Introduction and Overview - Texas Health and Human ... · Health care quality, which regulates...

Introduction and Overview

The program in Texas that regulates long-term care providers, including nursing and assisted living facilities, transitioned to the Texas Health and Human Services

Commission (HHSC) on September 1, 2017. Since 2004, this program had been housed at the Texas Department of Aging and Disability Services, or DADS, which was dissolved on September 1 after a Sunset Commission review and subsequent

approval of Senate Bill 200 by the 84th Texas Legislature.

As part of this transformation, a new Regulatory Services division was created at HHSC, which consists of long-term care regulatory (LTCR) and four additional programs:

Child care licensing, which transitioned from the Department of Family and

Protective Services (DFPS); Provider investigations, which investigates allegations of abuse, neglect, and

exploitation in certain provider settings, including the State Supported Living

Centers and Medicaid waiver program group homes, and also transitioned from DFPS;

Health care quality, which regulates acute health care facilities such as hospitals and dialysis centers and transferred from the Department of State

Health Services (DSHS); and Complaint and incident intake (CII), which also transitioned from DADS.

This report contains information and data from before Sept. 1, 2017, and as such, reflects regulatory activities conducted by the DADS LTCR program. It is important

to note that no employees, programs, or functions were eliminated as part of this transition, and LTCR leadership and staff worked hard to ensure that consumers, providers, and other stakeholders saw minimal, if any, disruption in services as a

result.

The program’s regulatory mission also remains the same: to protect the health and safety of the more than 1 million older Texans and those with disabilities who need services and supports to lead dignified, independent, and productive lives (Source:

DADS Sunset Report 2014). To continue fulfilling these critical functions in a state with a fast-growing older population, HHSC is evaluating the best approach to

address resource needs, such as front-line LTCR surveyor positions that were eliminated during the last legislative session. 1

The LTCR program regulates facilities, agencies, programs, and individual providers of long-term care services through:

Inspections and surveys

Follow-up visits

Complaint and incident investigations

Other contacts required for carrying out state and federal licensure or certification responsibilities, such as telephone monitoring

The following LTC facilities, agencies, and programs must be licensed or, if

1 74 vacant FTE positions in LTC Regulatory were eliminated as part of the Legislative Appropriations for 2018.

exempt from licensure, certified by the state and comply with licensure rules (or federal certification requirements) to operate in Texas:

Assisted living facilities (ALFs)

Day activity and health services facilities (DAHS)

Home and community support services agencies (HCSSAs)

Intermediate care facilities for individuals with an intellectual disability or

related condition (ICFs/IID)

Nursing facilities (NFs)

Prescribed pediatric extended care centers (PPECCs)

Home and Community-based Services (HCS) waiver providers (certified,

exempt from licensure)

Texas Home Living (TxHmL) waiver providers (certified, exempt from

licensure)

The LTCR program also enrolls providers and manages the Medicaid provider

contract agreements for NFs and ICFs/IID to ensure they meet all federal

requirements to participate in the Medicaid program and are eligible to receive

Medicaid reimbursements. These enrollment activities include initial provider

contract enrollment, contract renewals, contract amendments, changes of

ownership, and facility relocations.

The LTCR program has also been responsible for the following activities and

programs related to the administration and operation of LTC facilities:

Nursing facility administrator licensing and investigations

Medication aides

Nurse Aide Training and Competency Evaluation

Nurse aide certification

Employee Misconduct Registry

Background

According to the U.S. Census Bureau, in 2010 there were 3.8 million people in Texas age 60 and older; they made up approximately 15 percent of the total Texas

population of 25 million. This group is one of the fastest-growing populations in Texas, and is expected to more than triple between 2010 and 2050. By 2050, this group is expected to grow to 12 million. (Data source: US Census 2010 and Texas

State Data Center, University of Texas at San Antonio)

By 2050, Texans age 60 and older will comprise 22 percent of the total Texas population. As the older adult population increases, Texas will need more health and human services and community engagement activities (Texas State Plan on

Aging 2015-2017).

Most older Texans live in one of the 25 metropolitan areas in Texas. The 77 metro area counties contain 83 percent of the population age 60 and older. The remaining 17 percent of the older adult population lives in 177 rural counties. Sixty-eight rural

counties have a population density of less than seven people per square mile; less than 1 percent of Texans age 60 and older live in these less densely populated

counties. (Source: Texas State Plan on Aging 2015-2017)

Thirty-five percent of Texans age 60 and older (1.3 million) have one or more disabilities. Certain population groups are more likely to experience disability than others:

Disability is more common among women than among men age 75 and

older. This may reflect the fact that many more women than men live to be this age.

Among people age 65 and older with incomes below the poverty level, 54 percent have a disability, compared to 39 percent of those with incomes

above the poverty level. In Texas, the growth of the aging population and increased longevity will mean a

marked increase in the number of people age 85 and older. In 2010, the population age 85 and older was 305,000; by 2050, it is expected to increase to 1.6 million, an

increase of greater than 500 percent. This segment of the population will increase from 1.2 percent to 2.8 percent of the total population. Rates of disability and serious chronic illness tend to increase with age. This rapid increase in the number

of the oldest people is expected to increase the need for long-term services and supports. (Source: Texas State Plan on Aging 2015-2017)

Trends in Long-term Care

Along with the aging population, Texas has seen a steady or increasing need for NF and ALF beds. The average number of individuals receiving Medicaid-funded NF

services per month in FY 2012 was 57,006, and in FY 2017 that number had increased to 60,344. (Source: DADS state fiscal year 2014 Operating Budget – Claims Management System Payment Data – DADS Program Areas / State Plan on

Aging 2015-2017).

DADS regulated the allocation of Medicaid NF beds in Texas, and HHSC’s LTCR program now carries out this function. The number of bed allocations has not increased significantly, as NF occupancy rates remain significantly below capacity

despite a steady increase from 87,533 residents in 2011 to 93,106 in 2017. (See table on page 9 appendix).

ALFs continue to be the fastest-growing segment of long-term care in Texas. From 2011 to 2017, the number of these facilities grew faster than any other provider

type. In 2011, Texas had 33,182 ALF residents; in 2017, it had 44,520. (See table on page 9 appendix) This trend reflects the fact that more consumers are choosing

ALFs as an alternative to NF care. In part, this is because residents can receive home health and hospice services in ALFs, which allows them to “age in place” in

these facilities and delay or prevent the need for NF services. More ALFs also are focusing on “memory care” units to serve residents with Alzheimer’s disease and other types of dementia. In short, more ALFs are able to serve residents with

higher medical or other needs, making them attractive to residents and their families.

The state also has experienced a significant decline in the number of ICFs/IID and the number of residents served in this program. Both federal and state initiatives,

such as Money Follows the Person funding, have led to a reduction of individuals residing in large private ICFs/IID as well as the state-operated ICFs/IID in Texas,

known as state supported living centers (SSLCs). (Source: Legislative Budget Board Staff report to 82nd Legislature, January 2011).

As advocates continued to encourage these individuals to transition from institutional to community-based settings, the Legislature in the early 1990s

imposed a moratorium on new ICFs/IID and implemented three-person group homes under the Home and Community Services (HCS) waiver program. In the mid-90’s, the Legislature allowed HCS providers to serve four individuals, in part

due to an impending 27 percent rate reduction per individual per day.

These trends and initiatives are reflected in the data. In 2011, 9,833 individuals lived in ICFs/IID; in 2017, that number had declined to 7,937. (See table on page 9 appendix). For the SSLCs, the number of individuals served has declined from

3,557 in 2013 to 3,016 in 2017 – an 18 percent decline. (See table on page 17, appendix.)

A key part of the LTCR program’s responsibilities is to take the appropriate enforcement actions when providers fail to comply with relevant rules and

regulations. The enforcement data in this report reflect a significant increase in the

imposition of Civil Monetary Penalties (CMPs) from previous years. This increase is primarily due to guidance from the federal Centers for Medicare & Medicaid Services

(CMS) to the state survey agencies regarding a 2016 mandatory imposition of federal remedies, which include CMPs.

CMS also implemented a federal rule that includes the Civil Penalties Inflation Adjustment Improvement Act of 2015. This provided for the amount of CMPs to be

inflation-adjusted and allowed for both a catch-up adjustment and thereafter an annual increase.

For home health and hospice agencies, a notable increase in administrative penalties may have been attributable to the increase of almost 1,000 more LTCR

visits to these agencies from FY 2016 to FY 2017, as well as the significant increase in the overall number of these agencies licensed in Texas.

Projects and Initiatives

The LTCR program has undertaken a variety of initiatives to improve the services it provides to consumers, providers, and other stakeholders, with many of these

efforts focused on improving the consistency of the survey process so that regulated entities are surveyed or investigated similarly across the state.

Immediate jeopardy reviews: As part of the effort to improve consistency, the LTCR survey operations team plans to expand the immediate jeopardy (IJ) call project

statewide in 2018. Three regions have been piloting these calls, during which state office survey and enforcement staff review potential IJ situations while the surveyor is still at a facility. Appropriate regional staff also join these calls. This new process

has improved consistency statewide in determining IJs and has helped surveyors gain the skills to better assess IJ situations.

Joint trainings with providers. HHSC plans to continue holding trainings for both regulatory surveyors and providers as part of its effort to improve consistency as

well as the services provided to individuals. These well-attended joint trainings have generated positive reviews from providers and survey staff alike. Examples of

joint training topics include how to provide “active treatment” to residents in ICFs/IID; writing acceptable plans of correction to resolve deficiencies; detecting

and preventing abuse and neglect of residents in facilities; and understanding the long-term care survey process.

Paperless referral process. A streamlined, paperless referral process was implemented for referral of nursing facility administrators, medication aides, and

certified nurse aides from survey staff to enforcement staff to assess appropriate penalties against these professionals. This new process has increased the efficiency and consistency in how referrals are made internally.

Streamlined policy guidance. Another effort LTCR has undertaken is a streamlining

of the way it issues policy guidance to providers, as required by House Bill 2025, 85th legislative session. This process includes an ongoing, systematic review of active policies – with the goal of retiring or revising and reissuing all information

that is eight years or older. LTCR policy staff has retired more than 200 out-of-date provider letters, which has dramatically reduced the overall number of policies that

providers must reference and follow. Staff also adopted a new template for policy documents to make them more understandable and to improve readability for both providers and staff.

Statutory Policy Recommendations

Fingerprint checks for certified nurse aides and medication aides: HHSC has identified a potential policy change for legislative consideration that would change

how criminal background checks are conducted for certified nurse aides (CNAs) and medication aides. The criminal background checks currently required for these aides are Texas Department of Public Safety (DPS) name-based checks, which provide

only an initial, snap-shot view of an individual’s criminal history. Facilities are not required to conduct DPS or FBI fingerprint checks for aides, which would allow the

state and/or providers to receive ongoing notifications of any criminal history on the part of an employee – including any arrests, prosecutions, and convictions – that occur anywhere in the nation after the aide is hired.

Requiring the use of this so-called “rap back” service also would eliminate the need

for a facility to conduct name-based background checks on a nurse aide or other employee before hiring. A fingerprint search is also more accurate than a name-based search and is used in other HHSC areas, such as the SSLCs and the nursing

facility administrator program. Under this type of background check system, HHSC LTCR staff would receive and assess the results of the initial finger-print criminal

background check and, through ongoing “rap back” reports, be notified of any additional arrests or convictions going forward.

If the state moves to requiring fingerprint checks, providers would see greater protection from hiring or continuing to employ unqualified CNAs or medication

aides. This would reduce their risk of receiving regulatory citations, which can include imposition of administrative penalties.

While a formal fiscal analysis would need to be conducted, HHSC does see some likely costs to making this policy change and will therefore defer to state lawmakers

on how best to approach this issue.

Rewrite the ALF rules, focusing on disaster plan requirements: Hurricane Harvey illustrated the need for facilities to have robust, updated disaster plans with staff trained on how to execute them. LTCR’s recommendation would be to implement

more specific regulations for ALFs related to the content of emergency plans and require mandatory compliance with emergency evacuation orders. LTCR staff would

work with ALF provider groups, legislative staff, and other stakeholders to explore how to make the guidance for these emergency plans more helpful, clear, and prescriptive and more in line with the guidance offered to NFs.

In the wake of Hurricane Harvey, LTCR staff received multiple questions from ALF

provider groups regarding these emergency plans, so staff anticipates that a consensus can be achieved through a collaborative rule-making process. However, having statutory guidance on this effort would be helpful.

Conclusion

HHSC’s LTCR leadership believes it is critical to continue focusing on streamlining regulatory practices, reducing duplicative regulation, limiting unnecessary

expenditures, and using technology and innovation wherever possible. This is

particularly critical given the challenges and demands facing state agencies and providers in the rapidly changing health and human services environment.

The goal of HHSC’s recent transformation is to make each program area, including

LTCR, well-integrated, accountable, and focused on achieving the best outcomes possible for both the taxpayer and the individuals that rely on the agency’s services.

A key part of this effort is to continue focusing on quality improvement. For

providers, this means implementing and enforcing quality assurance programs to improve operations, compliance with regulations, and services. For HHSC, it means continuing efforts both within LTCR and other areas of the agency, such as the

Quality Monitoring Program, to assist providers in their journey toward continual improvement. Texas has made significant strides on certain key measures of

quality, including a notable reduction in the inappropriate use of antipsychotic medications in facilities, and HHSC believes it’s vital to maintain this momentum.

To achieve the vision of transformation and quality improvement, the HHSC system must further efforts to break down bureaucratic silos and ensure that providers,

managed care organizations, regulators, advocates, and other stakeholders all work together to pursue innovations and improvements to protect the health and safety

of our most vulnerable Texans.

