at end of Corridor E and walkway.This failure could place residents at risk for delayed exit or prevent safe evacuation during an emergency, which could cause smoke or fire related injuries to residents. Findings included: Observation on 08/30/2026 at 12:19 p.m., upon exterior inspection of the facility revealed there was a fallen tree near the E Hall Emergency Exit. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 0.50× |
| 2024 | 0.12% | 0.36× |
| 2025 | 0.12% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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