Based on interview and record review the facility failed to ensure as part of its QAPI program mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI program and informed staff of the elements and goals of the facility's QAPI program for 8 of 14 employees (LVN C, LVN D, DOR, CNA E, CNA F, CNA G, CNA H and CNA K) reviewed for training. The facility failed to ensure quality assurance and performance improvement training was provided to LVN C, LVN D, DOR, CNA E, CNA F, CNA G, CNA H and CNA K. This failure could place residents at risk for not being aware of facility programs, implementation, and monitoring.Findings include: Record review of the personnel file for LVN C indicated she was hired at the facility on 11/12/2025. …
F944 citations in Texas
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F944 more often than its own record predicts
1.25 times the share F944 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F944 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 maintain a training program to ensure staff were trained for of 17 of 17 staff (Admin, DON, Social Worker, Activity Director, Director of Food Services, Director of Therapy, Housekeeping, Wound Care Nurse, RN H, RN D, LVN B, LVN C, LVN E, CNA I, CMA A, CNA F, CNA G) reviewed for Quality Assurance and Performance Improvement training. The facility failed to ensure the Admn, DON, SW, Activity Director, DM, Director of Therapy, Hskpg, WC Nurse, RN H, RN D, LVN B, LVN C, LVN E, CNA I, CMA A, CNA F, CNA G)were trained in Quality Assurance and Performance Improvement. This failure could place residents at risk of receiving care from incompetent/untrained staff and not receiving quality care from facility staff. …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 3.84× |
| 2024 | 0.19% | 2.01× |
| 2025 | 0.11% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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