Appendices: Long-Term Care Annual

Report for Fiscal Year

2017

Table of Contents

Table of Contents

Provider Descriptions


Fiscal Year (FY) 2017 Information and Trends

DADS Regions in Texas

DADS Waiver Contract Areas

Regulated Facilities

Changes in Regulated Home and Community Support Services Agencies

Regulated Waiver Programs

Changes in Waiver Programs

Comparisons to Other States

Credentialing Programs

Top 10 Rankings

Certification Deficiencies and Licensure Violations

Principles

Assisted Living Facility (ALF) and Unlicensed Facility Section

Assisted Living Facility (ALF) and Unlicensed Facility Actions

Assisted Living and Unlicensed Facility Complaint and Incident Intakes

Assisted Living and Unlicensed Facility Actions Compared Over Multiple Fiscal Years

Day Activity and Health Services (DAHS) Facility Section

Day Activity and Health Services (DAHS) Facility Actions

Day Activity and Health Services Facility Complaint and Incident Intakes

Day Activity and Health Services Facility Actions Compared Over Multiple Fiscal Years

Home and Community Support Services Agency (HCSSA) Section

Home and Community Support Services Agency (HCSSA) Actions

Home and Community Support Services Agency Complaint and Incident Intakes

Home and Community Support Services Agency Actions Compared Over Multiple Fiscal Years

Intermediate Care Facilities for Individuals with an Intellectual

Disability or Related Conditions (ICFs/IID) Section

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) Actions

Intermediate Care Facilities for Individuals with an Intellectual Disability

or Related Conditions Complaint and Incident Intakes

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Actions Compared Over Multiple Fiscal Years

Nursing Facility (NF) Section

Nursing Facility (NF) Actions

Nursing Facility Actions by Region for FY 2017

Nursing Facility Complaint and Incident Intakes

Nursing Facility Actions Compared Over Multiple Fiscal Years

Home and Community-based Services (HCS) and Texas Home Living

(TxHmL) Section

Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Contracts

Home and Community-based Services and Texas Home Living Complaints and Referrals

Waiver Contract Actions Compared Over Multiple Fiscal Years



The long-term care regulatory program regulates the following provider types in Texas.

Assisted Living Facilities

Assisted living facilities (ALFs) provide individualized health and personal care

assistance in a homelike setting with an emphasis on personal dignity, autonomy,

independence, and privacy. Facilities can be large apartment-like settings or private

residences. Services include meals, bathing, dressing, toileting, and administering or

supervising medication.

There are three types of assisted living facilities in Texas:

Type A

Residents must be physically and mentally capable of evacuating unassisted

during an emergency, must not require routine attendance during nighttime

sleeping hours, and must be capable of following directions during an

emergency.

Type B

Residents may require staff assistance to evacuate, be incapable of following

directions during an emergency, require attendance during nighttime

sleeping hours, and require assistance in transferring to and from a

wheelchair but must not be permanently bedfast.

Type C

A four-bed facility licensed by the state as an adult foster care facility.

Day Activity and Health Services Facilities

Day activity and health services facilities provide regular services under the Day

Activity and Health Services (DAHS) program, but not overnight, to four or more

people who or older or who have disabilities who are not related to the owner of

the facility by blood, marriage, or adoption. DAHS is a structured, comprehensive

program designed to meet the needs of adults with functional impairments by

providing health, social, and related services in a protective setting. Residents of

facilities that hold a DAHS contract receive services based on an individual plan of

care and in half-day (three to six hours) units of service. A resident can receive a

maximum of 10 units of service per week, depending on a physician’s orders and

related requirements.

Home and Community Support Services Agencies

Home and community support services agencies (HCSSAs) provide one or more home

health, hospice, or personal assistance services for people in a residence or

independent living environment. These services include:

Home Health Services

Nursing; physical, occupational, speech, or respiratory therapy; medical or

social services; intravenous therapies; dialysis; services by unlicensed

personnel; medical equipment and supplies (excluding drugs); or nutritional

counseling.

Hospice Services

Intervention services that focus primarily on the reduction or abatement of

physical, psychological, and spiritual symptoms of the terminally ill consumer

and support services for clients and their families.

Personal Assistance Services

Routine ongoing care or services required by an individual in a residence

or independent living environment that enable the recipient to engage in

activities of daily living or to perform the physical functions required for

independent living, including respite services.

The types of providers are:

Parent Agency

The agency that develops and maintains administrative controls and

supervises branch offices and alternate delivery sites.

Branch Office

An agency or site in the parent agency’s service area that provides home

health or personal assistance services or maintains active client records.

Alternate Delivery Site

An agency or site in the parent agency’s service area that is not the

agency’s principal place of business and from which the agency provides

hospice services.

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions

Intermediate care facilities for individuals with an intellectual disability or related

conditions (ICFs/IID) are residential facilities that provide services to four or more

people, including active treatment services. Active treatment, the core requirement

of certification for ICFs/IID, is the robust, consistent implementation of a program of

specialized and generic training, treatment, and health services. These facilities

include both licensed (private) and non-licensed (state-operated) providers.

Nursing Facilities

Nursing facilities (NFs) are residential facilities that provide care for people whose

medical condition regularly requires the skills of licensed nurses. NFs provide for the

medical, social, and psychological needs of residents, including room and board,

social services, over-the-counter drugs (prescription drugs may be covered through

the Medicaid Vendor Drug program or Medicare Part D), medical supplies and

equipment, rehabilitative services, and personal needs items.

The NF types are:

Non-Participating: A licensed NF not certified to participate in Medicare or Medicaid.

NF: A licensed NF certified to participate in Medicaid.

Skilled NF: A licensed NF certified to participate in Medicare.

Skilled NF/NF: A licensed NF certified to participate in both Medicare and Medicaid.

Hospital-based Skilled NF: A NF certified to participate in Medicare

operating under the license of a hospital.

Swing Beds: A NF certified to participate in Medicare with contracted

services located in a rural hospital.

Prescribed Pediatric Extended Care Centers

As of Jan. 1, 2015, providers are able to obtain a license to operate a prescribed

pediatric extended care center (PPECC) in Texas. These centers function as a non-

residential facility operated for profit or as a nonprofit basis and provide physician-

prescribed basic services to seven or more medically- dependent or technologically-

dependent individuals age 21 or under. The maximum capacity for a PPEC cannot

exceed 60 minors.

These individuals can receive up to 12 hours of basic services per day including:

Medical

Nursing

Psychosocial

Therapeutic

Developmental

As of Aug. 31, 2017, DADS had not licensed any PPECs.

Waiver Programs

The Home and Community-based Services and Texas Home Living programs are

Medicaid waiver programs approved by the Centers for Medicare and Medicaid

Services (CMS) pursuant to 1915(c) of the Social Security Act. They provide

community-based services and supports to eligible recipients with intellectual and

developmental disabilities as an alternative to the ICF/IID program.

The waiver programs certified (not licensed) by Regulatory Services are:

Home and Community-based Services

Home and Community-based Services (HCS) provides community-based

services and supports as an alternative to institutional placement. Program

services supplement services and supports a person may receive from other

programs, such as Texas Health Steps, or from natural supports, such as

family, neighbors, or community organizations. To qualify for services in HCS,

a recipient must have a diagnosis of an intellectual or developmental

disability and must be eligible for Medicaid. HCS serves people of any age.

Participants live in the community in a variety of settings, including their own

home, their family’s home, a home with a foster care or a companion care

provider, or in a three- or four-person group home. Most participants receive

Supplemental Security Income, Social Security, or other benefits, which are

used to pay their rent, utilities, food, and living expenses. The program pays

for services such as residential or in-home and community supports, nursing,

day habilitation, respite, behavioral supports, specialized therapies, dental,

minor home modifications, adaptive aids, and supported employment. The

types and amounts of services received are based on the recipient’s needs.

Medical services are typically provided by physicians or hospitals that accept

Medicaid.

Texas Home Living

Texas Home Living (TxHmL) provides services and supports to Texans with

intellectual or developmental disabilities who are eligible for Medicaid so they

can continue to live with their families or in their own homes. Program

services supplement services and supports a person may receive from other

programs, such as Texas Health Steps, or from natural supports such as

family, neighbors, or community organizations. The program does not offer

residential services. It serves people of any age and pays for services such as

in-home or community supports, nursing, day habilitation, respite, behavioral

supports, specialized therapies, dental, minor home modifications, adaptive

aids, and employment assistance.

Fiscal Year (FY) 2017 Information and Trends

DADS Regions in Texas

Regions and the Counties They Serve

Region 1: High Plains

Armstrong, Bailey, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth,

Crosby, Dallam, Deaf Smith, Dickens, Donley, Floyd, Garza, Gray, Hale, Hall,

Hansford, Hartley, Hemphill, Hockley, Hutchinson, King, Lamb, Lipscomb,

Lubbock, Lynn, Moore, Motley, Ochiltree, Oldham, Parmer, Potter, Randall,

Roberts, Sherman, Swisher, Terry, Wheeler, Yoakum

Region 2: Northwest Texas

Archer, Baylor, Brown, Callahan, Clay, Coleman, Comanche, Cottle, Eastland,

Fisher, Foard, Hardeman, Haskell, Jack, Jones, Kent, Knox, Mitchell, Montague,

Nolan, Runnels, Scurry, Shackelford, Stonewall, Stephens, Taylor,

Throckmorton, Wichita, Wilbarger, Young

Region 3: Metroplex

Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson,

Kaufman, Navarro, Palo Pinto, Parker, Rockwall, Somervell, Tarrant, Wise

Region 4: Upper East Texas

Anderson, Bowie, Camp, Cass, Cherokee, Delta, Franklin, Gregg, Harrison,

Henderson, Hopkins, Lamar, Marion, Morris, Panola, Rains, Red River, Rusk, Smith,

Titus, Upshur, Van Zandt, Wood

Region 5: Southeast Texas

Angelina, Hardin, Houston, Jasper, Jefferson, Nacogdoches, Newton, Orange, Polk,

Sabine, San Augustine, San Jacinto, Shelby, Trinity, Tyler

Region 6: Gulf Coast

Austin, Brazoria, Chambers, Colorado, Fort Bend, Galveston, Harris, Liberty,

Matagorda, Montgomery, Walker, Waller, Wharton

Region 7: Central Texas

Bastrop, Bell, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Coryell, Falls,

Fayette, Freestone, Grimes, Hamilton, Hays, Hill, Lampasas, Lee, Leon, Limestone,

Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Travis, Washington,

Williamson

Region 8: Upper South Texas

Atascosa, Bandera, Bexar, Calhoun, Comal, DeWitt, Dimmit, Edwards, Frio, Gillespie,

Goliad, Gonzales, Guadalupe, Jackson, Karnes, Kendall, Kerr, Kinney, La Salle,

Lavaca, Maverick, Medina, Real, Uvalde, Val Verde, Victoria, Wilson, Zavala

Region 9: West Texas

Andrews, Borden, Coke, Concho, Crane, Crockett, Dawson, Ector, Gaines,

Glasscock, Howard, Irion, Kimble, Loving, Martin, Mason, McCulloch, Menard,

Midland, Pecos, Reagan, Reeves, Schleicher, Sterling, Sutton, Terrell, Tom Green,

Upton, Ward, Winkler

Region 10: Upper Rio Grande

Brewster, Culberson, El Paso, Hudspeth, Jeff Davis, Presidio

Region 11: Lower South Texas

Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy,

Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio, Starr, Webb, Willacy,

Zapata

DADS Waiver Contract Areas

Waiver Contract Areas and the Counties They Serve

Area 1

Armstrong, Bailey, Briscoe, Carson, Castro, Cochran, Collingsworth, Crosby,

Dallam, Deaf Smith, Donley, Floyd, Gray, Hale, Hall, Hansford, Hartley,

Hemphill, Hockley, Hutchinson, Lamb, Lipscomb, Lubbock, Lynn, Moore, Motley,

Ochiltree, Oldham, Parmer, Potter, Randall, Roberts, Sherman, Swisher, Wheeler

Area 2

Archer, Baylor, Brown, Callahan, Childress, Clay, Coleman, Comanche, Cottle,

Dickens, Eastland, Erath, Foard, Hardeman, Haskell, Hood, Jack, Johnson,

Jones, King, Knox, McCulloch, Mills, Montague, Palo Pinto, Parker, San Saba,

Shackelford, Somervell, Stephens, Stonewall, Tarrant, Taylor, Throckmorton,

Wichita, Wilbarger, Wise, Young

Area 3

Collin, Cooke, Dallas, Denton, Fannin, Grayson

Area 4

Anderson, Angelina, Bowie, Camp, Cass, Chambers, Cherokee, Delta, Ellis, Franklin, Gregg, Hardin, Harrison, Henderson, Hopkins, Houston, Hunt, Jasper, Jefferson,

Kaufman, Lamar, Liberty, Marion, Montgomery, Morris, Nacogdoches, Navarro, Newton, Orange, Panola, Polk, Rains, Red River, Rockwall, Rusk, Sabine, San

Augustine, San Jacinto, Shelby, Smith, Titus, Trinity, Tyler, Upshur, Van Zandt, Walker, Wood

Area 5

Austin, Brazoria, Colorado, Fort Bend, Galveston, Harris, Matagorda, Waller, Wharton

Area 6

Bastrop, Bell, Bosque, Brazos, Burleson, Burnet, Caldwell, Coryell, Falls, Fayette,

Freestone, Gonzales, Grimes, Guadalupe, Hamilton, Hill, Lampasas, Lee, Leon, Limestone, Madison, McLennan, Milam, Robertson, Travis, Washington, Williamson

Area 7

Atascosa, Bandera, Bexar, Blanco, Calhoun, Comal, De Witt, Dimmit, Edwards, Frio, Gillespie, Goliad, Hays, Jackson, Karnes, Kendall, Kerr, Kimble, Kinney, La Salle,

Lavaca, Llano, Mason, Maverick, McMullen, Medina, Menard, Real, Refugio, Schleicher, Sutton, Uvalde, Val Verde, Victoria, Wilson, Zavala

Area 8

Andrews, Borden, Brewster, Coke, Concho, Crane, Crockett, Culberson, Dawson, Ector, El Paso, Fisher, Gaines, Garza, Glasscock, Howard, Hudspeth, Irion, Jeff

Davis, Kent, Loving, Martin, Midland, Mitchell, Nolan, Pecos, Presidio, Reagan, Reeves, Runnels, Scurry, Sterling, Terrell, Terry, Tom Green, Upton, Ward, Winkler,

Yoakum

Area 9

Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy,

Kleberg, Live Oak, Nueces, San Patricio, Starr, Webb, Willacy, Zapata

Regulated Facilities

The following tables and charts represent snapshots of regulated long-term care facility counts and occupancy numbers.

Occupancy numbers reflect the facility census from the most recent visit and include all residents and occupants,

whether they receive benefits from Medicare or Medicaid, or are private pay.

Facility and Occupancy Counts by Program Type

Program Count % of all Facilities

Occupancy % of all

Occupants

Assisted Living 1,888 42.9% 44,520 26.5%

DAHS 465 10.6% 22,651 13.5%

ICF/IID 810 18.4% 7,937 4.7%

Nursing 1,242 28.2% 93,106 55.3%

Total 4,405 NA 168,214 NA

Facilities in Texas by Program and Region

Region

Asst.

