Based on observations, interviews, and record reviews, the facility failed to ensure that the resident environment remains as free of accident hazards as is possible for 1 of 1 facility reviewed for physical environment, in that: The facility failed to ensure no open flames are near oxygen cylinders, store cylinders in the upright position, and secure the cylinders from residents and the public. An Immediate Jeopardy (IJ) was identified on 01/26/24 at 10:25 AM While the IJ was removed on 01/27/24 at 10:27 AM, the facility remained out of compliance at a scope of widespread and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy because the facility needed to monitor their corrective actions. …
F921 citations in Texas
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F921 more often than its own record predicts
1.23 times the share F921 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F921 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 observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 1 of 1 secured unit reviewed for environmental concerns, in that:1. The facility failed to ensure the secured unit common areas and hallways did not have soiled floors, chipped paint and holes in the sheetrock, peeling paint on handrail, hole in top left corner of end hall exit door, and peeling vinyl from dining chairs on 8/24/26.2.The facility failed to ensure resident rooms [ROOM NUMBERS] did not have soiled floors on 8/24/26.3.The facility failed to ensure the hallway was not dimly lit on the 800-hallway leading to common areas (TV room and Dining area) of secured unit.4.The facility failed to ensure room… …
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen reviewed for food and nutrition services. 1. The facility failed to ensure the kitchen floor in the food preparation area was not soiled with food particles imbedded in the tile grout. This failure could place residents at risk for foodborne illness and a decline in health status.The findings included: Observations on 07/07/2026 at 6:00am, during the initial tour of the facility kitchen, revealed the following:-the floor was soiled with food debris which had been embedded in between the tile gout all though the kitchen area. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 1.28% | 1.49× |
| 2024 | 0.98% | 1.24× |
| 2025 | 1.04% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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