Based on interview and record review the facility failed to electronically submit to CMS complete and accurate direct care staffing information, including information on direct care staff turnover and tenure, and on the hours of care provided by each category of staff per resident per day, including, but not limited to, start date, end date, and hours worked for each individual and the facility must submit direct care staff information in the uniform format specified by CMS for 1 of 1 quarters (Fiscal Year 2026 for the second quarter January 1, 2026 to March 31, 2026) reviewed for administration. The facility failed to submit staffing data for quarter January 1, 2026 to March 31, 2026. This failure could place residents at risk for personal needs not being identified and met. …
F851 citations in Texas
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F851 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F851 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 interview and record review, the facility failed to electronically submit to CMS complete and accurate director care staffing information no less frequently than quarterly for one of four quarters reviewed for payroll based journal data. This failure placed residents at risk of not being aware of the facility's staffing information which may result in adverse health outcomes due to low staffing levels. Findings include: Record review of the PBJ Staffing Data Report for Quarter 2 of 2026 (January 1-March 31) generated on 6/17/26 revealed the facility failed to submit data for the quarter. In an interview on 6/17/26 at 5:30pm, the Quality Director stated the coordinator was responsible for submitting staffing data to CMS. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 1.43× |
| 2024 | 0.23% | 0.77× |
| 2025 | 0.10% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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