Living Count

% of all

Asst. Living

DAHS Count

% of

all DAHS

ICF/IID Count

% of all ICF/IID

Nursing Count

% of all Nursing

Total Count

% of Total

01 88 4.7% 6 1.3% 30 3.7% 72 5.8% 196 4.4%

02 44 2.3% 1 0.2% 40 4.9% 76 6.1% 161 3.7%

03 586 31.0% 40 8.6% 207 25.6% 284 22.9% 1,117 25.4%

04 96 5.1% 7 1.5% 71 8.8% 106 8.5% 280 6.4%

05 41 2.2% 9 1.9% 46 5.7% 74 6.0% 170 3.9%

06 468 24.8% 51 11.0% 121 14.9% 170 13.7% 810 18.4%

07 180 9.5% 5 1.1% 101 12.5% 150 12.1% 436 9.9%

08 281 14.9% 54 11.6% 120 14.8% 174 14.0% 629 14.3%

09 24 1.3% 1 0.2% 32 4.0% 42 3.4% 99 2.2%

10 40 2.1% 31 6.7% 12 1.5% 18 1.4% 101 2.3%

Region

Asst.

Living Count

% of all

Asst. Living

DAHS Count

% of

all DAHS

ICF/IID Count

% of all ICF/IID

Nursing Count

% of all Nursing

Total Count

% of Total

11 40 2.1% 260 55.9% 30 3.7% 76 6.1% 406 9.2%

Total 1,888 NA 465 NA 810 NA 1,242 NA 4,405 NA

Note:

Nursing count includes hospital-based facilities.

Facility Visits/Contacts by DADS Surveyors by Region

Region Assisted Living

DAHS ICF/IID Nursing Unlicensed Total

01 194 14 72 615 5 900

02 157 2 111 613 1 884

03 1,821 98 548 3,630 87 6,184

04 380 22 168 1,193 0 1,763

05 135 17 142 644 7 945

06 1,277 113 407 1,860 114 3,771

07 642 13 333 1,493 18 2,499

08 645 81 271 1,633 6 2,636

09 86 1 127 369 0 583

10 128 75 61 208 15 487

11 124 408 102 686 2 1,322

Total 5,589 844 2,342 12,944 255 21,974

Notes:

1. Visits/contacts consist of all on-site, off-site, and combination inspections and investigations done by regulatory

survey staff.

2. The unlicensed column includes visits to locations without a state license. During the visit, regulatory staff will

determine if the location is providing services in violation of state licensing rules, providing services that have no licensure requirements, or not providing services.

Facility Visits/Contacts Compared to the Number of Facilities

Facility Type

Facility Count

% of All Facilities

Facility Visits/

Contacts

% of All Visits/

Contacts

Assisted

Living 1,888 40.5% 5,589 25.4%

DAHS 465 10.0% 844 3.8%

Facility Type

Facility Count

% of All Facilities

Facility

Visits/ Contacts

% of All

Visits/ Contacts

ICF/IID 810 17.4% 2,342 10.7%

Nursing 1,242 26.7% 12,944 58.9%

Unlicensed 255 5.5% 255 1.2%

Total 4,660 NA 21,974 NA

Notes:

1. Visits/contacts consist of all on-site, off-site, and combination inspections and investigations done by regulatory

survey staff.



Changes in Regulated Facilities

Facility and Occupancy Counts in FY 2013 and FY 2017

Program FY 2013 Count

FY 2013 Occupancy

FY 2017 Count

FY 2017 Occupancy

Assisted Living 1,792 37,546 1,888 44,520

DAHS 479 21,943 465 22,651

ICF/IID 862 9,160 810 7,937

Nursing 1,218 93,764 1,242 93,106

Total 4,351 162,413 4,405 168,214

Facility and Occupancy by Percentage in FY 2013 and FY 2017

Program

FY 2013 %

of Total Facilities

FY 2013 %

of Total Occupancy

FY 2017 %

of Total Facilities

FY 2017 %

of Total Occupancy

Assisted Living 41.2% 23.1% 42.9% 26.5%

DAHS 11.0% 13.5% 10.6% 13.5%

ICF/IID 19.8% 5.6% 18.4% 4.7%

Nursing 28.0% 57.7% 28.2% 55.3%

Assisted Living Facility Trends

Fiscal Year

Number of

Facilities

Facilities:

Percent Growth/

Loss

Number of

Licensed or Certified

Beds

Licensed or

Certified Beds:

Percent Growth/Loss

Number of Occupants

Occupants: Percent

Growth/Loss

Occupancy Rates

2013 1,792 +4.0% 58,146 +6.2% 37,546 +7.2% 64.6%

2014 1,771 -1.2% 60,369 +3.8% 39,435 +5.0% 65.3%

Fiscal

Year

Number of

Facilities

Facilities: Percent

Growth/ Loss

Number of Licensed or

Certified Beds

Licensed or

Certified Beds:

Percent

Growth/Loss

Number of

Occupants

Occupants: Percent

Growth/Loss

Occupancy

Rates

2015 1,829 +3.3% 63,949 +5.9% 40,845 +3.6% 63.9%

2016 1,864 +1.9% 67,647 +5.8% 42,782 +4.7% 63.2%

2017 1,888 +1.3% 70,750 +4.4% 44,520 +3.9% 62.9%

Percent Change

FY2013

to 2017

NA +5.1% NA +17.8% NA +15.7% NA

Day Activity and Health Services Facility Trends

Fiscal Year

Number of

Facilities

Facilities:

Percent Growth/

Loss

Number

of Licensed Spaces

Licensed Spaces: Percent

Growth/ Loss

Number of Occupants

Occupants:

Percent Growth/

Loss

Occupancy Rates

2013 479 -3.8% 42,599 -2.3% 21,943 +0.5% 51.1%

2014 478 -0.2% 43,402 +1.9% 22,174 +1.1% 51.1%

2015 481 +0.6% 44,385 +2.3% 22,493 +1.4% 50.7%

2016 466 -3.1% 43,660 -1.6% 22,443 -0.2% 51.4%

2017 465 -0.2% 44,269 +1.4% 22,651 +0.9% 51.2%

Percent Change FY2013

to 2017

NA -3.0% NA +3.8% NA +3.1% NA

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition Trends

Fiscal

Year

Number

of Facilities

Facilities: Percent

Growth/ Loss

Number

of Licensed

or Certified

Beds

Licensed or

Certified

Beds: Percent

Growth/Loss

Number of

Occupants

Occupants:

Percent Growth/Loss

Occupancy

Rates

2013 862 +0.1% 11,988 -1.5% 9,160 -4.3% 76.4%

2014 863 +0.1% 11,862 -1.1% 8,803 -3.9% 74.2%

2015 847 -1.9% 11,730 -1.1% 8,401 -4.6% 71.6%

2016 828 -2.2% 11,505 -1.9% 8,132 -3.2% 70.7%

2017 810 -2.2% 11,367 -1.2% 7,937 -2.5% 69.8%

Fiscal Year

Number of

Facilities

Facilities:

Percent Growth/

Loss

Number of

Licensed or

Certified

Beds

Licensed

or Certified

Beds:

Percent Growth/

Loss

Number of Occupants

Occupants: Percent

Growth/Loss

Occupancy Rates

Percent Change

FY2013

to 2017

NA -6.4% NA -5.5% NA -15.4% NA

Note:

The number of certified beds reflects the number of intermediate care facilities for individuals with an intellectual

disability or related conditions beds authorized by the Centers for Medicare and Medicaid Services for participation in

the Medicaid program. Occupancy rates do not reflect funded capacity.

State-Operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition Trends

Fiscal

Year

Number of

Facilities

Facilities: Percent

Growth/ Loss

Number of

Licensed

or Certified

Beds

Licensed or

Certified Beds:

Percent

Growth/Loss

Number of

Occupants

Occupants: Percent

Growth/Loss

Occupancy

Rates

2013 15 0.0% 5,995 0.0% 3,557 -6.1% 59.3%

2014 15 0.0% 5,995 0.0% 3,372 -5.2% 56.2%

2015 15 0.0% 5,995 0.0% 3,195 -5.2% 53.3%

2016 15 0.0% 5,995 0.0% 3,112 -2.6% 51.9%

2017 15 0.0% 5,995 0.0% 3,016 -3.2% 50.3%

Percent Change

FY2013

to 2017

NA 0.0% NA 0.0% NA -17.9% NA

Note:

The number of certified beds reflects the number of intermediate care facilities for individuals with an intellectual

disability or related conditions beds authorized by the Centers for Medicare and Medicaid Services for participation in

the Medicaid program. Occupancy rates do not reflect funded capacity.

Private and Community-operated Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition Trends

Fiscal Year

Number of

Facilities

Facilities:

Percent Growth/

Loss

Number of

Licensed or

Certified Beds


Beds:

Percent Growth/Loss

Number of Occupants

Occupants: Percent

Growth/Loss

Occupancy Rates

2013 847 +0.1% 5,993 -2.9% 5,603 -3.1% 93.5%

2014 848 +0.1% 5,867 -2.1% 5,431 -3.1% 92.6%

2015 832 -1.9% 5,735 -2.2% 5,206 -4.1% 90.8%

2016 813 -2.3% 5,510 -3.9% 5,020 -3.6% 91.1%

2017 795 -2.3% 5,372 -2.6% 4,921 -2.0% 91.6%


to 2017

NA -6.5% NA -11.6% NA -13.9% NA

Nursing Facility Trends

Fiscal Year

Number

of Facilities

Facilities:

Percent Growth/ Loss

Number of


Beds

Licensed or

Certified Beds: Percent

Growth/Loss

Number of Occupants

Occupants:

Percent Growth/Loss

Occupancy Rates

2013 1,218 +0.2% 135,881 +0.7% 93,764 +1.0% 69.0%

2014 1,224 +0.5% 136,856 +0.7% 94,591 +0.9% 69.1%

2015 1,223 -0.1% 137,335 +0.4% 93,588 -1.1% 68.1%

2016 1,228 +0.4% 137,975 +0.5% 92,943 -0.7% 67.4%

2017 1,242 +1.1% 139,452 +1.1% 93,106 +0.2% 66.8%

Fiscal Year Number

of

Facilities

Facilities: Percent

Growth/ Loss

Number of


Beds

Licensed or

Certified Beds: Percent Growth/Loss

Number of Occupants

Occupants: Percent

Growth/Loss

Occupancy Rates


to 2017

NA +1.9% NA +2.6% NA -0.7% NA

Note:

The number of licensed or certified beds includes all types — Medicare, Medicaid and private pay.

Facility Visits/Contacts by Regulatory Surveyors for FY 2013-17

Facility

Type

FY

2013

FY

2014

FY

2015

FY

2016

FY

2017

Assisted

Living 4,447 4,946 4,883 5,578 5,589

DAHS 1,117 1,015 871 1,069 844

ICF/IID 2,464 2,339 2,412 2,524 2,342

Nursing 10,916 11,683 12,228 12,395 12,944

Unlicensed 287 290 241 296 255

Totals 19,231 20,273 20,635 21,862 21,974

Notes:

1. Visits/contacts consist of all on-site, off-site and combination inspections and investigations done by regulatory

survey staff.



Regulated Home and Community Support Services Agencies

Home and Community Support Services Agency Counts by Agency Type

Agency Type Count % of All

Agencies

Consumers for FY 2016

and FY 2017

% of All

Consumers

Home health and hospice parents

5,396 86.2% 1,224,015 98.2%

Home health branches 657 10.5% 12,655 1.0%

Alternate delivery sites 209 3.3% 9,315 0.7%

Total 6,262 NA 1,245,985 NA

Note:

Consumer counts are the number of unduplicated consumers reported by each

agency on its license renewal application.

Home and Community Support Services Agency Counts by DADS Region

Region Parent Count

% of

Parent Total

Branch Count

% of

Branch Total

Alternate Delivery

Site

Count

% of Alternate Delivery

Site Total

Total Count

% of Total

01 97 1.8% 45 6.8% 8 3.8% 150 2.4%

02 85 1.6% 28 4.3% 15 7.2% 128 2.0%

03 1,583 29.3% 127 19.3% 51 24.4% 1,761 28.1%

04 183 3.4% 55 8.4% 29 13.9% 267 4.3%

05 135 2.5% 39 5.9% 12 5.7% 186 3.0%

06 1,614 29.9% 61 9.3% 22 10.5% 1,697 27.1%

07 336 6.2% 79 12.0% 29 13.9% 444 7.1%

08 444 8.2% 89 13.5% 23 11.0% 556 8.9%

09 65 1.2% 20 3.0% 6 2.9% 91 1.5%

10 156 2.9% 13 2.0% 2 1.0% 171 2.7%

11 698 12.9% 101 15.4% 12 5.7% 811 13.0%

Totals 5,396 NA 657 NA 209 NA 6,262 NA

Home and Community Support Services Agency Visits/Contacts by Regulatory Surveyors by Region

Region HCSSA

01 86

02 55

03 869

04 165

05 148

06 1,038

07 306

08 442

09 54

10 99

11 589

Total 3,851

Note:

Visits/contacts consist of all on-site, off-site, and combination inspections and

investigations done by regulatory survey staff.

Home and Community Support Services Agency Counts by Category of Service

Category of Service Parent Branch Alternate Delivery

Site

Licensed and certified home health 2,345 268 NA

Licensed and certified home health w/ dialysis 1 0 NA

Licensed home health services 3,023 533 NA

Licensed home health w/ dialysis 37 1 NA

Personal assistance services 3,706 392 NA

Hospice 778 NA 209

Note:

Home and community support services agencies can provide more than one

category of service from the same parent or branch.

Home and Community Support Services Agency Counts by Category of Service by DADS Region

Category of Service

01 02 03 04 05 06 07 08 09 10 11 Total

Parent: licensed and certified home health

48 52 767 95 66 677 109 141 33 67 290 2,345

Parent: licensed home health

55 45 915 107 81 944 165 214 32 73 392 3,023

Parent: licensed home health with dialysis

0 0 8 2 0 23 2 1 0 0 1 37

Parent: personal assistance

41 38 1,123 86 69 1,234 196 253 33 110 523 3,706

Parent: hospice 24 13 225 36 27 182 63 96 15 19 78 778

Parent: licensed and certified home health with dialysis

0 0 0 0 0 0 0 0 0 0 1 1

Branch: licensed and certified

home health

23 16 64 37 24 26 28 17 11 0 22 268

Branch: licensed home health

44 25 107 45 29 53 64 62 14 11 79 533

Branch: licensed home health with dialysis

0 0 1 0 0 0 0 0 0 0 0 1

Branch: personal assistance

26 16 66 31 21 30 35 67 12 8 80 392

Alternative delivery site:

hospice 8 15 51 29 12 22 29 23 6 2 12 209

Note:

Home and community support services agencies can provide more than one category of service from the same parent or branch.

