Based on interview and record review, the facility failed to ensure agreements pertaining to services furnished by outside resources specified in writing that the facility assumes responsibility for obtaining services that meet professional standards and principles that apply to professionals providing services in such a facility for 1 of 1 dialysis facilities reviewed for dialysis services. The facility did not have a written agreement with the dialysis center. This failure could place residents requiring dialysis at risk for failure to receive dialysis services due to lack of coordination of care with a dialysis center and therefore potential physical harm and psychosocial harm. Record review of the Survey Ready Book, behind the tab contracts was a letter. …
F840 citations in Texas
Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Texas cites F840 more often than its own record predicts
1.45 times the share F840 takes of citations nationally.
Of every deficiency written in Texas in 2024, this is the portion that was F840.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F840 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 | 0.04% | 1.33× |
| 2024 | 0.07% | 1.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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