Resident Assessment and Care Planning in Texas nursing homes
Federal rules require every resident to be assessed with a standard national tool soon after admission and at set times afterward. The results drive a written, person-centered care plan that the care team and the resident, along with the resident's representative where practicable, prepare and keep up to date.
- Texas nursing homes have 5,458 citations in the CMS category "Resident Assessment and Care Planning Deficiencies", 17% of all health deficiencies (rank 2 of 10).
- 1,122 of 1,177 homes (95%) have at least one, and 90 have one at the immediate jeopardy level (J, K or L).
- 2% of these citations are at the actual-harm or immediate-jeopardy levels (G to L); 97% are potential-for-harm (D to F). The most cited tag is F635, with 60.
Severity of these citations
| Level | Citations | Share |
|---|---|---|
| Immediate jeopardy | 96 | 2% |
| Actual harm | 16 | 0% |
| Potential for harm | 5,304 | 97% |
| Minimal harm potential | 42 | 1% |
Tags in this category
| Tag | Texas citations |
|---|---|
| F635 Doctor's orders at admission | 60 |
| F636 Full assessment at admission and yearly | 94 |
| F637 Reassessment after a significant change | 58 |
| F638 Quarterly assessment reviews | 50 |
| F639 Keeping 15 months of assessments | 1 |
| F640 Submitting assessment data on time | 134 |
| F641 Accurate resident assessments | 709 |
| F642 Qualified staff conduct assessments | 9 |
| F644 Coordinating with PASARR screening | 376 |
| F645 Pre-admission screening for mental disorder or intellectual disability | 230 |
| F646 Reporting changes for PASARR residents | 12 |
| F655 Baseline care plan within 48 hours | 372 |
| F656 Comprehensive person-centered care plan | 1,829 |
| F657 Care plan timing and team review | 455 |
| F658 Professional standards in care | 48 |
| F659 Care by qualified staff per plan | 7 |
| F660 Discharge planning process | 24 |
| F661 Discharge summary | 32 |
| F842 Complete, confidential medical records | 958 |
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.