Changes in Regulated Home and Community Support Services Agencies

Home and Community Support Services Agency Counts for FY 2013 and FY 2017

Agency Type FY 2013 Count

FY 2017 Count

Home health and hospice parents

5,339 5,396

Home health branches 780 657

Alternate delivery sites 177 209

Total 6,296 6,262

Home and Community Support Services Agency Trends

Fiscal Year

Number of

Parents

Parents:

Percent Growth/

Loss

Number of

Branches

Branches:

Percent Growth/

Loss

Number of

Alternate

Delivery Sites

Alternate Delivery

Sites:

Percent Growth/Loss

Total

Number of

Agencies

All:

Percent Growth/

Loss

2013 5,339 +4.4% 780 +1.2% 177 +0.0% 6,296 +3.8%

2014 5,413 +1.4% 769 -1.4% 170 -4.0% 6,352 +0.9%

2015 5,426 +0.2% 730 -5.1% 187 +10.0% 6,343 -0.1%

2016 5,402 -0.4% 701 -4.0% 189 +1.1% 6,292 -0.8%

2017 5,396 -0.1% 657 -6.7% 209 9.6% 6,262 -0.5%


to 2017

NA 1.1% NA -18.7% NA 15.3% NA -0.5%

Home and Community Support Services Agency Visits/Contacts by Regulatory Surveyors for FY 2013-17

Agency Type

FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

HCSSA 3,628 3,874 3,470 2,885 3,851

Note:

Visits/contacts consist of all on-site, off-site and combination inspections and investigations done by regulatory survey

staff.

Regulated Waiver Programs

Waiver Program and Consumer Counts

Program Type Count of Waiver

Contracts

% of all Contracts

Consumers % of All

Consumers

Home and Community- based Services

823 67.7% 27,896 83.8%

Texas Home Living 393 32.3% 5,385 16.2%

Total 1,216 NA 33,281 NA

Contracts in Texas by Waiver Program and Contract Area

Waiver Contract

Area

HCS Contracts

% of All HCS

Contracts

TxHmL Contracts

% of All TxHmL

Contracts

Total Contracts

% of All Contracts

1 15 1.8% 10 2.5% 25 2.1%

2 109 13.2% 59 15.0% 168 13.8%

3 146 17.7% 76 19.3% 222 18.3%

4 112 13.6% 42 10.7% 154 12.7%

5 229 27.8% 105 26.7% 334 27.5%

6 69 8.4% 30 7.6% 99 8.1%

7 72 8.7% 28 7.1% 100 8.2%

8 23 2.8% 17 4.3% 40 3.3%

9 48 5.8% 26 6.6% 74 6.1%

Total 823 NA 393 NA 1,216 NA

Reviews of Waiver Programs by State Reviewers by Contract Area

Waiver

Contract Area

Home and Community-

based

Services

Texas Home Living

Total

1 24 10 43

2 113 60 183

3 166 80 211

4 136 47 175

5 273 116 355

6 93 27 138

7 94 27 123

8 31 18 49

9 64 28 79

Total 994 413 1,407

Reviews of Waiver Programs Compared to the Number of Waiver Programs

Program Type Contract Count

% of All Contracts

% of All Reviews


823 67.7% 70.6%

Texas Home Living 393 32.3% 29.4%

Total 1,216 NA NA

Note:

Reviews consist of all certification, intermittent and follow-up reviews, or visits by

regulatory waiver survey and certification staff.

Home and Community-based Services Residential Category Consumer Counts

Residential Category

Consumers % of Consumers

Own home or family home 5,695 20.4%

Foster care 13,695 49.1%

Three-person group home 3,985 14.3%

Four-person group

home 4,521 16.2%

Total 27,896 NA

Home and Community-based Services Residential Reviews

Residential Category Reviews Completed

% of All Reviews

Own home or family home NA NA

Foster care 9,853 80.4%

Three-person group home 1,298 10.6%

Four-person group home 1,097 9.0%

Total 12,248 NA

Changes in Waiver Programs

Waiver Program Contract and Consumer Counts for FY 2013 and FY 2017

Program Type FY 2013

Contracts FY 2013

Consumers FY 2017

Contracts FY 2017

Consumers


737 20,781 823 27,896

Texas Home Living 327 5,755 393 5,385

Total 1,064 26,536 1,216 33,281

Waiver Program Contract and Consumers by Percentage in FY 2013–2017

Program Type FY 2013 % of All

Contracts

FY 2013 % of All

Consumers

FY 2017 % of All

Contracts

FY 2017 % of All

Consumers


69.3% 78.3% 67.7% 83.8%

Texas Home Living 30.7% 21.7% 32.3% 16.2%

Home and Community-based Services Trends

Fiscal Year

Number

of HCS Contracts

HCS: %

Growth/Loss

HCS

Consumers

HCS

Consumers: % Growth/ Loss

2013 737 +4.4% 20,781 +1.0%

2014 767 +4.1% 21,334 +2.7%

2015 791 +3.1% 24,608 +15.3%

2016 811 +2.5% 26,081 +6.0%

2017 823 +1.5% 27,896 +6.5%

Percent Change FY2013 to 2017

NA +10.4% NA +25.5%

Note:

Home and Community-based Services contract counts include only contracts

through which at least one consumer is provided services.

Texas Home Living Trends

Fiscal Year Number of

TxHmL

Contracts

TxHmL: % Growth/Loss

TxHmL Consumers

TxHmL Consumers: %

Growth/Loss

2013 327 +18.1% 5,755 +9.8%

2014 374 +14.4% 5,955 +3.5%

2015 423 +13.1% 7,358 +23.6%

2016 403 -4.7% 6,989 -5.0%

2017 393 -2.5% 5,385 -29.8%

Percent Change

FY2013 to 2017 NA +16.8% NA -6.9%

Reviews of Waiver Programs by Regulatory Reviewers for FY 2013–2017

Facility Type FY 2013

FY 2014

FY 2015

FY 2016

FY 2017


885 1,014 960 1,202 994

Texas Home Living 316 425 396 477 413

Totals 1,201 1,439 1,356 1,679 1,407

Comparisons to Other States

In Centers for Medicare and Medicaid Services Region VI (which includes Arkansas,

Louisiana, New Mexico, Oklahoma, and Texas) for FY 2017, Texas accounts for:

64 percent of all active certified facilities and agencies

63 percent of all nursing facility federal enforcement cases

54 percent of all immediate jeopardy situations

39 percent of all past noncompliance cases

Nationwide, Texas accounts for:

18 percent of all certified home and community support services agencies

13 percent of all intermediate care facilities for individuals with an

intellectual disability or related condition

8 percent of all certified nursing facilities

15 percent of all state survey agency hours spent on investigations at

nursing facilities

8 percent of all nursing facility federal enforcement cases

14 percent of all immediate jeopardy situations

10 percent of all past noncompliance cases

Credentialing Programs

The long-term care regulatory agency operates the following programs related to

the administration and operation of long-term care facilities:

Nursing facility administrator licensing and investigation

Medication aide permits

Nurse Aide Training and Competency Evaluation

Nurse aide certification


Credentialing Program Counts by Fiscal Year

Credentialing Program FY 2015

FY 2016

FY 2017

Licensed nursing facility administrators

2,127 2,210 2,112

Active medication aides 9,835 9,941 10,593

Approved Nurse Aide Training and Competency Evaluation Programs

(facility-based)

252 310 310

Approved Nurse Aide Training and

Competency Evaluation Programs (non facility-based)

586 602 615

Active certified nurse aides listed on

the Nurse Aide Registry

114,715 114,397 115,427

Nursing Facility Administrator Program

Activity Action FY 2015

FY 2016

FY 2017

New licenses Issued 181 167 166

License renewals (1) Renewed 882 1,030 916

Provisional licenses Issued 18 41 61

Referrals (2) Received 178 217 255

Complaints against nursing

facility administrators (3)

Received 1 0 2

New sanctions against administrator license

Imposed 62 61 41

Nursing facility administrators required

sanctions

Fulfilled 27 45 35

Administrative penalties Assessed 3 2 3

National Association of Boards of Examiners of Long-term Care Administrators exams

Administered 203 211 155

State exams Administered 196 211 171

Notes:

1. Nursing facility administrators are licensed for two years.

2. Nursing facility administrators are automatically referred to the regulatory

professional credentialing enforcement unit for investigation when

substandard quality of care or an immediate jeopardy is identified at a

Medicaid- or Medicare-certified facility during their tenure.

3. Complaints received from the general public.

Medication Aide Program


FY 2016 FY 2017

New medication aide permits

Issued 1,170 1,272 1,124

Testing dates at schools Scheduled 158 170 156

Initial exams Administered 1,309 1,387 1,263

Retest dates Scheduled 317 345 212

Permits Renewed 9,390 9,425 9,469

Complaints Received 8 10 14

Sanctions Imposed 6 15 8

Nurse Aide Training and Competency Evaluation Program (NATCEP)


FY 2016

FY 2017

New NATCEPs Approved 187 175 152

NATCEPs Renewed 236 221 311

NATCEPs withdrawn from participation

Withdrew 151 104 142

Competency Evaluation Programs

Approved 294 227 236

Nurse Aide Registry

Activity Action FY 2015 FY 2016 FY 2017

New nurse aides to program

Added 15,717 15,944 20,679

Nurse aides removed from active status

Removed 28,873 32,849 26,798

Nurse aides from expired status to active status

Returned 69,929 76,689 67,542

New misconduct referrals received/ processed

Processed 139 75 99

Employee misconduct cases

Dismissed 7 18 11

Employee misconduct cases

Revoked 98 81 74

Client contacts made by mail

Contacted 48,335 47,066 43,632

Public inquiries Received 0 0 0

Client contacts made by telephone

Contacted 132,652 130,156 103,980


Activity Action FY 2015 FY 2016 FY 2017

New employee misconduct referrals

Processed 59 60 65

New unlicensed facility employees to the registry

Added 61 59 110

New unlicensed HCSSA, HCS or ICF/ IID employees

to the registry (1)

Added 263 229 261

Overview of Enforcement Activities

Administrative Penalties

During FY 2017, DADS imposed 871 administrative penalties against facilities and

agencies, including:

732 against home and community support services agencies

56 against nursing facilities

53 against assisted living facilities

24 against intermediate care facilities for individuals with an intellectual

disability or related conditions

6 against day activity and health services facilities

Facility Referrals to the Office of the Attorney General

During FY 2017, DADS referred the following facilities for injunctive/other relief and

civil penalties:

26 unlicensed facilities

3 assisted living facilities

Facility Amelioration Requests

In certain situations, the agency commissioner can allow, in lieu of demanding

payment of an administrative penalty, the use (under agency’s supervision) of any

portion of the penalty to ameliorate the violation. The amelioration plan must

improve services (other than administrative services) or quality of care of residents

in the nursing facility, intermediate care facilities for individuals with an intellectual

disability or related condition, or assisted living facilities affected by the violation.

Approved amelioration amounts:

$44,100 for the purchase and installation of Wander Guard System, therapy and rehab items

$5,620.22 to implement music therapy program, create theater night experience and purchase tortilla manual press

$53,250.00 to purchase dining room and kitchen items, kitchen floors, prep

table, hand washing sinks, carpeting, night stands, common area furniture, and light fixtures

$3,596.97 for the purchase of three electric beds

$4,472.55 for the purchase and installation of backyard improvements to

add concrete addition and purchase patio seating set, pergola with canopy, and propane grill

$4,200 for the purchase of attendant vital signs monitoring stations, printer and accessories

$33,600 for the purchase of dining room furniture, outdoor furniture and

various rehab items

$31,500 for the purchase of outdoor living space

$2,100 for the purchase of a soft-serve ice cream machine

$1,200 for the implementation of a Music & Memory program

$9,600 for the purchase and implementation of an internet café and vital

sign attendant monitor with oral temperature

$4,200 for the purchase of three electric beds

$17,364.03 for the implementation of Music & Memory program, flower box program, residence identification, video gaming console, and renovation to

rehab gym

$5000 for the purchase and implementation of outdoor living items and

resident activities

License Denials

During FY 2017, DADS denied 53 initial and renewal applications for licensure for

facilities and agencies, including:

24 home and community support services agencies

22 assisted living facilities

5 day activity and health services facilities

1 nursing facility

1 intermediate care facility for individuals with an intellectual disability or

related condition

License Revocations

During FY 2017, DADS revoked 46 facility and agency licenses, including:

45 home and community support services agencies

1 assisted living facility

Home and Community Support Services Agency Expiration of Licenses (in Lieu of

Enforcement Actions)

Instead of pursuing additional enforcement actions, the state regulatory agency can

allow a home and community support services agency to let its license expire.

During FY 2017, 20 of these agencies were allowed to expire their license in lieu of

further enforcement actions.

Home and Community Support Services Agency Surrender of Licenses (in Lieu of

Enforcement Actions)

At the state’s discretion, an agency can be offered the option to surrender its

license, instead of receiving additional enforcement actions. In FY 2017, 34 home

and community support services agencies surrendered their license in lieu of further

enforcement actions.

Vendor Holds

During FY 2017, DADS placed four waiver contracts on vendor hold.

Denial of Certification

During FY 2017, DADS denied certification to two waiver contracts.

Unlicensed Facilities

The long-term care regulatory program addresses violators of state licensing laws

who operate facilities without a required license. The agency responds to complaints

from the public and other entities alleging facilities are operating without a license

and, if the agency finds a facility is in violation of licensure laws, it can refer a

facility to the Office of the Attorney General or the local, county or district attorney

for relocation of residents, injunctive relief, and/or civil penalties.

During FY 2017, DADS referred 26 unlicensed facilities for injunctive/other relief

and civil penalties. Of those, all 26 referrals were to the Office of the Attorney

General.

Nursing Facility Civil Money Penalties

The federal Centers for Medicare and Medicaid Services (CMS) or the state regulatory

program can impose a civil money penalty (CMP) for the number of days that a skilled

nursing or nursing facility is not in substantial compliance with one or more of the

conditions to participate in Medicare or Medicaid, or for each instance that a facility is

not in substantial compliance — regardless of whether the deficiencies constitute

immediate jeopardy. CMS or the state also can impose a CMP for the number of days

of previous noncompliance since the last standard survey, including the number of

days of immediate jeopardy.

In FY 2017, CMS imposed 292 CMPs against facilities participating in the Medicare

program; DADS imposed two CMPs against facilities that contracted for Medicaid only.

