What is the most cited F-tag in Texas?

F880: “Provide and implement an infection prevention and control program.” Texas surveyors cited it 824 times at 644 of the 1,132 nursing homes they inspected in the 12 months from August 2025 through July 2026 (57%).

How many Texas nursing homes were cited for infection control?

644 of the 1,132 inspected in the 12 months from August 2025 through July 2026 (57%) were cited for F880, infection prevention and control.

How many immediate jeopardy citations did Texas nursing homes get?

492 in the 12 months from August 2025 through July 2026, out of 10,081 health citations, according to CMS's nursing home health citation file.

Texas Nursing Home F-Tag Citations

What surveyors cited

Every F-tag Texas surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
1	F880Provide and implement an infection prevention and control program	824	644 (57%)	#1	#1	2	0
2	F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards	619	568 (50%)	#3	#2	0	0
3	F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured	601	475 (42%)	#5	#4	22	6
4	F761Ensure 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	540	463 (41%)	#6	#6	0	0
5	F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents	532	413 (36%)	#2	#3	158	43
6	F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist	498	434 (38%)	#10	#5	8	5
7	F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards	352	270 (24%)	#9	#8	0	0
8	F695Provide safe and appropriate respiratory care for a resident when needed	318	280 (25%)	#13	#7	9	1
9	F677Provide care and assistance to perform activities of daily living for any resident who is unable	265	224 (20%)	#11	#9	0	6
10	F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights	242	216 (19%)	#14	#13	0	3
11	F641Ensure each resident receives an accurate assessment	239	216 (19%)	#18	#17	0	0
12	F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities	220	187 (17%)	#8	#11	11	1
13	F584Honor 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	205	179 (16%)	#12	#12	1	2
14	F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections	203	186 (16%)	#23	#15	2	7
15	F684Provide appropriate treatment and care according to orders, resident’s preferences and goals	202	177 (16%)	#4	#14	48	15
16	F558Reasonably accommodate the needs and preferences of each resident	192	172 (15%)	#25	#16	0	0
17	F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody	180	157 (14%)	#7	#10	73	28
18	F583Keep residents' personal and medical records private and confidential	165	149 (13%)	#38	#18	0	0
19	F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident	144	130 (11%)	#20	#19	29	4
20	F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed	139	133 (12%)	#43	#26	0	0
21	F760Ensure that residents are free from significant medication errors	130	120 (11%)	#22	#23	14	2
22	F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals	123	118 (10%)	#16	#22	0	0
23	F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public	107	97 (9%)	#30	#27	0	0
24	F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	105	100 (9%)	#46	#25	1	1
25	F686Provide appropriate pressure ulcer care and prevent new ulcers from developing	102	98 (9%)	#15	#20	16	12

Every other tag cited (141)

