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F-tags by state · Texas
Most common nursing home citations in Texas
30,983 health citations were recorded at 1,174 of 1,167 rated nursing homes in Texas over the last three inspection cycles, about 26.5 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.
Citations30,98326.5 per rated facility
Facilities cited1,174of 1,167 rated
Actual harm (G–I)4982% of citations
Immediate jeopardy (J–L)2,3648% of citations
Top 25 F-tags in Texas
"State share" is the percentage of rated Texas nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.
| # | Tag | Requirement | Category | Citations | State share | U.S. share |
|---|---|---|---|---|---|---|
| 1 | F880 | Provide and implement an infection prevention and control program. | Infection control | 2,347 | 90% | 81% |
| 2 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition & dietary | 2,004 | 85% | 76% |
| 3 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Assessment & care planning | 1,701 | 76% | 58% |
| 4 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Quality of life & care | 1,589 | 69% | 69% |
| 5 | F761 | 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. | Pharmacy services | 1,402 | 73% | 59% |
| 6 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Pharmacy services | 1,318 | 67% | 38% |
| 7 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | Quality of life & care | 970 | 56% | 46% |
| 8 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Assessment & care planning | 881 | 47% | 35% |
| 9 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | Quality of life & care | 864 | 45% | 44% |
| 10 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Abuse, neglect & exploitation | 767 | 44% | 40% |
| 11 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Resident rights | 725 | 39% | 39% |
| 12 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Abuse, neglect & exploitation | 642 | 39% | 35% |
| 13 | F641 | Ensure each resident receives an accurate assessment. | Assessment & care planning | 628 | 40% | 37% |
| 14 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident rights | 621 | 40% | 43% |
| 15 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Quality of life & care | 585 | 37% | 33% |
| 16 | F558 | Reasonably accommodate the needs and preferences of each resident. | Resident rights | 570 | 36% | 23% |
| 17 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Resident rights | 457 | 30% | 30% |
| 18 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Assessment & care planning | 450 | 32% | 42% |
| 19 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Abuse, neglect & exploitation | 413 | 29% | 17% |
| 20 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Quality of life & care | 379 | 26% | 39% |
| 21 | F759 | Ensure medication error rates are not 5 percent or greater. | Pharmacy services | 370 | 26% | 26% |
| 22 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Assessment & care planning | 366 | 27% | 19% |
| 23 | F760 | Ensure that residents are free from significant medication errors. | Pharmacy services | 361 | 26% | 25% |
| 24 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Environment & safety | 352 | 23% | 17% |
| 25 | F583 | Keep residents' personal and medical records private and confidential. | Resident rights | 351 | 25% | 15% |
Citations by category
Citations by survey year
Partial years reflect the rolling three-cycle window.
Check a specific Texas nursing home
The report card lists every citation for one facility with the severity decoded, and ranks it against the other 1,167 rated facilities in the state.
How this works
Source and method
CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Texas. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.
Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.
Frequently asked questions
What is the most common nursing home citation in Texas?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in Texas, with 2,347 citations at 1,046 facilities, or 90% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in Texas?
30,983 health citations across 1,174 of 1,167 rated nursing homes in the last three inspection cycles, about 26.5 per facility. 498 involved actual harm and 2,364 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.
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