Regulatory Penalty Receipts for FY 2013–2017

Fiscal Year

Administrative Penalties Amount

Received (All Facility

Types)

Civil Money Penalties

Amount Received (Nursing Facilities)

2012 $603,676.16 $2,667,298.49

2013 $394,675.00 $2,979,482.94

2014 $685,391.00 $3,673,288.69

2015 $489,417.01 $4,252,411.81

2016 $928,287.99 $5,153,955.58

2017 $762,338.09 $8,433,374.78

Top 10 Rankings

Certification Deficiencies and Licensure Violations

Top 10 Violations Cited During Inspections for FY 2017: Assisted Living Facilities

1. Sprinkler Systems: 40 TAC §92.62(f)(2) — The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance

with National Fire Protection Association 25. (Tied for No. 1 in FY 2016)

2. General Safety: Building in Good Repair: 40 TAC §92.62(i)(2) — The

facility failed to ensure that the building was kept in good repair. (Ranked No. 3 in FY 2016)

3. FA-SS: Fire Alarm and Sprinkler Systems: 40 TAC §92.62(f)(1) — The

facility failed to ensure that the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities. (Tied for No. 2

in FY 2016)

4. Requirements: Other Chapters, Sec etc. of NFPA 101: 40 TAC

§92.61(b)(4)(E) — The facility failed to ensure the building and structure complied with other applicable chapters of the Life Safety Code, NFPA 101. (Ranked No. 5 in FY 2016)

5. [TIE] Resident Assessment Service Plan: 40 TAC §92.41(c)(2) — The

facility failed to ensure that the service plan was approved and signed by the

resident or a person responsible for the resident's health care decisions, or that

it was updated annually and upon a significant change in condition, based upon

an assessment of the resident, or that care was provided to the resident based

on that assessment. (Ranked No. 6 in FY 2016)

5. [TIE] Operations: Fire Drills: 40 TAC §92.62(c)(2) — The facility failed to

ensure fire drills were conducted and documented to be in compliance with

licensing standards for assisted living facilities. (Ranked No. 4 in FY 2016)

5. [TIE] Requirement: Existing Type B Large Comply Chapter 19: 40 TAC §92.61(b)(4)(D) — The facility failed to comply with Chapter 19 of NFPA 101.

(Ranked No. 10 in FY 2016)

5. [TIE] FA-SS: Contract to Maintain Alarm System: 40 TAC

§92.62(f)(1)(E) — The facility failed to provide a written contract with a fire

alarm firm to perform inspections, testing, and maintenance of the system at

least every six months. (Ranked No. 9 in FY 2016)

9. FA-SS: Smoke Detector Sensitivity Checks: 40 TAC §92.62(f)(1)(F) —

The facility failed to ensure the smoke detectors were to be tested for

sensitivity as required. The facility failed to provide all required fire alarm

documentation, including as-built installation drawings, operation and

maintenance manuals, and a written sequence of operation, must be available

for examination by DADS. (Ranked No. 8 in FY 2016)

10.General Safety: Adequate Light Levels: 40 TAC §92.62(i)(11) – The facility

failed to ensure lighting levels were in compliance with licensing standards for

assisted living facilities and the Illumination Engineering Society of North

America. (Not ranked in FY 2016)

Top 10 Violations Cited During Inspections for FY 2017: Day Activity and Health Services Facilities

1. Sanitation/Kitchen-Food Service Sanitation: 40 TAC § 98.43(b)(1) —

The facility failed to observe state requirements and local health ordinances

relating to Texas food establishments. (Ranked No. 1 in FY 2016)

2. Sanitation/General-Odors/Refuse/Hazards: 40 TAC §98.43(a)(7) —

The facility failed to keep the building clean and well maintained. (Ranked

No. 3 in FY 2016)

3. Communicable Diseases/Staff Health: 40 TAC §98.62(c) — The facility

failed to ensure that its employees were free of communicable diseases,

through tuberculosis screening or through excluding them from work while

communicable. (Ranked No. 6 in FY 2016)

4. Personal Safety/Fire-Smoking Regulations: 40 TAC

§98.42(c)(1)(G)(iv) — The facility failed to provide the proper containers

to allow for the emptying of ashtrays in smoking areas. (Ranked No. 4 in FY

2016)

5. Life Safety Code/Interpretations-Fire Alarm Inspection: 40 TAC

§98.42(b)(D) — The facility failed to have a program to inspect, test, and

maintain the fire alarm system at least once every six months. (Not ranked

in FY 2016)

6. [TIE] Life Safety Code/Principles of NFPA for Day Care Centers: 40

TAC §98.42(b)(1) — The facility failed to meet a requirement of the Life

Safety Code that is not also listed in the licensing standards. (Not ranked in

FY 2016)

7. [TIE] Personal Safety/Fire-Smoking Regulations: 40 TAC

§98.42(c)(1)(G)(iii) — The facility failed to provide the proper ashtrays in

areas where smoking is permitted. (Ranked No. 2 in FY 2016)

8. Personal Safety/Fire-Building in Good Repair: 40 TAC

§98.42(c)(1)(C) — The facility failed to keep the building in good repair.

(Not ranked in FY 2016)

9. Staff Qualifications/Director: 40 TAC §98.62(a)(1)(A)(B) — The

facility failed to assure that its director met the mandatory qualifications for a

director. (Ranked No. 8 in FY 2016)

10. Environmental Safety/Accessibility for Individuals with Disability: 40

TAC §98.42(a)(3) — The facility failed to meet the federal and/or state

requirements for accommodating the handicapped. (Not ranked in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Home Health Agencies

1. Acceptance of Patients, Plan of Care, Medical Supervision: 42 CFR

484.18, TAG 0158 — The agency failed to ensure the care follows a

written plan of care established and periodically reviewed by a doctor of

medicine, osteopathy, or podiatric medicine. (Ranked No. 1 in FY 2016)

2. Administrator: 42 CFR 484.14(c), TAG 0133 — The administrator, who

may also be the supervising physician or registered nurse required under

paragraph (d) of this section, failed to organize and direct the agency's

ongoing functions; maintains ongoing liaison among the governing body, the

group of professional personnel, and the staff.. (Ranked No. 2 in FY 2016)

3. Plan of Care: 42 CFR 484.18(a), TAG 0159 — The agency failed to ensure

the plan of care developed in consultation with the agency staff covers all

pertinent diagnoses, including mental status, types of services and equipment

required, frequency of visits, prognosis, rehabilitation potential, functional

limitations, activities permitted, nutritional requirements, medications and

treatments, any safety measures to protect against injury, instructions for

timely discharge or referral, and any other appropriate items. (Ranked No. 4 in

FY 2016)

4. Clinical Records: 42 CFR 484.48, TAG 0236 — The agency failed to

maintain a clinical record containing pertinent past and current findings in

accordance with accepted professional standards is maintained for every

patient receiving home health services. In addition to the plan of care, the

record contains appropriate identifying information; name of physician; drug,

dietary, treatment, and activity orders; signed and dated clinical and progress

notes; copies of summary reports sent to the attending physician; and a

discharge summary. (Ranked No. 3 in FY 2016)

5. Encoding OASIS Data: 42 CFR 484.20(a), TAG 0321 — The agency failed

to encode and be capable of transmitting OASIS data for each agency patient

within 30 days of completing an OASIS data set. (Ranked No. 6 in FY 2016)

6. Coordination of Patient Services: 42 CFR 484.14(g), TAG 0143 — The

agency failed to ensure all personnel furnishing services maintain liaison that

their efforts are coordinated effectively and support the objectives outlined in

the plan of care. (Ranked No. 5 in FY 2016)

7. Drug Regimen Review: 42 CFR 484.55(c), TAG 0337 — The agency

failed to maintain a comprehensive assessment, which must include a review

of all medications the patient is currently using in order to identify any

potential adverse effects and drug reactions, including ineffective drug

therapy, significant side effects, significant drug interactions, duplicate drug

therapy, and noncompliance with drug therapy. (Ranked No. 8 in FY 2016)

8. Skilled Nursing Services: 42 CFR 484.30, TAG 0170 — The agency failed

to furnish skilled nursing services in accordance with the plan of care. (Ranked

No. 7 in FY 2016)

9. Coordination of Patient Services: 42 CFR 484.14(g), TAG 0144 — The

agency failed to maintain clinical record or minutes of case conferences

establish that effective interchange, reporting, and coordination of patient care

does occur. (Ranked No. 10 in FY 2016)

10.Transmittal of OASIS Data: 42 CFR 484.10, TAG 0101 — The agency must

electronically transmit accurate, completed, encoded and locked OASIS data for

each patient to the State agency or CMS OASIS contractor at least monthly.

(Not ranked in FY 2016)

Top 10 Violations Cited During Inspections for FY 2017: Home Health Agencies

1. Management Responsibility Supervising Nurse – Level B: 40 TAC

§97.243(c)(2)(A)(iii) — The supervising nurse or the alternate

supervising nurse failed to make sure that care was provided according to a

client's needs as written in the plan of care or care plan. (Ranked No. 1 in FY

2016)

2. Self-Reported Incidents of Abuse, Neglect and Exploitation – Level B: 40 TAC §97.249(c) — The agency failed to immediately report within 24 hours, knowledge of an alleged act of abuse, neglect or exploitation of a

client by an agency employee, contractor or volunteer, to the Texas Department of Family and Protective Services and to DADS. (Ranked No. 3 in

FY 2016)

3. Management Responsibility Administrator – Level A and Level B: 40 TAC §97.243(b)(1)(B) — The agency administrator failed to carry out,

organize, and supervise ongoing work under the agency's administrative policies. (Ranked No. 2 in FY 2016)

4. Management Responsibility Administrator – Level A and Level B: 40 TAC §97.243(b)(1)(A) — The agency administrator failed to manage the

daily operations of the agency. (Ranked No. 5 in FY 2016)

5. [TIE] Emergency Preparedness Planning and Implementation –

Level A and Level B: 40 TAC §97.256(k) — The agency failed to test the

response phase of its emergency preparedness and response plan by

conducting a planned drill consistent with state licensing rules as part of its

annual review of the plan. (Ranked No. 10 in FY 2016)

5. [TIE] Quality Assess/Performance Improvement – Level B: 40 TAC §97.287(a)(1) — The agency failed to have, implement, and review a

quality assessment and performance improvement program consistent with state requirements. (Ranked No. 4 in FY 2016)

7. Verify Employability/Use Unlicensed Personnel – Level B: 40 TAC §97.247(a) (3) — The agency employed an unlicensed person with face-to-face client contact before it searched the nurse aide and employee

misconduct registries as required or employed an unlicensed person who was listed in either registry as unemployable. (Ranked No. 7 in FY 2016)

8. Personnel Records – Level A: 40 TAC §97.246(a)(3) — The agency

failed to include verification of license, permits, reference(s), job experience,

or educational requirements to verify qualifications for each position a

person accepted in its personnel records. (Not ranked in FY 2016)

9. Continuing Education in Agency Administrator – Level B: 40 TAC

§97.260(a) — The agency's administrator or alternate administrator failed

to complete 12 hours of continuing education in the required topics within

each 12 months in that job as required for the position of the administrator

or alternate administrator of an agency. (Ranked No. 6 in FY 2016)

10.Management Responsibility Administrator – Level A and Level B: 40

TAC §97.243(b)(1)(D) — The administrator failed to supervise to ensure

implementation of agency policy and procedures. (Not ranked in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Hospice Agencies

1. Plan of Care: 42 CFR 418.56(b), TAG 0543 — The hospice failed to

ensure all hospice care and services furnished to patients and their families

must follow an individualized written plan of care established by the hospice

interdisciplinary group in collaboration with the attending physician (if any),

the patient or representative, and the primary caregiver in accordance with

the patient's needs if any of them so desire. (Ranked No. 1 in FY 2016)

2. Clinical Records: 42 CFR 418.104, TAG 0671 — The hospice failed to

ensure a clinical record containing past and current findings is maintained for

each hospice patient. The clinical record must contain correct clinical

information that is available to the patient's attending physician and hospice

staff. The clinical record may be maintained electronically. (Ranked No. 2 in

FY 2016)

3. Supervision of Hospice Aides: 42 CFR 418.76(h)(1)(i), TAG 0629 —

The hospice failed to ensure that the registered nurse make an on-site visit

to the patient's home no less frequently than every 14 days to assess the

quality of care and services provided by the hospice aide and to ensure that

services ordered by the hospice interdisciplinary group meet the patient's

needs. The hospice aide does not have to be present during this visit.


4. Coordination of Services: 42 CFR 418.56(e)(4), TAG 0557 — The

hospice failed to develop and maintain a system of communication and

integration, in accordance with the hospice's own policies and procedures, to

provide for and ensure the ongoing sharing of information between all

disciplines providing care and services in all settings, whether the care and

services are provided directly or under arrangement. (Not ranked in FY

2016)

5. Content of Comprehensive Assessments: 42 CFR 418.54(c)(6), TAG 0530 — The hospice failed to have comprehensive assessment take into consideration the following factors: drug profile. A review of all of the

patient's prescription and over-the-counter drugs, herbal remedies and other

alternative treatments that could affect drug therapy. This includes, but is not limited to, identification of the following:

a. Effectiveness of drug therapy

b. Drug side effects

c. Actual or potential drug interactions

d. Duplicate drug therapy

e. Drug therapy currently associated with laboratory monitoring

(Tied for No. 9 in FY 2016)

6. [TIE] Timeframe for Completion of Assessment: 42 CFR 418.54(b),

TAG 0523 — The hospice failed to ensure that the interdisciplinary group, in

consultation with the individual's attending physician (if any), must complete

the comprehensive assessment no later than 5 calendar days after the

election of hospice care in accordance with 42 CFR §418.24. (Tied for No. 9

in FY 2016)

6. [TIE] Review of the Plan of Care: 42 CFR 418.56(d), TAG 0552 — The

hospice interdisciplinary group (in collaboration with the individual's

attending physician, if any) failed to review, revise and document the

individualized plan as frequently as the patient's condition requires, but no

less frequently than every 15 calendar days. (Ranked No. 5 in FY 2016)

6. [TIE] Quality Assessment & Performance Improvement: 42 CFR

418.58, TAG 0560 — The hospice failed to develop, implement, and

maintain an effective, ongoing, hospice-wide data-driven quality assessment

and performance improvement program. The hospice's governing body must

ensure that the program: reflects the complexity of its organization and

services; involves all hospice services (including those services furnished

under contract or arrangement); focuses on indicators related to improved

palliative outcomes; and takes actions to demonstrate improvement in

hospice performance. The Hospice failed to maintain documentary evidence

of its quality assessment and performance improvement program and be

able to demonstrate its operation to CMS. (Not ranked in FY 2016)

6. [TIE] Governing Body and Administrator: 42 CFR 418.100(b), TAG

0651 — The hospice failed to ensure a governing body (or designated

persons so functioning) assumes full legal authority and responsibility for the

management of the hospice, the provision of all hospice services, its fiscal

operations, and continuous quality assessment and performance

improvement. A qualified administrator appointed by and reporting to the

governing body is responsible for the day-to-day operation of the hospice.

