Texas nursing home deficiencies by category
- CMS sorts every health deficiency into one of 10 categories. Texas homes have 32,724 citations in their last three inspection cycles.
- The largest category is Quality of Life and Care Deficiencies with 7,032 citations (21%); the smallest is Nursing and Physician Services Deficiencies with 845.
- 1,081 of 1,177 homes have at least one infection control citation.
| CMS category | Citations | Homes |
|---|---|---|
| Quality of Life and Care Deficiencies Help with bathing, dressing, eating, and toileting; fall and accident prevention; pressure ulcer and skin care; nutrition and hydration; pain, respiratory, dialysis, and catheter care; bed rail safety; dementia and behavioral health care; activities; dental, vision, and hearing services; and therapy. | 7,032 | 1,119 |
| Resident Assessment and Care Planning Deficiencies Admission orders, comprehensive and quarterly assessments, reassessment after a major change, accuracy and timely submission of assessment data, mental health and intellectual disability screening (PASARR), baseline and comprehensive care plans, discharge planning, and medical records. | 5,458 | 1,122 |
| Resident Rights Deficiencies Dignity and self-determination, choosing a doctor, taking part in care planning, refusing treatment and advance directives, visitors and communication, privacy, personal funds, grievances, notice of changes and charges, a homelike environment, and admission, transfer, and discharge rights. | 4,648 | 1,075 |
| Pharmacy Service Deficiencies Pharmacy services and a consultant pharmacist, monthly medication reviews, unnecessary drugs, psychotropic drug safeguards, medication error rates, significant medication errors, and drug labeling and locked storage. | 4,153 | 1,106 |
| Nutrition and Dietary Deficiencies Dietitian and kitchen staffing, menus and nutritional adequacy, food taste and temperature, texture-modified and therapeutic diets, allergies and meal alternatives, hydration, meal times and snacks, eating assistance and adaptive equipment, food safety, and garbage disposal. | 3,440 | 1,074 |
| Infection Control Deficiencies The infection prevention and control program, hand hygiene and isolation practices, linen handling, an infection preventionist, antibiotic stewardship, flu, pneumonia, and COVID-19 vaccine programs, older COVID-19 notices to residents and families, and infection control training. | 2,673 | 1,081 |
| Freedom from Abuse, Neglect, and Exploitation Deficiencies Protection from abuse and neglect, protection of residents' money and belongings, freedom from involuntary seclusion, limits on physical and chemical restraints, staff background screening, written prevention policies, reporting timelines, investigations, and related staff training. | 2,336 | 830 |
| Environmental Deficiencies Equipment maintenance, bed and bed rail inspections, room size and privacy, beds, furniture, and closets, call systems, dining and activity rooms, overall cleanliness and comfort, backup water, handrails, pest control, and smoking policies. | 1,289 | 634 |
| Administration Deficiencies Licensure and legal compliance, the governing body and administrator, the facility-wide assessment, staff qualifications, outside service agreements, ownership disclosure, arbitration agreements, hospice arrangements, social worker staffing, payroll-based staffing reports, quality assurance (QAPI), compliance and ethics, training programs, and laboratory and radiology services. | 850 | 439 |
| Nursing and Physician Services Deficiencies Physician approval, supervision, and visits; sufficient and competent nursing staff; registered nurse coverage and the director of nursing; nurse aide training, registry checks, performance reviews, and in-service hours; staffing waivers; and daily posting of nurse staffing. | 845 | 520 |
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.