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
26	F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature	96	91 (8%)	#28	#29	0	0
27	F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests	95	84 (7%)	#56	#30	3	0
28	F759Ensure medication error rates are not 5 percent or greater	91	91 (8%)	#27	#24	0	0
29	F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube	87	85 (8%)	#35	#28	2	1
30	F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies	86	81 (7%)	#19	#72	1	0
31	F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis	82	75 (7%)	#60	#34	0	0
32	F610Respond appropriately to all alleged violations	74	69 (6%)	#21	#31	11	0
33	F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive	65	65 (6%)	#29	#36	3	0
34	F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances	65	61 (5%)	#44	#32	0	0
35	F607Develop and implement policies and procedures to prevent abuse, neglect, and theft	65	61 (5%)	#41	#21	21	1
36	F919Make sure that a working call system is available in each resident's bathroom and bathing area	63	60 (5%)	#52	#39	0	0
37	F552Ensure that residents are fully informed and understand their health status, care and treatments	62	59 (5%)	#31	#41	0	0
38	F732Post nurse staffing information every day	60	59 (5%)	#40	#47	0	0
39	F645PASARR screening for Mental disorders or Intellectual Disabilities	59	59 (5%)	#45	#33	0	0
40	F692Provide enough food/fluids to maintain a resident's health	58	58 (5%)	#26	#40	1	2
41	F908Keep all essential equipment working safely	58	58 (5%)	#55	#44	0	0
42	F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident	58	55 (5%)	#42	#43	0	0
43	F813Have a policy regarding use and storage of foods brought to residents by family and other visitors	55	55 (5%)	#93	#46	0	0
44	F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function	54	53 (5%)	#24	#95	0	0
45	F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge	51	48 (4%)	#48	#113	5	1
46	F679Provide activities to meet all resident's needs	47	46 (4%)	#53	#37	0	0
47	F814Dispose of garbage and refuse properly	46	46 (4%)	#51	#49	0	0
48	F565Honor the resident's right to organize and participate in resident/family groups in the facility	44	43 (4%)	#72	#62	0	0
49	F694Provide for the safe, appropriate administration of IV fluids for a resident when needed	43	42 (4%)	#66	#50	0	1
50	F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being	41	40 (4%)	#50	#42	8	0
51	F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment	36	36 (3%)	#74	#53	0	0
52	F926Have policies on smoking	36	35 (3%)	#121	#63	0	0
53	F602Protect each resident from the wrongful use of the resident's belongings or money	35	35 (3%)	#57	#35	0	0
54	F757Ensure each resident’s drug regimen must be free from unnecessary drugs	33	33 (3%)	#32	#45	0	0
55	F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services	33	33 (3%)	#69	#51	0	0
56	F697Provide safe, appropriate pain management for a resident who requires such services	33	31 (3%)	#33	#54	12	9
57	F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies	31	31 (3%)	#84	#102	0	0
58	F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs	31	30 (3%)	#64	#52	3	0
59	F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason	30	27 (2%)	#37	#58	0	0
60	F698Provide safe, appropriate dialysis care/services for a resident who requires such services	29	29 (3%)	#36	#55	2	1
61	F687Provide appropriate foot care	24	24 (2%)	#90	#65	1	0
62	F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail	24	24 (2%)	#67	#48	2	0
63	F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures	24	24 (2%)	#34	#59	0	0
64	F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options	24	23 (2%)	#63	#56	0	0
65	F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift	22	22 (2%)	#39	#73	3	0
66	F576Ensure residents have reasonable access to and privacy in their use of communication methods	21	21 (2%)	#109	#66	0	0
67	F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months	21	21 (2%)	#76	#69	0	0
68	F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions	21	18 (2%)	#77	#68	0	0
69	F553Allow resident to participate in the development and implementation of his or her person-centered plan of care	20	20 (2%)	#98	#92	0	0
70	F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms	20	20 (2%)	#95	#67	0	0
71	F850Hire a qualified full-time social worker in a facility with more than 120 beds	19	18 (2%)	#127	#105	0	0
72	F699Provide care or services that was trauma informed and/or culturally competent	18	18 (2%)	#73	#70	0	0
73	F770Provide timely, quality laboratory services/tests to meet the needs of residents	18	18 (2%)	#87	#64	0	0
74	F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice	18	17 (2%)	#62	#60	0	0
75	F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment	18	17 (2%)	#61	#61	1	0
76	F658Ensure services provided by the nursing facility meet professional standards of quality	18	17 (2%)	#17	#114	0	1
77	F914Provide bedrooms that don't allow residents to see each other when privacy is needed	17	17 (2%)	#137	#106	0	0
78	F940Develop, implement, and/or maintain an effective training program for all new and existing staff members	17	17 (2%)	#118	#76	0	0
79	F680Ensure the activities program is directed by a qualified professional	17	16 (1%)	#131	#97	0	0
80	F637Assess the resident when there is a significant change in condition	16	16 (1%)	#86	#96	0	0
81	F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician	16	15 (1%)	#79	#74	0	0
82	F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times	16	15 (1%)	#94	#88	0	0
83	F638Assure that each resident’s assessment is updated at least once every 3 months	15	15 (1%)	#100	#82	0	0
84	F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service	14	14 (1%)	#96	#79	0	0
85	F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted	13	13 (1%)	#133	#83	0	0
86	F791Provide or obtain dental services for each resident	13	13 (1%)	#71	#84	0	1
87	F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law	13	13 (1%)	#99	#98	0	0
88	F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training	12	12 (1%)	#123	#129	0	0
89	F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs	12	12 (1%)	#111	#115	0	0
90	F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data	12	12 (1%)	#89	#86	0	0
91	F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made	11	11 (1%)	#110	#123	0	0
92	F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason	11	11 (1%)	#68	#118	1	0
93	F839Employ staff that are licensed, certified, or registered in accordance with state laws	11	11 (1%)	#135	#89	0	0
94	F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services	10	10 (1%)	#83	#107	2	1
95	F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results	10	10 (1%)	#104	#103	1	1
96	F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies	10	10 (1%)	#81	#108	0	0
97	F883Develop and implement policies and procedures for flu and pneumonia vaccinations	10	10 (1%)	#47	#109	0	0