The administrator must be a hospice employee and possess education and

experience required by the hospice's governing body. (Tied for No. 7 in FY

2016)

10.Content of Plan of Care: 42 CFR 418.56(c)(2), TAG 0547 — The

hospice failed to ensure that the plan of care include all services necessary

for the palliation and management of the terminal illness and related

conditions, including the following: a detailed statement of the scope and

frequency of services necessary to meet the specific patient and family

needs. (Ranked No. 4 in FY 2016)

Top 10 Violations Cited During Inspections for FY 2017: Hospice Agencies

1. Hospice Plan of Care – Level B: 40 TAC §97.821(c) - The hospice failed

to provide care and services according to the Interdisciplinary Team’s written

plan of care. (Ranked No. 1 in FY 2016)

2. Self-Reported Incidents of Abuse, Neglect and Exploitation — Level

B: 40 TAC §97.249(c) - The hospice failed to immediately report within 24

hours, knowledge of an alleged act of abuse, neglect or exploitation of a

client by an agency employee, contractor or volunteer, to the Texas

Department of Family and Protective Services and to DADS. (Ranked No. 2

in FY 2016)

3. [TIE] Client Records – Level A: 40 TAC §97.301(a)(9)(D) — The

hospice failed to have clinical and progress notes in each client record as

applicable and/or to make sure staff wrote these notes on the day of service

and that the agency placed these notes into the client records within 14

working days. (Tied for No. 8 in FY 2016)

4. [TIE] Hospice Aide Services – Level B: 40 TAC §97.842(d)(1) — The

hospice failed to make an on-site visit to a client's home to supervise the

hospice aide services at least every 14 days to assess the quality of care and

services provided by the hospice aide and to ensure that services ordered by

the hospice IDT meet the client's needs. (Tied for No. 8 in FY 2016)

5. Client Records – Level A: 40 TAC §97.301(a)(7) — The hospice failed to keep client record entries current, accurate, signed, dated, and free of

corrections or alterations made by any means other than strikethroughs properly identifying the person making each change. (Ranked No. 4 in FY

2016)

6. [TIE] Management Responsibility Administrator – Level A and Level

B: 40 TAC §97.243(b)(1)(A) — The administrator failed to manage the

daily operations of the agency. (Not ranked in FY 2016)

6. [TIE] Management Responsibility Administrator – Level A and Level

B: 40 TAC §97.243(b)(1)(D) — The administrator failed to supervise to

ensure implementation of agency policy and procedures. (Not ranked in FY

2016)

6. [TIE] Personal Records – Level A: 40 TAC §97.246(a)(4) — The

hospice failed include performance evaluations and disciplinary actions in its

personnel records. (Not ranked in FY 2016)

6. [TIE] Verify Employability/Use Unlicensed Personnel— Level B: 40

TAC §97.247(a)(3) — The hospice employed an unlicensed person with face-to-face client contact before it searched the nurse aide and employee misconduct registries or employed an unlicensed person who was listed in

either registry as unemployable. (Not ranked in FY 2016)

6. [TIE] Client Records – Level A: 40 TAC §97.301(a)(9)(E) — The

hospice failed to have a current medication list in each client record as

applicable to the services provided. (Not ranked in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions— Health

1. Governing Body: 42 CFR 483.410(a)(1), TAG 0104 — The governing

body failed to provide administrative direction such as policies and

procedures to the facility. (Ranked No. 1 in FY 2016)

2. Physician Services: 42 CFR 483.460(a)(3), TAG 0322 — The facility

failed to provide health care services. (Ranked No. 3 in FY 2016)

3. Qualified IID Professional: 42 CFR 483.430(a), TAG 0159 — The

facility failed to have a qualified intellectual disability professional that

coordinated and monitored clients' programming needs. (Ranked No. 8 in FY

2016)

4. Program Monitoring and Change: 42 CFR 483.440(f)(3)(i), TAG 0262

— The committee specially constituted to address inappropriate client

behaviors failed to review, approve, or monitor plans that involve restrictive

or intrusive procedures that pose risks to client protection and rights. (Tied

for No. 6 in FY 2016)

5. Program Monitoring and Change: 42 CFR 483.440(f)(3)(ii), TAG 0263

— The committee specially constituted to address inappropriate client

behaviors failed to ensure that written consents were secured from the

correct person prior to the implementation of behavior programs. (Ranked

No. 4 in FY 2016)

6. Space and Equipment: 42 CFR 483.470(g)(2), TAG 0436 — The facility

failed to provide, maintain, and teach clients to use corrective and adaptive

equipment as determined by the interdisciplinary team. (Ranked No. 5 in FY

2016)

7. Nursing Services: 42 CFR 483.460(c), TAG 0331 — The facility failed to

secure nursing services for the clients as needed. (Not ranked in FY 2016)

8. Drug Administration: 42 CFR 483.460(k)(2), TAG 0369 — The facility

failed to ensure that there were no medication errors. (Ranked No. 3 in FY

2016)

9. Program Implementation: 42 CFR 483.440(d)(1), TAG 0249 — The

facility failed to immediately implement active treatment after the individual

program plan was approved. (Tied for No. 6 in FY 2016)

10.Infection Control: 42 CFR 483.470(l)(1), TAG 0454 — The facility failed

to provide a clean environment. (Ranked No. 10 in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions — Life Safety Code

A new federal regulation set for Life Safety Code in this facility type went into effect November 30, 2016. FY 2016 rankings will not be available for these new

tags.

1. Corridor – Doors: National Fire Protection Association 101, TAG

S363 — The facility failed to comply with requirements related to facility

doors.

2. Utilities – Gas and Electric: NFPA 101, TAG S511 — The facility failed to

comply with requirements related to utility equipment.

3. Fire Alarm System – Testing and Maintenance: NFPA 101, TAG

S345 — The facility failed to comply with requirements related to the

testing and maintenance of a fire alarm system.

4. Sprinkler System – Maintenance and Testing: NFPA 101, TAG S353

— The facility failed to comply with requirements for testing, maintaining,

and inspecting a sprinkler system.

5. Sprinkler System – Installation: NFPA 101, TAG S359 — The facility

failed to comply with requirements related to sprinkler system installation

for an impractical evacuation capability facility.

6. Egress – Doors: NFPA 101, TAG S222 — The facility failed to comply

with requirements related to egress doors.

7. Means of Egress – Doors: NFPA 101, TAG S211 — The facility failed to

comply with requirements related to designated means of escape.

8. Evacuation and Relocation Plan: NFPA 101, TAG S711 — The facility

failed to comply with fire evacuation and relocation plan requirements.

9. Smoking Regulations: NFPA 101, TAG S741 — The facility failed

comply with requirements related to facility smoking regulations.

10.Life Safety Code Standard: 42 CFR 483.470(j)(1)(i), TAG S056 —

The facility failed to meet applicable requirements for sprinkler system

coverage. (Ranked No. 3 in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Nursing Facilities — Health

1. Infection Control, Prevent Spread, Linens: 42 CFR

483.80(a)(1)(2)(4)(e)(f), TAG 0441 — The facility failed to comply with

requirements related to an infection prevention and control program.


2. Food Procure, Store/Prepare/Serve – Sanitary: 42 CFR 483.60(i)(1)-

(3), TAG 0371 — The facility failed to comply with certain requirements

related to food sources, storage, and safe handling. (Ranked No. 2 in FY

2016)

3. Pharmaceutical Services – Accurate Procedures, RPh: 42 CFR

483.45(a)(b)(1), TAG 0425 — The facility failed to comply with

requirements related to the provision of pharmaceutical services. (Ranked

No. 3 in FY 2016)

4. Develop Comprehensive Care Plans: 42 CFR 483.20(d), 483.21(b)(1), TAG 0279 — The facility failed to comply with certain requirements related to the development of a care plan. (Ranked No. 4 in FY

2016)

5. Nurse Aide Demonstrate Competency/Care Needs: 42 CFR

483.35(c), 483.95(g)(1)(2)(4), TAG 0498 — The facility failed to

comply with certain requirements related to the proficiency and competency

of nurse aids. (Ranked No. 7 in FY 2016)

6. Develop/Implement Abuse/Neglect, Policies: 42 CFR 483.12(b)(1)-

(3), 483.95(c)(1)-(3), TAG 0226 — The facility failed to write and follow

policies that forbid the mistreatment, neglect, and abuse of residents and

the theft of residents' property. (Ranked No. 8 in FY 2016)

7. Free of Accident Hazards/Supervision/Devices: 42 CFR

483.25(d)(1)(2)(n)(1)-(3), TAG 0323 — The facility failed to comply with accident prevention requirements. (Ranked No. 9 in FY 2016)

8. Drug Records, Label/Store Drugs and Biologicals: 42 CFR

483.45(b)(2)(3)(g)(h), TAG 0431 — The facility failed to comply with requirements related to the provision of pharmaceutical services. (Ranked

No. 10 in FY 2016)

9. Provide Care/Services for Highest Well Being: 42 CFR 483.24,

483.25(k)(l), TAG 0309 — The facility failed to comply with certain

requirements related to a resident's quality of life and quality of care.


10.Services by Qualified Persons/Per Care Plan: 42 CFR

483.21(b)(3)(ii), TAG 0282 — The facility failed to comply with certain requirements related to the provision of services by qualified personnel. (Not

ranked in FY 2016)

Top 10 Deficiencies Cited During Inspections for FY 2017: Nursing Facilities — Life

Safety Code

A new federal regulation set for Life Safety Code in this facility type went into

effect November 30, 2016. FY 2016 rankings will not be available for these new tags.

1. Heating Ventilation and Air Conditioning: National Fire Protection

Association 101, TAG 0521 — The facility failed to comply with Life

Safety Code requirements for heating, ventilation, and air conditioning

systems.

2. Subdivision of Building Spaces – Smoke Barrier: NFPA 101, TAG

0372 — The facility failed to have smoke barriers with the required

rating and that were built according to certain Life Safety Code

requirements.

3. Sprinkler System – Maintenance and Testing: NFPA 101, TAG 0353

— The facility failed to comply with requirements related to inspecting,

testing, and maintaining of water-based sprinkler systems.

4. Hazardous Areas - Enclosure: NFPA 101, TAG 0321 — The facility

failed to comply with requirements related to the protection of hazardous

areas.

5. Means of Egress - General: NFPA 101, TAG 0211 — The facility failed

to comply with requirements regarding general means of egress and

emergency means of egress.

6. Fundamentals – Building System Categories: NFPA 101, TAG 0901

— The facility failed to comply with Health Care Facilities Code

requirements for the risk assessment procedure.

7. [TIE] Cooking Facilities: NFPA 101, TAG 0324 — The facility failed to

comply with requirements related to cooking facilities and cooking

equipment.

7. [TIE] Corridor – Doors: NFPA 101, TAG 0363 — The facility failed to

meet one or more of the Life Safety Code requirements regarding corridor

doors.

9. Electrical Systems – Essential Electrical Systems: NFPA 101, TAG

0918 — The facility failed to test and maintain the generator or alternate

power source as required by the Health Care Facilities Code.

10.Utilities – Gas and Electric: NFPA 101, TAG 0511 — The facility failed to comply with the National Fuel Gas Code and the National Electric Code.

Principles

Top 10 Principles Cited During Reviews for FY 2017: Home and Community-based Services

1. Critical Incident in Data System: 40 TAC §9.178(y) — The program

provider failed to enter critical incident data in the DADS data system no later

than 30 calendar days after the last day of the month being reported. (Ranked

No. 2 in FY 2016)

2. Share with Service Coordinator: 40 TAC §9.178(c)(2) – The program

provider failed to ensure that the service coordinator was provided with a

copy of the results of the on-site inspection within five calendar days after

completing the inspection. (Ranked No. 5 in FY 2016)

3. Staff Training on Individual Needs: 40 TAC §9.177(d)(01)(A) — The

program provider failed to conduct initial and periodic training that ensured

staff members and service providers were qualified to deliver services as

required by the current needs and characteristics of the individuals to whom

they delivered services, including the use of restraint. (Not ranked in FY 2016)

4. Nursing - Monitoring Medications: 40 TAC §9.174(a)(31)(B) — The

program provider failed to ensure monitoring of medications. (Not ranked in FY

2016)

5. Training on Reporting Abuse, Neglect and Exploitation: 40 TAC

§9.177(d)(1)(B) — The program provider failed to o conduct initial and

periodic training that ensured staff members, service providers, and

volunteers were knowledgeable about the requirements for Abuse, Neglect

and Exploitation as noted in 40 TAC §49.310(3)(A). (Not ranked in FY 2016)

6. Nursing - Comprehensive Assessments: 40 TAC §9.174(a)(31)(J)(ii)

— The program provider failed to ensure the RN performed comprehensive

assessments of individuals. (Not ranked in FY 2016)

7. Access to Records: 40 TAC §9.178(g) — The program provider failed to

make available all records, reports, and other information related to the

delivery of HCS Program services and Community First Choice services as

requested by DADS, other authorized agencies, or CMS and deliver such items,

as requested, to a specified location. (Not ranked in FY 2016)

8. Background Checks: 40 TAC §9.177(n) — The program provider failed to

complete the required background checks for employees. (Ranked No. 3 in

FY 2016)

9. Notify Individual/Service Coordinator In 24 Hours: 40 TAC

§9.178(k)(3) — The program provider failed to notify the Legally Authorized Representative and the Service Coordinator of allegation and

actions taken by program provider within 24 hours of an allegation of abuse, neglect or exploitation. (Ranked No. 8 in FY 2016)

10.DFPS Report to DADS in 14 Days: 40 TAC §9.178(m)(2) – The program

provider failed to report the provider's response to findings of all DFPS

investigations of abuse, neglect, or exploitation to DADS within 14 calendar

days of the provider's receipt of the investigation findings. (Ranked No. 8 in

FY 2016)

Top 10 Principles Cited During Reviews for FY 2017: Texas Home Living

1. Report Critical Incident Data: 40 TAC §9.580(r) — The program

provider failed to enter critical incident data in the DADS data system no

later than 30 calendar days after the last calendar day of the month being

reported. (Ranked No. 1 in FY 2016)

2. Inform Individual of Provider Obligations: 40 TAC §9.580(a)(20)(B)

— The program provider failed to inform the individual or legal

representative of the provider obligations upon revision. (Not ranked in FY

2016)

3. Staff Training: 40 TAC §9.579(d)(1)(A) — The program provider failed

to conduct initial and periodic training that ensured staff members and

service providers are trained and qualified to deliver services as required by

the current needs and characteristics of the individual to whom they deliver

services. (Not ranked in FY 2016)

4. Background Checks: 40 TAC §9.579(r) — The program provider failed

to complete the required background checks for employees. (Ranked No. 2

in FY 2016)

5. TxHmL Services Provided: 40 TAC §9.578(d)(1) — The program

provider failed to provide TxHmL Program Services in accordance with an

individual's Person Directed Plan, Individual Plan of Care, Transportation

Plan, and Appendix C of the TxHmL Program Waiver Application. (Not

ranked in FY 2016)

6. Staff Knowledge/Report Abuse/Neglect: 40 TAC §9.579(d)(01)(B)

— The program provider failed to obtain the signature of a third party

witness acknowledging that the provider obligation's had been shared with

the individual or Legally Authorized Representative. (Not ranked in FY 2016)

7. Signed by Witness: 40 TAC §9.580(a)(21)(C) — The program provider

failed to obtain the signature of a third party witness acknowledging that

the provider obligation's had been shared with the individual or LAR. (Not

ranked in FY 2016)

8. No Nursing on Plan of Care: 40 TAC §9.578(q)(1) — The program

provider failed to determine that an individual did not require a nursing

assessment when nursing services were not on the individual's IPC and the

program provider determined that no nursing task would be performed by

unlicensed service providers. (Not ranked in FY 2016)

9. Program Documentation in Measurable Terms: 40 TAC §9.578(f) —

The program provider failed to ensure that an individual's progress or lack

of progress toward achieving identified outcomes was documented in

observable, measurable terms of specific outcome addressed and reviewed

by the service coordinator. (Not ranked in FY 2016)

10.Review/Prevent Abuse Quarterly: 40 TAC §9.580(k) — The program

provider failed to review, at least quarterly, incidents of confirmed abuse,

neglect or exploitation, complaints, temporary and permanent discharges,

transfers, and unusual incidents. (Ranked No. 5 in FY 2016)

Assisted Living Facility (ALF) and Unlicensed Facility Section

Assisted Living Facility (ALF) and Unlicensed Facility Actions

The tables on page 43 contain information relating to Texas Health and Safety Code, Title 4, Subtitle B, Chapter 247, Assisted Living Facilities, facility actions and unlicensed facility actions, by category, for fiscal year (FY) 2017.


Basis for Imposing

The state long-term care regulatory program can assess an administrative penalty against a person who:

Violates this chapter or a rule, standard, or order adopted under this chapter or a term of a license issued under this chapter.

Makes a false statement, that the person knows or should know is false, of a material fact:

o On an application for issuance or renewal of a license or in an

attachment to the application.

o With respect to a matter under investigation by the regulatory agency.

Refuses to allow a representative of the department to inspect:

o A book, record or file required to be maintained by a day activity and health services facility.

o Any portion of the premises of an assisted living facility.

Willfully interferes with the work of a representative of the regulatory agency or the enforcement of this chapter.

Willfully interferes with a representative of the regulatory agency preserving

evidence of a violation of this chapter or a rule, standard, or order adopted under this chapter or a term of a license issued under this chapter.

Fails to pay a penalty assessed under this chapter before the 30th day after the date the assessment of the penalty becomes final.

Fails to notify the regulating agency of a change of ownership before the

effective date of the change of ownership.

Imposed

An action can be recommended by:

The regional survey or investigation team and supported during enforcement review.

The regional or state office Regulatory Services staff, considering the survey or investigation findings or evaluating the facility’s

past history or performance.

State regulatory staff impose the action when the administrative penalty recommendation has been reviewed and confirmed by state office. The facility is

formally notified of the administrative penalty citation and the penalty amount. Additionally, the notice includes information about the appeal process available to

the facility.

Assessed

Penalties assessed are the final actions after the appeal process has been completed (or an agreement to settle has been reached) and a final amount has

been decided, or if the person charged consents to the penalty or does not respond in a timely manner to the notice of the penalty. The facility is notified of the amount to be paid and the date payment is due. A lump sum payment or a monthly payment

plan may be agreed upon during the appeal or settlement process.

Injunctive/Other Relief and Civil Penalty Referrals

The regulating agency can refer a licensed or unlicensed facility to the Office of the Attorney General (OAG) or district attorney or county attorney under Texas Health and Safety Code Chapter 247. When a case is resolved through settlement, a

portion of the payment is designated a civil penalty and normally deposited to general revenue. The Office of the Attorney General receives the portion designated

as attorney fees and costs.

Although there may be several survey or investigative visits to the same facility resulting in civil penalty recommendations, the recommendations are generally

consolidated into one case when referred to the Office of the Attorney General.

A civil penalty can be awarded if a facility violates a licensing rule and the state

determines the violation threatens resident health and safety, or if the facility is operating without a license.

Amelioration of Violations

In certain situations, the regulatory agency’s commissioner can allow, in lieu of demanding payment of an administrative penalty, the use (under the agency’s

supervision) of any portion of the penalty to ameliorate the violation or to improve services (other than administrative services) in the facility affected by the violation.

Trusteeships

The state regulatory program, through the Office of the Attorney General, can petition a court of competent jurisdiction for the involuntary appointment or

appointment by agreement of a trustee to operate a facility if one or more of the following conditions exist:

The facility is operating without a license.

The facility’s license has been suspended or revoked.

License suspension or revocation procedures against a facility are pending and an imminent threat to the health and safety of the residents exists.

An emergency presents an immediate threat to the health and safety of

residents.

The facility is closing (whether voluntarily or through an emergency closing order), and arrangements for relocation of the residents to other licensed

institutions have not been made before closure.

Emergency Suspension and Closing Orders

The state will suspend a facility’s license or order an immediate closing of all or part of the facility if:

The agency finds that the facility is operating in violation of the licensure

rules.

The violation creates an immediate threat to the health and safety of a

resident.

The order suspending a license or closing a part of a facility is either immediately

effective on the date the license holder receives written notice, or on a later date specified in the order. This suspension may occur simultaneously with any other enforcement provision available to DADS. The order is effective for 10 days.

Denial of License

The regulatory program can deny a facility’s license when the facility does not meet

licensure rules.

More specifically, it can deny a facility’s license if a facility:

Violates Texas Health and Safety Code Chapter 247 or the rules adopted under it in a repeated or substantial manner.

Aids, abets, or permits a substantial violation of the rules.

Fails to submit required information and documents needed to complete the application process or provides false or fraudulent information.

Fails to pay certain fees.

Applicant has had a license revoked, has been debarred or excluded from the Medicare or Medicaid program, has a court injunction prohibiting the applicant or manager from operating a facility, has been subject to certain enforcement actions, has a criminal conviction, has an unsatisfied judgment, has been evicted or has had a license suspended.

Committed any act described by Texas Health and Safety Code §247.0451(a)(2)–(6).

Has violated Texas Health and Safety Code §247.021.

Any controlling person subject to refusal or denial as described in Texas Administrative Code, Title 40, Part 1, Chapter 99, Denial or Refusal of License.

Revocation of License

The regulating agency can revoke a facility’s license for a violation of Texas Health and Safety Code Chapter 247 or a rule adopted under this chapter.

More specifically, it can revoke a license when the license holder:

Violates Texas Health and Safety Code §247.0451(a)(2)–(6).

Violates Texas Health and Safety Code Chapter 247 or the rules adopted under it in a repeated or substantial manner.

Submits false or misleading statements on an application.

Uses subterfuge or other evasive means to obtain a license.

Conceals a material fact or fails to disclose a material fact on a license application.

Violates Texas Health and Safety Code §247.021.

Assisted Living Facility Actions by Region for FY 2017

Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Totals

Administrative penalties

Imposed 0 3 3 7 1 24 8 4 0 0 3 53

Administrative

penalties 1

Assessed 0 0 0 2 0 4 0 1 0 0 0 7

OAG injunctive/ other relief and civil

penalties 2

Referred 0 0 0 0 0 1 2 0 0 0 0 3

CA/DA injunctive/ other relief and civil

penalties 2

Referred 0 0 0 0 0 0 0 0 0 0 0 0

Amelioration of violations

Approved 0 0 0 0 0 0 0 0 0 0 0 0


Denied 0 0 0 0 0 0 0 0 0 0 0 0

Trusteeships Ordered 0 0 0 0 0 0 0 0 0 0 0 0

Emergency suspension and closing orders

Ordered 0 0 1 0 0 0 2 0 0 0 0 3

Denials of License 3 Proposed 1 0 12 1 0 16 2 9 0 3 2 46

Denials of License 3 Denied 1 0 2 1 0 11 1 4 0 0 2 22

Revocations of

license 4

Proposed 0 0 0 0 0 0 2 1 0 0 0 3

Revocations of

license 4

Revoked 0 0 0 0 0 0 0 1 0 0 0 1

Notes:

1. Assessed administrative penalties can include final actions on penalties

imposed in a previous fiscal year.

2. The agency refers injunctive/other relief and civil penalties to the county or

district attorney if the agency has an existing agreement to do so; otherwise,

they are referred to the Office of the Attorney General.

3. The agency can propose to deny renewal of a license for many reasons.

However, if a facility has been cited for one or more violations of the

licensing rules and those violations have not been determined to have been

corrected by the date the facility’s license is due for renewal, the agency can

propose to deny the application. If the facility subsequently corrects the

violation(s), the agency can withdraw its proposal to deny the application for

license renewal. Denied actions may also include final actions on cases

proposed in a previous fiscal year.

4. Revoked actions can include final actions on cases proposed in a previous

fiscal year.

Unlicensed Facility Actions by Region for FY 2017

Type of Remedy

Actions 01 02 03 04 05 06 07 08 09 10 11 Totals

OAG injunctive/ other relief and civil

penalties

Referred 0 0 13 0 1 12 0 0 0 0 0 26

Assisted Living Facility Administrative Penalties for FY 2017

Region City Facility

ID Facility

Visit Exit Date

Imposed Assessed Collected Balance H

02 - Abilene Snyder 104895 Good Life Senior Living and Memory Care B

02/05/2016 $1,050 $1,050 $0 N

02 - Abilene Wichita Falls

000385 Brookdale Sikes Lake

05/17/2016 $1,050 $1,050 $0 N

02 - Abilene Wichita Falls

000840 Arbor House 08/11/2016 $650 $650 $0 N

03 - Arlington

Dallas 000532 CC Young Memorial Home

12/01/2016 $350 $350 $0 N

03 - Arlington

McKinney 030021 Brookdale Stonebridge Ranch

03/02/2017 $350 $350 $0 N

03 - Arlington

Plano 104572 Groom Senior Living at Ambrosia

02/09/2017 $450 $0 $450 N

04 - Tyler Kilgore 100561 Arabella of Kilgore 05/16/2017 $600 $600 $0 N

04 - Tyler Longview 000382 Brookdale Longview 03/22/2017 $1,000 $1,000 $0 N

04 - Tyler Longview 102944

Hawkins Creek Assisted Living and

Memory Care Community

01/25/2017 $600 $600 $0 N

04 - Tyler Longview 105642 Heartis Longview 06/07/2017 $500 $500 $0 N

04 - Tyler Tyler 010226 Brookdale Tyler South

04/18/2017 $1,300 $1,300 $0 N

04 - Tyler Tyler 103676 East Texas ALF Waterton Inn LLC

07/07/2016 $3,900 $1,300 $1,300 $0 Y

04 - Tyler Winnsboro 104275 Autumn Wind Assisted Living

12/16/2016 $200 $200 $0 N

05 - Beaumont

Lufkin 000481 Neches House 11/03/2016 $2,250 $2,250 $0 N


ID Facility

Visit Exit

Date Imposed Assessed Collected Balance H

06 - Houston Alvin 104341 Desire to Live 01/11/2017 $300 $300 $0 N

06 - Houston Houston 000332 Limbe House 01/24/2017 $550 $0 $550 N

06 - Houston Houston 000483 Paradise LTC Living II

09/21/2016 $500 $500 $0 N

06 - Houston Houston 000832 Quality Living Personal Care

02/10/2017 $1,250 $0 $1,250 N

06 - Houston Houston 000968 Rainbow Gardens Care Home

01/04/2017 $200 $200 $0 N

06 - Houston Houston 000987 Liberty Island Personal Care Homes Inc.

07/26/2016 $350 $0 $350 N

06 - Houston Houston 030107 Hudson House Assisted Living

06/30/2016 $1,600 $1,600 $0 N

06 - Houston Houston 100220

Bright Star Health Network

Management Services Inc.

10/18/2016 $1,100 $0 $1,100 Y

06 - Houston Houston 102489 Divine Living Center 12/01/2016 $650 $0 $650 N

06 - Houston Houston 102622 EFE Assisted Living Center Inc.

04/22/2016 $150 $150 $0 N

06 - Houston Houston 102622 EFE Assisted Living Center Inc.

06/09/2016 $850 $1,275 -$425 N

06 - Houston Houston 102872 The Cottage of Spring Branch

10/06/2016 $2,100 $0 $0 Y

06 - Houston Houston 105189 Texas Community Compartments #2

11/07/2014 $950 $950 $0 N

06 - Houston Houston 105214 Autumn Leaves of Cy-Fair

02/09/2017 $300 $300 $0 N

06 - Houston Houston 105447 Universal Assisted Living Homes

07/19/2016 $1,200 $0 $1,200 Y


ID Facility

Visit Exit


06 - Houston Houston 105482 Autumn Leaves of Memorial City

02/23/2017 $900 $900 $0 N

06 - Houston Katy 105724 Veranda House Senior Living

04/13/2017 $500 $500 $0 N

06 - Houston Katy 105776 Autumn Leaves of

Cinco Ranch 02/14/2017 $800 $800 $0 N

06 - Houston Katy 105776 Autumn Leaves of Cinco Ranch

02/28/2017 $300 $300 $0 N

06 - Houston Manvel 105865 Orchard Park at Southfork

02/10/2017 $900 $900 $0 N

06 - Houston Pasadena 000563 Pine Tree Assisted Living LP

06/09/2016 $200 $0 $200 N

06 - Houston Pasadena 000563 Pine Tree Assisted Living LP

09/04/2016 $600 $150 $150 $0 Y

06 - Houston Pearland 030227 Brookdale Pearland 01/03/2017 $700 $700 $0 N

06 - Houston Waller 030241 V S Brown House 02/23/2017 $700 $700 $0 N

07 - Austin Austin 000389 Barton Hills Assisted Living

10/25/2016 $300 $300 $0 N

07 - Austin Austin 106074 Autumn Leaves of Northwest Austin

05/18/2017 $350 $350 $0 N

07 - Austin Bryan 102654

Hudson Creek Alzheimer's Special

Care Center 03/29/2017 $4,300 $4,300 $0 N

07 - Austin Elgin 100088 Silver Creek

Assisted Living Elgin 12/19/2016 $500 $0 $500 N

07 - Austin Georgetown

102467 The Lodge at Rocky Hollow Inc.

09/30/2016 $950 $0 $950 Y


103423 The Cabins at Rocky Hollow

09/30/2016 $800 $0 $800 Y

07 - Austin Pflugerville 105020 Clare Creek Senior 07/19/2016 $350 $0 $350 N


ID Facility

Visit Exit


Living

07 - Austin Round Rock

104858 University Village Memory Care

02/04/2017 $1,800 $1,800 $0 N

08 - San Antonio

San Antonio

000562 Guzmans Personal Care

08/03/2016 $750 $750 $0 N

08 - San Antonio

San Antonio

102941 Thera Med Rehabilitation Clinic Inc.

11/22/2016 $4,000 $0 $4,000 Y

08 - San Antonio

San Antonio

102941 Thera Med Rehabilitation Clinic Inc.

08/31/2016 $100 $100 $0 N

08 - San Antonio

San Antonio

103269

Mission Road Developmental Center-Country

Flower

08/19/2016 $450 $900 -$450 N

11 - Corpus Christi

Harlingen 000770 The Villa of Harlingen

08/09/2016 $1,150 $0 $0 Y

11 - Corpus Christi

Harlingen 030052 Valley View Senior Living

10/31/2016 $2,350 $2,350 $0 N

11 - Corpus

Christi Harlingen 101249 Angelcare Haven 06/06/2017 $3,300 $0 $3,300 N

Totals $53,350 $1,450 $32,275

53 Total assisted living facility administrative

penalties imposed.

