Based on interview and record review the facility failed to ensure the operating organization for each facility included compliance and ethics program annual training if the operating organization operated five or more facilities for 14 of 14 employees (Administrator, DON, ADON, LVN A, LVN C, LVN D, AD, DM, DOR, CNA E, CNA F, CNA G, CNA H and CNA K) reviewed for training in that: The facility failed to ensure annual compliance and ethics training was provided to the Administrator, DON, ADON, LVN A, LVN C, LVN D, AD, DM, DOR, CNA E, CNA F, CNA G, CNA G, CNA H and CNA K. This failure could place them at risk of poor care or victimization.Findings include: Record review of the personnel file for the Administrator indicated she was hired at the facility on 8/10/2026. …
F946 citations in Texas
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Texas cites F946 more often than its own record predicts
2.25 times the share F946 takes of citations nationally.
Of every deficiency written in Texas in 2025, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Texas surveyors wrote
F946 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 interviews and record reviews, the facility failed to include as part of its compliance and ethics program (1) an effective way to communicate the program's standards, policies, and procedures through a training program or in another practical manner which explains the requirements under the program; (2) annual training if the operating organization operates 5 or more facilities for all new and existing staff for 1 of 18 (CNA F) reviewed for training on compliance and ethics.The facility failed to ensure that CNA F was educated on compliance and ethics upon hire.This failure could affect residents and place them at risk of being uninformed of compliance and ethics program due to lack of staff training.Findings included:Record review of personnel record for CNA F reflected a hire… …
The short window
Recent years
| Year | Share of Texas citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 5.06× |
| 2024 | 0.15% | 3.21× |
| 2025 | 0.11% | 2.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas surveyors cite →
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