Based on observation, interview, and record review, the facility failed to follow Federal, State, and Local laws and regulations regarding smoking, smoking areas, and smoking safety for 3 of 3 residents (Resident #s 1, 2, and 3) reviewed for smoking safety. 1. The facility failed to ensure Residents #2 and #3 were smoking safely in a designated smoking area. On 07/19/24, Resident #1, who utilized oxygen, and Residents #2 and #3 (assessed as smokers) were in a nonsmoking area. Resident #1's oxygen caught on fire, and she sustained multiple burns to her face, chest, and hands. 2. The facility failed to ensure Residents #2 and Resident #3 were supervised while they were smoking. 3. The facility failed to ensure Resident #2 and Resident #3 did not keep their smoking materials in their room. …
F926 citations in Texas
Environmental Deficiencies
Have policies on smoking.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F926 more often than its own record predicts
3.62 times the share F926 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F926.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F926 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 establish policies regarding smoking areas, and smoking safety for 1 of 1 smoking area.The facility failed to provide an ashtray of safe design that would prevent a lit cigarette from coming into contact with a discarded cigarette butt. These failures could place residents and staff at risk of fire and burn injury.Findings included: During an observation on 09/02/26 at 10:02 a.m., during the scheduled smoke break, revealed there was an ash tray hanging on the wall in which it did not have a proper place to put the cigarette out. It only had a hole where someone could place their cigarette but not to ensure the cigarette was out completely. …
Based on observations, interviews and record reviews, the facility failed to follow their own established smoking policy for one of three employees (CNA H and two confidential employees) reviewed for smoking. This failure could place residents at risk of an unsafe smoking environment and injury. CNA H was observed smoking in a non-designated smoking area. This deficient practice could place residents at risk for injury and burns due to the presence of discarded and used cigarette butts. Findings included: Observation and interview made on 1/10/23 at 8:37 p.m., CNA H was sitting on the wall at the back of the building smoking. CNA H stated she was supposed to smoke in her car or in the field of the facility. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 5.34× |
| 2024 | 0.29% | 5.11× |
| 2025 | 0.27% | 3.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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