Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in Texas. Pick another state for the same tag.
Against expectation — 2025
Texas cites F837 more often than its own record predicts
Versus expected share1.53×
1.53 times the share F837 takes of citations nationally.
Share of Texas citations0.08%
Of every deficiency written in Texas in 2025, this is the portion that was F837.
Texas0.08%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F837 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.
L · Immediate jeopardy, widespreadApril 25, 2025
Based on interview and record review the facility failed to ensure the governing body of the facility had appointed an administrator, who is licensed by the state, to be responsible for the management of the facility and reports to the governing body, in that:
The facility had not had an administrator since [DATE].
The governing body failed to provide the facility with enough money to keep up services including telephone service, internet service, food services, van registration/insurance, laundry services, and fire and security services.
An Immediate Jeopardy was identified on [DATE] at 3:52 pm. The IJ template was provided to the facility on [DATE] at 3:52pm. …
F · No harm, potential for more than minimal, widespreadAugust 18, 2026
Based on interview and record review, the facility failed to ensure the governing body of the facility had appointed an administrator, who is licensed by the state, to be responsible for the management of 1 of 1 facility reviewed for governing body.The facility failed to ensure the Director of Operations, who was acting as the facility Administrator, had an active Texas Administrator license. The facility had not had a licensed administrator since 07/08/2026. This deficient practice could place residents at risk of decreased quality of life and quality of care due to lack of staff oversight and monitoring of care. …
C · No harm, potential for minimal, widespreadMarch 6, 2024
Based on interview the governing body failed to appoint an administrator who was Licensed by the State, where licensing was required; responsible for management of the facility; and reports to and was accountable to the governing body for 1 of 1 facilities reviewed for having an Administrator.
The facility failed to appoint a Licensed Administrator while having an Administrator in Training in the facility .
This failure could result in the facility not being managed in a responsible manner, which could affect the health and safety of all residents.
Findings included:
During an interview on 3/6/24 at 11:34 a.m. The Regional Nurse Consultant said the AIT had completed all his hours and was just awaiting to take if Nursing Facility Administrator test. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction