State assisted-living licensing record · Texas HHSC · record as pulled September 11, 2026· Not the federal nursing home survey

Texas assisted living findings

331 HHSC findings cited across 1,245 facilities in the last 5 years. The grouping is TagProof’s; the wording is HHSC’s. Life safety and building findings — the ones a maintenance director owns — come first.

Life safetyBuilding

Life safety tags in Texas
What HHSC found	Facilities	Cited twice or more
Conduct required fire drills and document fire drills on the required form	282	20
Inspect, test, and maintain fire sprinkler system components	235	0
Provide smoke compartmentation where required	171	1
Have a program to inspect, test, and maintain the fire alarm system and keep records of inspection, testing, and maintenance of the fire alarm system	147	0
Have a program to inspect, test, and maintain the fire sprinkler system and keep records of inspection, testing, and maintenance of the fire sprinkler system	146	0
Ensure the sensitivity of smoke detectors was checked according to NFPA 72	145	0
Obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection	141	4
Have and enforce a smoking policy	139	2
Check gas heating systems prior to the heating season and to maintain records of the those checks	123	0
Train staff in the use of fire extinguishers, failed to inspect and maintain fire extinguishers, and failed to keep records of inspection and maintenance of fire extinguishers	112	2
Provide the minimum levels of illumination required in the facility	105	1
Provide a fire sprinkler system that met the referenced codes and standards	98	0
Ensure the building electrical system met the referenced codes and standards	96	0
Protect cooking operations according to the Life Safety Code	88	0
Provide portable fire extinguishers that met the referenced codes and standards	84	1
Inspect, test, and maintain fire alarm system components	83	0
Protect hazardous areas as required by the referenced codes and standards	78	0
Test and maintain an emergency generator that provides power to emergency lighting	77	0
Provide proper locking devices	76	0
Ensure means of escape met the referenced codes and standards	76	0
Ensure means of egress met the referenced codes and standards	67	1
Maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards	67	0
Store oxygen provided by the facility in a safe and sanitary manner	65	0
Correct a site or building condition that was a fire, health, or physical hazard	64	0
Have a complete fire safety plan for the protection of everyone in the facility in the event of a fire	61	0
Provide a manual fire alarm system that met the referenced codes and standards	57	0
Keep documentation about the fire alarm system onsite at the facility	53	0
Maintain electrical, heating, and cooling systems so they worked safely	53	0
Obtain pressure tests of gas piping in the facility	53	0
Ensure the building electrical system met the references codes and standards	48	0
Provide required exit signs	45	0
The failed to provide safe waste containers in smoking areas	45	0
Provide required emergency lighting	42	0
Ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher	41	0
Keep documentation about the fire sprinkler system onsite at the facility	36	0
Provide one of the listed fire sprinkler systems according to the requirements of 32.2.3.5 in NFPA 101 Chapter 32	31	0
The facility's plan failed to include a process that ensures communication with the EMC	31	0
Protect commercial cooking equipment according to the standard for ventilation control and fire protection of commercial cooking operations	29	0
Ensure equipment using natural gas or propane met the referenced codes and standards	27	0
Ensure the building structure was sheathed to provide a 20-minute fire resistance rating or was constructed to meet the construction requirements for a nursing home	24	0
Provide smoke detectors in the required locations	23	0
Ensure openings between floors were protected to prevent the spread of fire and smoke from one floor to another	22	0
Ensure the power source for a fire alarm was a dedicated circuit in the facility's electrical system and that the fire alarm had a secondary, emergency power source	20	0
Ensure that all alarm initiating devices would automatically activate an audible or visual alarm at the facility	19	0
Ensure portable fire extinguishers were properly sized based on the referenced codes and standards	18	3
Ensure a working fireplace was only used in a building protected by fire sprinklers, was not located in a resident sleeping room, was only used in a room with carbon monoxide detection and had safety features to prevent residents from harm	18	0
Document any reviews and updates made to the plan	16	0
Separate the facility from other occupancies	15	0
Inspect and test required smoke dampers	15	0
Ensure equipment could be accessed to the facility could inspect, test, and service the equipment	14	0
Ensure resident room doors in a building that does not have fire sprinklers were solid doors that were at least 1-3/4 inches thick or had an opening protection rating of at least 20 minutes, that the doors were self-closing or automatic-closing, and that the doors would latch in their frames	14	0
Ensure corridors met the Life Safety Code	12	1
Protect a space as a hazard when storage or activity in the space created a greater fire hazard than would be found in a one- or two-family dwelling	11	0
Ensure the fire alarm system automatically notified emergency forces	9	0
Ensure escape routes through living rooms and dining rooms were kept clear of obstructions	8	0
Provide at least two separate stairs between the ground floor and other floors and that all stairs used as a means of egress meet the Life Safety Code	8	0
Assure freezers and refrigerators were kept at the proper temperatures	8	0
Ensure that, if laundry was co-mingled and processed in a single central location in the facility, the laundry facility provided all the required fire protection and sanitization features	6	0
Ensure a ramp, walk or step had a uniform walking surface, had a slope no greater than 1:12 and that new ramps were at least 36 inches wide	5	0
Provide protection where an exterior grade makes an abrupt change in level	5	0
Provide safe waste containers in kitchens and hazardous areas	5	0
Provide a fire alarm control panel visible to facility staff or monitored by devices carried by facility staff	5	0
Provide the minimum fire-resistant construction based on the height of the building	4	0
Ensure resident room doors in a building that has fire sprinklers would latch in their frames	4	0
Have policies about storing oxygen owned by residents in a safe and sanitary manner	4	0
Ensure wastewater and sewage was discharged into an approved system	4	0
Ensure the facility's water supply was safe, sanitary quality, suitable for use, adequate in quantity and pressure and obtained from an approved source	4	0
Ensure a generator that provided emergency power for required emergency systems met the referenced codes and standards	4	0
Ensure existing life safety features were maintained or that existing life safety features were removed with the approval of HHSC	3	0
Ensure at least one window in each bedroom in a facility without fire sprinklers met the minimum requirements to use the window as a means of escape	3	0
Ensure soiled dish areas were separated from clean dish areas	3	0
Provide a monitoring station (or failed to provide details about the monitoring station) for the segregated unit	3	0
This tag is never cited	3	0
Provide a fire alarm control panel visible to facility staff or monitored by devices carried by facility staff, that indicated the location of a fire alarm event	3	0
Inspect, test, and maintain carbon monoxide detection system components	2	0
Ensure a portable fire extinguisher in a hazardous room was located as close as possible to the door leading out of the room and on the latch or knob side of the door	2	0
Ensure egress routes through living rooms and dining rooms were kept clear of obstructions	2	0
Provide access to at least two approved exits remote from each other for the segregated unit	2	0
Maintain basic safety features and emergency power during building rehabilitation while the facility was occupied, and without compromising means of egress or means of escape	2	0
Screen visitors in accordance with HHSC guidance	2	0
The failed to report fires timely via email or telephone and file the required written fire report	2	0
Ensure all resident rooms open on an exit, corridor, living area, or public area and are arranged for convenient access to dining and recreation areas	2	0
Provide additional smoke detectors and heat detectors in living units with ranges or stoves	2	0
Ensure a working fireplace met the referenced codes and standards	1	0
Ensure required means of egress, required means of escape, and required fire protection features were in place and continuously maintained when the building was undergoing construction while occupied	1	0
Ensure that no point in the facility was more than 75 feet from a portable fire extinguisher	1	0
Ensure a laundry area for use by residents met the minimum fire safety requirements	1	0
Use its state-issued facility identification number in all advertisements	1	0

Physical plantBuilding

Physical plant tags in Texas
What HHSC found	Facilities	Cited twice or more
Keep walls and ceilings in good condition	126	1
Provide exhaust for odor-producing areas	79	0
Have an ongoing and effective pest control program and to provide insect screens on operable windows	73	2
Ensure doors in the facility met the referenced codes and standards	60	0
Ensure flammable and combustible liquids were not stored in buildings used by residents	58	0
Keep buildings clean and free of hazards	48	0
Keep floors in good condition and regularly cleaned	41	0
Provide an approved outdoor area for the segregated unit	39	1
Ensure resident room doors would latch in their frames	29	0
Provide hot water with a temperature between 100 and 120 degrees F for lavatories and bathing units	23	0
Ensure an attic was not used for storage	22	0
Protect the attic according to the referenced codes and standards	22	0
Have a refrigerator with a designated and locked storage area for medications requiring refrigeration	20	0
Ensure heating, ventilating and air-conditioning equipment met the referenced codes and standards	17	0
Ensure a bedroom had a floor area of at least 100 square feet for a single-occupancy bedroom or at least 80 square feet per resident in bedrooms occupied by more than one resident	16	0
Ensure doors to resident rooms and living units could be closed by the occupants	13	0
Ensure that interior wall and ceiling finishes met required surface burning characteristics	10	0
Keep each resident's medication stored separately from other resident's medications within the storage area	9	0
Request a final construction inspection after building rehabilitation	9	0
Provide furnishings for a resident who did not provide their own furnishings	9	0
Notify HHSC in writing prior to the start of building rehabilitation	9	0
Provide a staff area on each floor and in each separate building containing resident bedrooms with all the required features	9	0
Ensure that there was at least one operable window in every bedroom, that the operable window opened to the outside, that the sill of the operable window was within 44 inches of the floor, and that the window could be opened from the inside by all residents who occupy the bedroom, without tools or special devices	8	0
Provide non-absorbent, smooth finishes and surfaces on kitchen floors, walls, ceilings, counters and cabinet that could be routinely cleaned and sanitized	8	0
Provide water drainage away from structures to prevent ponding or standing water at or near a building	7	0
Provide sufficient storage space	7	0
Provide food storage areas to maintain a four-day minimum supply of non-perishable food, that food was not stored on the floor, and that area temperatures in food storage areas did not exceed 85 degrees F	7	0
Post the required public notice stating that some resident rooms may be monitored electronically by devices that are concealed	5	0
Provide the minimum required number of toilets and lavatories	4	0
Keep storage areas organized and free of obstructions	3	0
Provide adequate hot water for sanitation purpose	3	0
Provide towels, soap and toilet tissue for individual resident use	3	0
Provide a communication system when resident bedrooms or living units were located on two or more floors or in multiple buildings	3	0
Provide ventilation to maintain indoor air quality	2	0
Ensure the total area of all windows in a bedroom was at least 8% of the minimum required bedroom floor area	2	0
Provide a dining area in proportion to the licensed capacity of the facility with exterior windows that provide a view to the outside that is accessible from resident living units or bedrooms via an indoor or covered path	2	0
Provide resident toilet and bathing facilities for the segregated unit that complies with the licensing standards for assisted living facilities	2	0
Ensure building rehabilitation classified as repair met the minimum requirements for repair	2	0
Ensure an auxiliary serving kitchen was equipped to maintain food temperatures, provided a handwashing lavatory, and that floors, walls, ceilings, counters and cabinets had non-absorbent smooth surfaces that could be routinely cleaned and sanitized	2	0
Ensure building rehabilitation classified as modification met the minimum requirements for modification	1	0
Ensure building rehabilitation classified as renovation met the minimum requirements for renovation	1	0
Ensure that every bedroom was served by a toilet room, that toilet rooms were provided for all genders, and that general toilet and bathing rooms were accessible from common areas	1	0
Provide a planned and structured activities program appropriate for each resident's abilities that encourages residents to participate in activities or offers alternate small group or one-to-one activities	1	0

Emergency managementBuilding

Emergency management tags in Texas
What HHSC found	Facilities	Cited twice or more
Provide the required emergency preparedness and response plan training and conduct drills	186	2
Review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy	170	3
Conduct and document a risk assessment for potential emergencies or disasters	145	2
Include a section addressing evacuation in the emergency preparedness and response plan	110	0
Include a section addressing transportation in the emergency preparedness and response plan	73	0
Include a section addressing direction and control in the emergency preparedness and response plan	72	1
Include a section addressing sheltering arrangements in the emergency preparedness and response plan	45	0
Include a section addressing warning in the emergency preparedness and response plan	41	0
The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management	38	0
Include a section addressing health and medical needs in the emergency preparedness and response plan	35	1
Develop and maintain a written emergency preparedness and response plan based on its risk assessment under subsection (b) of this section and that is adequate to protect facility residents and staff in a disaster or emergency	32	0
Include a section addressing communication in the emergency preparedness and response plan	31	0
Register with 2-1-1 Texas to assist the state in identifying persons who may need assistance in a disaster	28	0
Include a section addressing resource management in the emergency preparedness and response plan	24	0
Notify each resident, next of kin, or legally authorized representative how to register for evacuation assistance with 2-1-1 Texas	18	0
Train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities	15	0
Have sufficient staff to ensure safe evacuation of the facility in the event of emergency	13	0
Post an emergency evacuation floor plan where it was visible to residents	11	0
The receiving facility's plan failed to include procedures for accommodating a temporary emergency placement of one or more residents during a disaster or emergency	8	0
Obtain a waiver to continue caring for a resident that HHSC determined was unable to evacuate in an emergency as required	3	0
Report to HHSC a death or serious injury of a resident or threat to resident health or safety resulting from a disaster or emergency as required	3	0
Submit the required forms when determining a resident is inappropriately placed based on a change of condition, but continues to meet the facility evacuation criteria	2	0
Provide a resident or legally authorized agent with the name, address, and contact information for each receiving facility or pre-arranged evacuation destination identified by the facility	2	0
Prepare for a disaster or emergency based on its plan and follow plan procedures and requirements, including contingency procedures	2	0

Resident care

Resident care tags in Texas
What HHSC found	Facilities	Cited twice or more
Either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time	160	0
The facility's plan failed to include the location of a current list of the facility's resident population	53	0
Ensure that each resident had a health examination by a physician performed within the required timeframe	22	0
Ensure each resident was treated with respect and dignity, and accorded the right to make his/her own choices about care, etc	11	0
Meet the requirements for a limited care facility	9	0
Provide the minimum required number of bathtubs or showers	7	0
Ensure each resident's right to privacy	4	0
Use universal precautions in the care of all residents	4	0
The facility inappropriately admitted or retained residents whose needs could not be met	4	0
Provide heating and cooling for resident comfort that ensured air temperatures between 68 and 82 degrees F in resident-use areas	3	0
Search the nurse aide registry and the SEMARC before hiring to determine if the individual is unemployable	2	0
Make arrangements for emergency care or transfer to an appropriate place for treatment	1	0
Give each resident the opportunity to refuse medical treatment or services or failed to advise a resident of the possible consequences of refusing treatment or services	1	0
Comply with Chapter 33, Existing Residential Board and Care Occupancies	1	0
Ensure that a registered nurse followed the Board of Nursing rules when performing an assessment on a resident for a non-delegated health maintenance activity, to develop an overall understanding of the resident's health status or the facility failed to ensure that a registered nurse reassessed and documented a resident's status appropriately and within the required timeframes	1	0
Ensure each resident was free to execute an advance directive or to designate a guardian to make health care decisions on the resident's behalf	1	0
Ensure each resident had the right to communicate in his or her native language	1	0
The facility transferred or discharged a resident without good reason	1	0
Ensure its activities program had opportunities for group and individual settings	1	0
Ensure that a registered nurse properly assessed and documented that a task being provided to resident qualified as a health maintenance activity (HMA), or the facility failed to ensure that a resident met the criteria to receive assistance with a non-delegated HMA task	1	0
Request a copy of the current court order appointing a guardian for a resident or a resident's estate and letters of guardianship for a resident from a resident's legally authorized representative or the person responsible for the resident's support	1	0

Medication

Medication tags in Texas
What HHSC found	Facilities	Cited twice or more
Keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications	70	0
Provide a locked area for all medications	52	0
The facility either failed to provide required counseling to residents who self-administer medications or failed to maintain a written counseling record	50	0
Ensure that medications were administered according to physician's orders	27	0
Appropriately supervise the medication regimen of a resident who was incapable of self- administering without assistance	18	0
List each resident's medications on a specific medication profile record documenting the required medication details (e.g., strength and dosage)	17	0
Ensure that a licensed person or a trained, authorized, and delegated person administered medications to residents who choose not to or cannot self-administer their medications	17	0
The facility policies and procedures did not address the prevention of the diversion of controlled drugs	14	0
Keep appropriate written records showing all prescribed medications and treatments that residents missed	10	0
Ensure that a licensed person or a trained, authorized, and delegated person administered medications according to physician's orders	6	0
Ensure that either a pharmacy or treating physician or dentist dispensed all prescribed medications	4	0
Store poisonous substances and medications labeled for external use only separately within the locked medication area	3	0
Provide the required annual in-service training to its licensed nurses, certified nurse aides, or certified medication aides	2	0
Obtain a signed receipt from the resident or responsible party when it released medications to discharged residents	1	0
Have sufficient staff to assist with medication regimens	1	0

Staffing and training

Staffing and training tags in Texas
What HHSC found	Facilities	Cited twice or more
Ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually	140	0
Search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable	97	0
Have evidence showing that the manager completed the required 12 hours of annual continuing education	60	0
Have documented evidence that direct care staff had completed all required continuing education	59	0
Conduct criminal history checks of employees and applicants	54	0
Follow its policies regarding the screening of residents upon admission and after exposure to tuberculosis	53	0
Keep current and complete personnel records	45	0
The provider did not make all facility books, records, and documents accessible to HHSC staff upon request	37	0
Ensure that specific on-the-job training required for attendants in this type facility was completed in the required timeframe	31	0
Document that staff were competent and trained prior to assuming their responsibilities	27	0
Have staff sign a statement indicating an employee may be criminally liable for the failure to report abuse, neglect, or exploitation	24	0
Keep a copy of the initial or annual search of the NAR and EMR in the employee's personnel file	22	0
Implement, enforce or have written policies for the control of communicable diseases including tuberculosis (TB) screening and provision of a safe and sanitary environment for employees and residents	21	0
Have sufficient staff to assure that each resident would receive the kind and amount of supervision and care required to meet basic needs	19	0
Maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives	18	0
The provider failed to post the facility's normal 24- hour staffing patterns	17	0
Train all staff in which conditions to report to the facility manager prior to their assuming any job responsibilities	17	0
Train all staff in resident's rights prior to their assuming any job responsibilities	15	0
Have evidence showing that the manager completed the required training in the management of assisted living facilities	15	0
Ensure direct care staff completed 12 hours of annual in- service education regarding Alzheimer's disease	14	0
Ensure that the attendant's on- the-job training included emergency first aide	12	0
Train all staff in reporting abuse and neglect prior to their assuming any job responsibilities	11	0
Provide a telephone for use by residents and staff with emergency telephone numbers posted at or near the telephone	11	0
Ensure that the manager was on duty and managing only one facility, or for small type A facilities responsible for no more than 16 residents in no more than four facilities and available when off- site	11	0
Ensure that its staff completed required on-the-job training in behavior management including the prevention and management of dangerous behaviors	9	0
Conduct a name-based criminal history check on an applicant for employment who indicated on the disclosure statement that they have lived in another state within the past five years, or the facility failed to ensure that an employee did not have direct contact with residents pending the results of the name-based criminal history check	8	0
Train all staff in the use of universal precautions prior to their assuming any job responsibilities	8	0
Ensure the attendant's on-the-job training included the appropriate management of disruptive behaviors	8	0
Ensure that the attendant's on- the-job training included training on how resident's health conditions can affect service provision	8	0
Ensure that all staff members received four hours of dementia-specific orientation prior to assuming any job responsibilities	7	0
Ensure that its staff completed the required on-the-job training in fall prevention	7	0
Designate a manager in writing or did not have proof of the manager's qualifications	7	0
Train all staff in maintaining the confidentiality of resident information prior to their assuming any job responsibilities	7	0
The provider failed to properly post or disclose to prospective residents the facility's normal 24-hour staffing pattern	7	0
Ensure that the attendant's on- the-job training included safety measures to prevent accidents and injuries	6	0
Require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on Alzheimer's disease and related disorders	6	0
Require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on provision of person-centered care	6	0
Require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on activities of daily living for a resident with Alzheimer's disease or a related disorder	6	0
Meet the requirements related to staff training for employees who provide direct care to a resident with Alzheimer's disease or a related disorder	5	0
Require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on common behaviors and communications associated with a resident with Alzheimer's disease and related disorders	5	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on assessment and care planning	4	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on staffing requirements that will facilitate collaboration and ensure each staff member obtains appropriate informational materials and training	4	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on transitioning care and coordination of services for residents with Alzheimer's disease or related disorders	4	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on activities of daily living for a resident with Alzheimer's disease or a related disorder	4	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on establishing a supportive and therapeutic environment for residents with Alzheimer's disease or related disorders	4	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on administrative support services related to information for comorbidities management, care planning, provision of medically appropriate education, and including person-centered care to residents with Alzheimer's disease or related disorders	4	0
Require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on assessment and care planning	4	0
The facility manager and designee failed to enroll in an emergency communication system in accordance with instructions from HHSC	4	0
Ensure staff prevented cross-contamination	3	0
Require a staff member who provides personal care services to complete required training prior to performing personal care services	3	0
Require a staff member to complete competency-based training before providing personal care services to a resident with Alzheimer's disease or a related disorder	3	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on provision of person-centered care	3	0
Develop and implement required staffing policies that met state standards	2	0
Have sufficient staff to maintain order, safety, and cleanliness	2	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on common behaviors and communications associated with residents with Alzheimer's disease or related disorders	2	0
Provide the training completion certificate	2	0
Ensure that its manager met qualifications and training requirements for a certified Alzheimer facility	2	0
The facility manager failed to complete four hours of training and pass a competency-based evaluation on Alzheimer's disease and related disorders	2	0
Maintain records of each certificate for all staff, including the manager	2	0
Ensure direct care staff received on-the-job training within the required timeframe and in the required topics	2	0
The provider failed to ensure that night staff was immediately available and awake	2	0
The provider failed to ensure that night staff was immediately available in a small facility, or immediately available and awake in a large facility	2	0
Ensure that all full-time attendants were at least 18 years old or high school graduates; or that a qualified attendant was present at all times that residents were in the facility	1	0
Require each staff member who is not a direct service staff member to complete training and pass a competency-based evaluation on common behaviors and communications associated with a resident with Alzheimer's disease and related disorders	1	0
Ensure that training provided to facility staff included the required topics related to	1	0
Require each staff member who is not a direct service staff member to complete training and pass a competency-based evaluation on Alzheimer's disease and related disorders	1	0
Screen all residents, staff, and people who come to the facility in accordance with HHSC guidance	1	0
Provide notification about the EMR to the employee	1	0
The facility manager failed to complete two hours of annual continuing education on best practices related to treatment and provision of care to residents with Alzheimer's disease or related disorders	1	0

Food service

Food service tags in Texas
What HHSC found	Facilities	Cited twice or more
Procure food from acceptable sources, or failed to handle food, subject to spoilage, as required	151	0
Ensure effective hair restraints were worn to prevent food contamination	42	0
Comply with Texas Food Establishment rules and local health ordinances and requirements	41	0
Ensure that menus were prepared to provide a balanced and nutritious diet, that food was palatable and varied, or that menus were planned one week in advance, followed, posted and kept for 30-days, with variations documented	17	0
Prepare food according to established food preparation practices and safety techniques	16	0
Prepare and serve food in the manner required to prevent cross- contamination	9	0
Ensure that food prepared on-site provided a kitchen or dietary area meeting minimum requirements	5	0
Prepare and serve therapeutic diets, as ordered by the resident's physician or as required by the service plan	4	0
Provide a janitorial facility in the kitchen area and exclusively for the kitchen and failed to provide a can or cart washing area with hot and cold water	1	1
Serve at least three meals daily, at regular times, with no more than a 16-hour span between the evening meal and breakfast the following morning	1	0
Have sufficient staff to provide meals that met the daily nutritional and special dietary needs of each resident	1	0

Records and administration

Records and administration tags in Texas
What HHSC found	Facilities	Cited twice or more
Ensure each resident was free from abuse, neglect, and exploitation	69	0
The facility's plan failed to document the contact information for the EMC for the area	59	5
Notify the EMC of the facility's plan, take actions to coordinate with the EMC, and document communications with the EMC	37	0
Ensure that resident records included the required information and documentation	31	0
Post HHSC telephone hotline number to report suspected abuse, neglect, or exploitation	20	0
Immediately make an oral report of alleged ANE or send a written report of the investigation to HHSC when required	19	0
Report incidents of abuse, neglect, or exploitation to HHSC's state office, or failed to follow its own internal policies regarding abuse, neglect, or exploitation	19	0
Post a copy of the most recent inspection report	17	0
Post an HHSC notice that states inspection reports are available at the facility for public inspection and provides a toll-free telephone number for information	17	0
Follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation	16	0
Obtain documentation from the local Authorities Having Jurisdiction (AHJ) that show that the facility meets local requirements	15	0
Post an HHSC sign that specifies how complaints may be filed with HHSC	12	0
Establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection	10	0
Meet licensing criteria	9	0
The provider failed to have a written admission agreement between the facility and the resident explaining details concerning services and charges and that also included a statement concerning possible Medicare benefits	8	0
Maintain in each resident's active clinical record a signed copy of the required form concerning Authorized Electronic Monitoring	8	0
Post the Provider Bill of Rights	7	0
Post the Resident Bill of Rights	7	0
Ensure each resident was free from abuse and unnecessary restraints	7	0
Have documented evidence showing that it had explained and provided a copy of the disclosure statement to the resident, family, or responsible party prior to admitting a resident	6	0
Provide residents and residents' legally authorized representative with a copy of the plan upon admission, on request, and when a significant change to the plan is made	5	0
The provider failed to post the facility license as required	5	0
Obtain the required resident identifying information, such as each resident's full name and SSN at the time of admission	5	0
Comply with the specific requirements for its licensure type	4	0
Provide residents with access to their records or failed to safeguard records in a confidential manner	4	0
Obtain written authorization from a physician for the use of physical or chemical restraints	4	0
Provide every resident's immediate family with the HHSC telephone hotline number to report suspected abuse, neglect, or exploitation and document that the family received it	3	0
Provide every resident with a copy of the Resident Bill of Rights	3	0
Provide written notice at the time of admission about advance directive policies to either a resident or to a resident's surrogate decision-maker	3	0
Provide a 30-day written notice of transfer or discharge	3	0
Comply with the licensing standards for assisted living facilities	2	0
Maintain clear and precise written policies regarding the implementation of advance directives	2	0
Post the Resident's Bill of Rights or provide a copy to each resident	2	0
Comply with the Provider's Bill of Rights requirements	2	0
Develop an individualized service plan for each resident based upon resident's assessment within 14 days of admission	2	0
Ensure each resident had the right to choose and retain a personal physician, or to be fully informed in advance about treatment or care	1	0
Keep simple resident financial records of charges, receipts and expenditures, issue receipts for payment upon request, or failed to make these records available to HHSC	1	0
Provide a 30-day written notice with the effective date of the transfer or discharge	1	0
Provide a 30-day written notice of transfer or discharge that included appeal rights	1	0
Establish pre-admission procedures	1	0
Notify the resident, and if it applies, the resident's legally authorized representative, of HHSC's licensure rules and the facility's policies regarding restraint and seclusion	1	0
Discharge a resident who was determined inappropriately placed in the facility or the facility failed to obtain the written documents or waiver	1	0
Provide a 30-day written notice of transfer or discharge that included the location of transfer	1	0
Have the required written resident policies	1	0
Provide a 30-day written notice with the reason for the transfer or discharge	1	0
Establish, implement, enforce and maintain a written policy to protect a resident from vaccine preventable diseases in accordance with Texas Health and Safety Code, Chapter 224	1	0
Establish, implement, enforce, and maintain a written policy and procedures for making a rapid influenza diagnostic test, as defined in §553.3 of this chapter, available to a resident who is exhibiting flu like symptoms	1	0
Make a comprehensive assessment of each resident within 14 days of admission and annually	1	0

Uncatalogued tags

Uncatalogued tags tags in Texas
What HHSC found	Facilities	Cited twice or more
Search the NAR and EMR annually	160	0
Provide a safe and decent living environment	28	0
Store staple foods in the pantry in an acceptable manner	13	0
Store, serve, or reheat foods at the appropriate temperatures	12	0
Ensure the activity director or designee attended at least six hours of continuing education annually	7	0
Post the telephone number of the managing local ombudsman and the Ombudsman Program	7	0
Maintain the minimum four-day supply of staple foods and one-day supply of perishable foods on the premises	7	0
Employ a qualified activity director for a minimum of 20 hours weekly	5	0
Describe and document an injury, accident, or illness in the manner required	4	0
The facility hired or continued to employ a person who is listed on the EMR or NAR as unemployable	4	0
Follow sanitary dishwashing procedures and techniques	2	0
Search the NAR and SEMARC at least once every 12 months	2	0