Based on observation, interview, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in a safe operating condition for 1 of 6 residents (Resident #1) reviewed for safe requirements. The facility failed to provide a safe sling to be used for Resident #1 on [DATE]. On [DATE], Resident #1 was being transferred by Mechanical lift and the sling broke while Resident #1 was in the air, and she fell and hit her face on the legs of the Mechanical lift. The noncompliance was identified as PNC. The IJ began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for serious injury, serious impairment, or death. …
F908 citations in Texas
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F908 more often than its own record predicts
1.19 times the share F908 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F908 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 observation, interview, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in a safe operating condition for 1 of 6 resident (CR#1) reviewed for safe requirements. The facility did not monitor Hoyer lift slings used for mechanical transfer of residents and did not have a way of ensuring worn out slings were not in use. The facility identified a Hoyer lift sling was worn out but did not ensure other slings used for resident transfers were in good working condition. The facility failed to ensure the mechanical lift sling used to transfer CR#1 was in good condition . …
Based on observation, interview and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 facility reviewed for safe and functioning equipment. 1. The facility failed to maintain 2 of 2 vans used for resident transportation with one van in the shop and the other one not having adequate air conditioning.2. The facility failed to maintain 1 of 2 reach in refrigerators in the kitchen for an unknown period and used it for dry goods storage.3. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 1.27× |
| 2024 | 0.49% | 1.12× |
| 2025 | 0.54% | 1.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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