Nursing home inspections in Texas
Texas surveyors cite “Keep residents' personal and medical records private and confidential” at 2.22× its national share.
The same chapter of the regulations — resident rights — holds this state’s widest gap the other way: “Honor the resident's right to request, refuse, and/or…”, at 0.69×.
F583 · 131 citations · 2025 surveys
The shape of it — 2025
Cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
The evidence
Every tag Texas cites above its expected share
- F5832.22×
Keep residents' personal and medical records private and confidential.
131 citations across 118 facilities · Resident Rights Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
481 citations across 403 facilities · Pharmacy Service Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
117 citations across 113 facilities · Resident Assessment and Care Planning Deficiencies
- F925 · Pest control1.89×
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
81 citations across 77 facilities · Environmental Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
554 citations across 445 facilities · Resident Assessment and Care Planning Deficiencies
Reasonably accommodate the needs and preferences of each resident.
173 citations across 159 facilities · Resident Rights Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
322 citations across 258 facilities · Resident Assessment and Care Planning Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
461 citations across 412 facilities · Pharmacy Service Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
92 citations across 85 facilities · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
59 citations across 54 facilities · Nursing and Physician Services Deficiencies
How severe those findings were
Scope and severity
8.2% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1,4794.3% | K8192.4% | L280.1% |
| Actual harm | G4541.3% | H860.2% | I— |
| No harm, potential for more than minimal | D19,33755.7% | E10,66630.7% | F1,3183.8% |
| No harm, potential for minimal | A— | B1660.5% | C3901.1% |
Browse all 1,179 Texas nursing homes →
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