98	F551Give the resident's representative the ability to exercise the resident's rights	9	9 (1%)	#117	#119	0	0
99	F810Provide special eating equipment and utensils for residents who need them and appropriate assistance	9	9 (1%)	#107	#116	0	0
100	F881Implement a program that monitors antibiotic use	9	9 (1%)	#58	#104	0	0
101	F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status	9	9 (1%)	#54	#130	0	0
102	F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation	9	9 (1%)	#120	#71	0	0
103	F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program	9	9 (1%)	#115	#80	0	0
104	F554Allow residents to self-administer drugs if determined clinically appropriate	8	8 (1%)	#49	#124	0	0
105	F567Honor the resident's right to manage his or her financial affairs	8	8 (1%)	#108	#131	0	0
106	F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records	8	8 (1%)	#114	#117	0	0
107	F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered	8	8 (1%)	#59	#81	0	0
108	F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room)	8	8 (1%)	#140	#120	2	0
109	F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives	8	7 (1%)	#88	#77	8	0
110	F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility	8	6 (1%)	#128	#133	0	0
111	F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia	7	7 (1%)	#91	#144	1	0
112	F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program	7	7 (1%)	#139	#90	0	0
113	F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action	7	6 (1%)	#75	#134	0	0
114	F835Administer the facility in a manner that enables it to use its resources effectively and efficiently	7	5 (0%)	#70	#100	2	0
115	F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency	6	6 (1%)	#132	#132	0	0
116	F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention	6	6 (1%)	#78	#110	0	0
117	F572Give residents a notice of rights, rules, services and charges	5	5 (0%)	#142	#145	0	0
118	F675Honor each resident's preferences, choices, values and beliefs	5	5 (0%)	#147	not cited	1	0
119	F685Assist a resident in gaining access to vision and hearing services	5	5 (0%)	#80	#99	0	0
120	F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit	5	5 (0%)	#102	#135	0	0
121	F712Ensure that the resident and his/her doctor meet face-to-face at all required visits	5	5 (0%)	#116	#125	0	0
122	F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining	5	5 (0%)	#150	#136	0	0
123	F730Observe each nurse aide's job performance and give regular training	5	5 (0%)	#65	#140	0	1
124	F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them	5	5 (0%)	#143	#141	1	0
125	F790Provide routine and 24-hour emergency dental care for each resident	5	5 (0%)	#106	#93	0	0
126	F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration	5	5 (0%)	#125	#137	0	0
127	F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members	5	5 (0%)	#134	#78	0	0
128	F949Provide behavior health training consistent with the requirements and as determined by a facility assessment	5	5 (0%)	#126	#87	0	0
129	F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition	4	4 (0%)	#129	#153	0	0
130	F659Provide care by qualified persons according to each resident's written plan of care	4	4 (0%)	#145	not cited	0	0
131	F825Provide or get specialized rehabilitative services as required for a resident	4	4 (0%)	#101	#121	0	0
132	F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel	4	4 (0%)	#160	not cited	0	0
133	F865Have a plan that describes the process for conducting QAPI and QAA activities	4	4 (0%)	#82	#154	0	0
134	F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	4	4 (0%)	#85	#126	0	0
135	F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home	4	4 (0%)	#97	#146	0	0
136	F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame	4	4 (0%)	#119	#138	0	0
137	F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents	4	4 (0%)	#148	#94	0	0
138	F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing	3	3 (0%)	#158	#127	0	0
139	F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home	3	3 (0%)	#113	#147	0	0
140	F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide	3	3 (0%)	#149	#148	0	0
141	F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care	3	3 (0%)	#130	#155	0	0
142	F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder	3	3 (0%)	#112	#122	0	0
143	F745Provide medically-related social services to help each resident achieve the highest possible quality of life	3	3 (0%)	#92	#142	0	0
144	F946Provide training in compliance and ethics	3	3 (0%)	#138	#85	0	0
145	F562Provide immediate access to any resident	2	2 (0%)	#178	not cited	0	0
146	F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death	2	2 (0%)	#105	not cited	0	0
147	F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft	2	2 (0%)	#136	#156	0	0
148	F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services	2	2 (0%)	#122	#111	0	0
149	F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results	2	2 (0%)	#156	#128	0	2
150	F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse	2	2 (0%)	#103	not cited	0	0
151	F924Put firmly secured handrails on each side of hallways	2	2 (0%)	#141	#149	0	0
152	F555Honor the resident's right to choose his or her attending physician	1	1 (0%)	#159	not cited	0	0
153	F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges	1	1 (0%)	#179	not cited	0	0
154	F574The resident has the right to receive notices in a format and a language he or she understands	1	1 (0%)	#154	#157	0	0
155	F579Provide information about how to apply for and use Medicare and Medicaid benefits	1	1 (0%)	#167	not cited	0	0
156	F621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source	1	1 (0%)	#180	not cited	0	0
157	F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents	1	1 (0%)	#155	#158	0	0
158	F774Help the resident with transportation to and from laboratory services outside of the facility	1	1 (0%)	#162	#159	0	0
159	F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record	1	1 (0%)	#175	not cited	0	0
160	F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised	1	1 (0%)	#171	#160	0	0
161	F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor	1	1 (0%)	#163	not cited	0	0
162	F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards	1	1 (0%)	#124	#150	0	0
163	F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service	1	1 (0%)	#146	#161	0	0
164	F922Have enough backup water supply for essential areas of the nursing home	1	1 (0%)	#174	#162	0	0
165	F845Submit a timely, acceptable plan for facility closure, including notification of the appropriate entities and ensuring residents are transferred in a safe and orderly manner	1	0 (0%)	#188	not cited	0	0
166	F846Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully	1	0 (0%)	#182	not cited	0	0

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

Texas nursing home survey citations, by F-tag

Every F-tag Texas surveyors cited, most cited first

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