Based on interview and record review the facility failed to include as part of its infection prevention and control program mandatory training that included the written standards, policies, and procedures for the program for 4 of 14 staff (LVN C, LVN D, CNA E and CNA G) reviewed for training. The facility failed to ensure infection prevention and control training was provided to LVN C, LVN D, CNA E, and CNA G on hire. This failure could place residents at risk to the spread of illness. 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 infection control. …
F945 citations in Texas
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F945 more often than its own record predicts
2.44 times the share F945 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F945 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.
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 3.29× |
| 2024 | 0.10% | 2.10× |
| 2025 | 0.14% | 2.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction