Based on interview and record review the facility failed to ensure effective communications mandatory training for direct care staff was included for 4 of 14 employees (LVN C, LVN D, CNA E, and CNA G) reviewed for training. The facility failed to ensure effective communication training was provided to LVN C, LVN D, CNA E, and CNA G. This failure could place residents at risk of miscommunication and social isolation. Findings include: Record review of the personnel file for LVN C indicated she was hired at the facility on 11/12/2025 and did not have training on effective communication. Record review of the personnel file for LVN D indicated she was hired at the facility on 1/5/2026 and did not have training on effective communication. …
F941 citations in Texas
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F941 more often than its own record predicts
2.09 times the share F941 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F941.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F941 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 record reviews and interviews, the facility failed to include effective communications as mandatory training for direct care staff reviewed for of 17 of 17 staff (Admin, DON, SW, AD , DFS, DOR, Hskp, WC Nurse, RN H, RN D, LVN B, LVN C, LVN E, CNA I, CMA A, CNA F, CNA G) reviewed for communication training. The facility failed to ensure the Admin, DON, SW, AD , DFS, DOR, HSKP, WC Nurse, RN H, RN D, LVN B, LVN C, LVN E, CNA I, CMA A, CNA F, CNA G) This failure could place residents at risk of receiving care from incompetent/untrained staff and not having their communication needs met.Findings included:*Record review of RN H's personnel files revealed hire date of 2/28/25 and no evidence of communicationtraining Record review of LVN C's personnel files revealed hire date of 12/6/23… …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 4.45× |
| 2024 | 0.14% | 2.24× |
| 2025 | 0.14% | 2.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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