Administration in Texas nursing homes
Administration rules cover how a nursing home is run and overseen behind the scenes. They address leadership and licensing, outside services, quality improvement, staff training, required reporting, and the lab and imaging services residents depend on.
- Texas nursing homes have 850 citations in the CMS category "Administration Deficiencies", 3% of all health deficiencies (rank 9 of 10).
- 439 of 1,177 homes (37%) have at least one, and 39 have one at the immediate jeopardy level (J, K or L).
- 6% of these citations are at the actual-harm or immediate-jeopardy levels (G to L); 87% are potential-for-harm (D to F). The most cited tag is F770, with 73.
Severity of these citations
| Level | Citations | Share |
|---|---|---|
| Immediate jeopardy | 41 | 5% |
| Actual harm | 8 | 1% |
| Potential for harm | 743 | 87% |
| Minimal harm potential | 58 | 7% |
Tags in this category
| Tag | Texas citations |
|---|---|
| F770 Timely laboratory services | 73 |
| F771 On-site lab and blood services standards | 1 |
| F772 Agreement with an outside lab | 1 |
| F773 Ordering labs and reporting results | 28 |
| F774 Transportation to lab services | 3 |
| F775 Filing lab reports | 1 |
| F776 Radiology and diagnostic services | 14 |
| F777 Ordering X-rays and reporting results | 18 |
| F778 Transportation to radiology | 1 |
| F779 Filing X-ray and diagnostic reports | 1 |
| F835 Effective administration | 35 |
| F836 Licensure and following the law | 7 |
| F837 Governing body and administrator | 21 |
| F838 Facility-wide assessment of needs | 34 |
| F839 Licensed and qualified staff | 38 |
| F840 Using outside service providers | 10 |
| F844 Disclosing ownership and leadership changes | 4 |
| F847 Arbitration agreements must be optional | 11 |
| F848 Neutral arbitrator and convenient venue | 5 |
| F849 Hospice services | 131 |
| F850 Full-time social worker in larger homes | 50 |
| F851 Reporting staffing data to CMS | 66 |
| F865 Quality improvement (QAPI) program | 9 |
| F867 Quality monitoring and improvement projects | 20 |
| F868 Quality committee membership and meetings | 30 |
| F895 Compliance and ethics program | 1 |
| F940 Staff training program | 62 |
| F941 Communication training for caregivers | 41 |
| F944 Quality program training | 56 |
| F946 Compliance and ethics training | 40 |
| F949 Behavioral health training | 38 |
Homes with the most citations in this category
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.