Notes:

1. The imposed column is the total amount of penalty after the state has reviewed and confirmed the administrative

penalty citation and amount. This is the amount due and payable if there is no alternative amount resulting from an

appeal held or settlement agreement reached.

2. The assessed column is the amount of penalty due after the appeal process has been completed (or an agreement

to settle has been reached) and a final amount has been decided, or if the person charged consents to the penalty

or does not respond timely to the notice of the penalty.

3. The collected column is the amount of money the facility has paid to DADS.

4. The balance column is the amount of penalty the facility owes. These amounts do not necessarily reflect the final

amount the facility may owe. The amounts can change based on a hearing or negotiated settlement. Since these

amounts may change, there is no total for this column. An administrative penalty with a negative balance may

indicate an overpayment or that the penalty was rescinded after payment.

5. The “H” column stands for hearing, and a “Y” in this column indicates the facility requested a hearing on the

violation. Once a facility requests and meets the criteria for a hearing on the violation, the case results will be

pending until the appeal process is complete. An “N” indicates the facility did not request a hearing.

Assisted Living Facility Injunctive/Other Relief and Civil Penalty Referrals to the Office of the Attorney General for FY 2017


ID Facility

Date Referred

06 - Houston Humble 030220 20430 Rustwood Lane

03/03/2017


103423 The Cabins at Rocky Hollow

10/05/2016


102467 The Lodge at Rocky Hollow Inc.

10/05/2016

3 Total assisted living facility injunctive/other relief and civil penalty referrals to the

Office of the Attorney General.

Assisted Living Facility Injunctive/Other Relief and Civil Penalty Referrals to the County or District Attorney for FY 2017

DADS did not refer any assisted living facilities to the county or district attorney for injunctive/other relief and civil penalties in FY 2017.

Unlicensed Facility Injunctive/Other Relief and Civil Penalty Referrals to the Office of the Attorney General for FY 2017


ID Facility

Date Referred

03 - Arlington

Arlington 100188 3501 Quail Lane 10/11/2016

03 - Arlington

Dallas 106291 3408 Portico Lane 12/21/2016

03 - Arlington

Dallas 106292 6640 Shadow Creek Drive.

12/21/2016

03 - Arlington

Dallas 106587 7822 Red Spring 10/10/2016

03 - Arlington

Dallas 030258 Bright Eyes Assisted Living

01/17/2017

03 - Arlington

Garland 104782 3001 Oak Spring Drive.

11/29/2016


ID Facility

Date

Referred

03 - Arlington

Grand Prairie

105721 2904 Olympia Drive.

03/23/2017

03 - Arlington

Grand Prairie

105663 Accessible Living 07/28/2017

03 - Arlington

Lewisville 106000 Cornerstone Estates

08/15/2017

03 - Arlington

Plano 106626 1605 Cherbourg Drive

01/27/2017

03 - Arlington

Plano 101265 3112 Ipswich Drive

01/13/2017

03 - Arlington

Plano 101500 3505 Kimble Drive

01/20/2017

03 - Arlington

Richardson 106660 1806 Weanne Drive

10/14/2016

05 - Beaumont

Livingston 106519 1200 Martin Luther King Drive

07/21/2017

06 - Houston Houston 100772 16331 Dew Drop

Lane

01/05/2017

06 - Houston Houston 100032 16335 Dew Drop Lane

01/05/2017

06 - Houston Houston 106716 3826 Gamlin Bend

10/20/2016

06 - Houston Houston 104435 6411 Guadalupe St.

06/20/2017

06 - Houston Houston 105857 7402 Cortes Drive 10/10/2016

06 - Houston Houston 000987 Liberty Island Personal Care

Homes Inc.

08/18/2017

06 - Houston Houston 101707 Vintage Place 03/13/2017

06 - Houston Katy 106691 20031 Upland 09/06/2016


ID Facility

Date

Referred

Creek Drive

06 - Houston Missouri

City

101108 6702 Indian Lake

Drive.

01/11/2017

06 - Houston Pearland 106755 2507 Still Bay St. 11/02/2016

06 - Houston Webster 106712 411 Cole St. 10/26/2016

06 - Houston Webster 106151 510 Cole Ave. 10/26/2016

26 Total unlicensed facility injunctive/other relief and civil penalty referrals to the Office of the Attorney

General.

Unlicensed Facility Injunctive/Other Relief and Civil Penalty Referrals to the County or District Attorney for FY 2017

DADS did not refer any unlicensed facilities to the county or district attorney for injunctive/other relief and civil

penalties in FY 2017.

Assisted Living Facility Amelioration of Violations for FY 2017

DADS did not process any amelioration requests for assisted living facilities in FY 2017.

Assisted Living Facility Trusteeships Ordered for FY 2017

DADS did not order any trustees placed in assisted living facilities in FY 2017.

Assisted Living Facility Emergency Suspension and Closing Orders for FY 2017

DADS did not issue any emergency suspension and closing orders in assisted living facilities in FY 2017.

Assisted Living Facility License Denials and Revocations Proposed for FY 2017

Region City Facility ID Facility Proposed

Action Revoked

Date Denied Date

Status

01 - Lubbock

Amarillo 106783 The Sycamore Deny 04/17/2017 License Denied

03 - Arlington

Arlington 106748 Gibbs Assisted Living

Deny 03/13/2017 License Denied

03 - Arlington

Dallas 050024 Agape Place II Deny IR Requested

03 - Arlington

Dallas 106812 Journey Towards Wholeness

Deny Formal Hearing Letter

03 - Arlington

Dallas 101927 Ora Lee's Group Home

Deny Rescinded

03 - Arlington

Fort Worth 105743 Good Life Senior Living and Memory

Care

Deny IR Requested

03 - Arlington

Grand Prairie 105663 Accessible Living Deny Withdrawn

03 - Arlington

Mansfield 104688 Isle at Watercrest - Mansfield

Deny Rescinded

03 - Arlington

Mesquite 105435 Fredisolo Annointed Homes

Deny Rescinded

03 - Arlington

Plano 103683 Groom Senior Care Homes Inc. at

Diane

Deny OSC Letter

03 - Arlington

Plano 103360 North Texas Personal Care

Homes Inc.

Deny Rescinded

03 - Arlington

Stephenville 030090 Good Tree Retirement

Deny Rescinded

03 - Westworth 106056 The Westmore Deny Rescinded


Action

Revoked

Date

Denied

Date Status

Arlington Village

04 - Tyler Athens 106811 Athens Assisted Living and Memory

Care


06 - Houston

Conroe 050658 201 Bybee Drive Deny Rescinded

06 - Houston

Dessau 106824 Three Rivers Assisted Living - Hunters Lane

Deny Hearing

06 - Houston

Hitchcock 105284 Wilson Country Assisted Living, LLC


06 - Houston

Houston 105608 Agape Faith Assisted Living Facility


06 - Houston

Houston 104435 Always Home at Guadalupe

Deny Hearing

06 - Houston

Houston 030036 Brightway Personal Care II

Deny Rescinded

06 - Houston

Houston 030147 Brookdale Ellington Field

Deny Rescinded

06 - Houston

Houston 106498 Hope Forever Personal Care Corporation


06 - Houston

Houston 000987 Liberty Island Personal Care Homes Inc.


06 - Houston

Houston 100022 Sweetie's Home Care


06 - Houston

Houston 101324 The Cottage Health Care Services

Deny Rescinded


Action

Revoked

Date

Denied

Date Status

06 - Houston

Humble 106747 Avalon Memory Care-Atascosita

Deny Hearing

06 - Houston

La Marque 030166 Laurel House Deny 11/08/2016 License Denied

06 - Houston

Magnolia 106740 Valiente Senor Living


06 - Houston

New Caney 106688 Care at Hummingbird

Deny Rescinded

06 - Houston

Satsuma 106786 Genuine Care, LLC Deny Withdrawn

07 - Austin Georgetown 103423 The Cabins at Rocky Hollow

Revoke Formal Hearing Letter

07 - Austin Georgetown 102467 The Lodge at Rocky Hollow Inc.

Revoke Formal Hearing Letter

07 - Austin Jonesboro 101705 Rocking Chair Ranch

Deny Rescinded

07 - Austin Leander 106673 407 Mesa Grande Drive

Deny Rescinded

08 - San Antonio

San Antonio 104238 Dignity Senior Care Homes

Deny Rescinded

08 - San Antonio

San Antonio 102606 Hilltop Dependable Loving Care Assisted Living Home


08 - San Antonio

San Antonio 106494 JMB Outreach Ministries, Inc.


08 - San Antonio

San Antonio 050560 La Bona Vita Homes

Revoke 04/16/2017 License Revoked


Action

Revoked

Date

Denied

Date Status

08 - San Antonio

San Antonio 104918 Pams Home Care Deny Rescinded

08 - San Antonio

San Antonio 000740 South Texas Assisted Living LLC

Deny Rescinded

08 - San Antonio

San Antonio 102941 Thera Med Rehabilitation Clinic Inc.

Deny Hearing

08 - San Antonio

Seguin 105972 High Meadow Assisted Living


08 - San Antonio

Von Ormy 030115 Longorias Personal Care Home

Deny Hearing

08 - San Antonio

Windcrest 103895 Sunny Spirits at Hickory Hollow


10 - El Paso

El Paso 106359 Hogar Esperanza Deny Rescinded

10 - El Paso

El Paso 100810 Los Anos Dorados Deny Rescinded

10 - El Paso

El Paso 106823 Nissi Assisted Living

Deny Rescinded

11 - Corpus Christi

Harlingen 106437 Victoria House Deny 11/19/2016 License Denied

11 - Corpus Christi

McAllen 030409 Biltmore Assisted Living


49 Total assisted living facility license denials and revocations proposed.

Notes:

Status column values:

1. Formal Hearing Letter – a letter has been sent to the facility offering the opportunity to appeal the action.

2. Hearing – the facility has requested a hearing.

3. IR Requested – the facility has requested an informal review.

4. License Denied – the application for a license was denied.

5. License Revoked – DADS has revoked the facility’s license.

6. OSC Letter – a letter has been sent to the facility offering the opportunity to show compliance.

7. Rescinded – DADS withdrew the proposed action.

8. Withdrawn – the facility withdrew the application.

Assisted Living and Unlicensed Facility Complaint and Incident Intakes

Complaints

A complaint allegation is an assertion that a requirement of state licensure has been violated and can come directly from individuals or residents, family members, health care providers, advocates, law enforcement, or other state agencies. Report sources can be

oral or written.

Incidents

An incident is an official notification to the state survey agency from an assisted living facility provider that the physical or mental health or welfare of a resident has been or may be adversely affected by mistreatment, neglect, or abuse. These reports also include

injuries of unknown source and exploitation or misappropriation of consumer or resident property.

Priority Assignment

The regulatory program’s complaint intake unit evaluates each complaint based on its

unique circumstances and assigns priorities accordingly. When timeliness is crucial to the health and safety of a resident(s), such as in a situation of heating or air conditioner equipment failure, alleged staff walkout, etc., an investigation can be initiated

immediately by telephone, regardless of the priority code assignment. After the initial contact, each complaint is assigned a priority. The priorities available are:

• On or before 24 hours

• On or before 14 calendar days



• Professional review

• Withdrawn

• Not required

On or Before 24 Hours

Immediate response by regulatory investigators is warranted because a provider

allegedly created or allowed a present and ongoing situation in which the provider’s noncompliance with one or more requirements of licensure or certification has failed to protect residents from abuse, neglect, or mistreatment or has caused, or is likely to

cause, serious injury, harm, impairment or death to a resident.

On or Before 14 Calendar Days

The present or ongoing threat of continued abuse, neglect, or mistreatment has been removed. The resident is no longer in imminent danger; however, the provider’s alleged

noncompliance with one or more requirements of licensure or certification may have or has a high potential to cause harm that impacts a resident’s mental, physical or

psychosocial status and is of such consequence that a rapid response by Regulatory Services is indicated. There is evidence or suspicion that system(s) failure contributed to or brought on the threat. Usually, specific rather than general information (e.g.

descriptive identifiers, individual names, date, time, location of occurrence, description of harm) will factor into the assignment of this level of priority.


A provider’s alleged noncompliance with one or more requirements of licensure or certification has caused or may cause harm that is of limited consequence and does not

significantly impair the resident’s mental, physical or psychosocial status.


A provider’s alleged noncompliance with one or more requirements of licensure or certification has a low potential for more than minimal harm or resulted in physical,

mental, or psychosocial harm that did not directly affect resident health and safety and functional status. This priority may also be assigned for alleged violations of regulations that do not directly affect resident health and safety.

Professional Review

A provider who has cause to believe the physical or mental health or welfare of a

resident has been or may be adversely affected by mistreatment, neglect, or abuse must self-report to the state survey agency immediately upon learning of the alleged conduct

or conditions. This notice could include injuries of unknown source and exploitation or misappropriation of resident property.

Complaint intake staff assign a professional review priority when a provider self-reports an incident and the provider’s oral report indicates that the provider’s immediate corrective action is reasonably likely to ensure that abuse, neglect, mistreatment, or

injury to the resident will not occur again, or at least not while the provider conducts its investigation and professional quality assurance staff reviews the provider’s written

investigation report.

Based on review of the facility investigation report, if further investigation is warranted to assess whether the provider’s abuse prohibition policies ensure compliance with

regulatory requirements, the professional review unit will send notification to regulatory regional staff to schedule an on-site investigation.

Withdrawn

A complaint report filed with the regulatory agency is withdrawn at the request of the

complainant, except when abuse, neglect, or exploitation is alleged. Please refer to Survey and Certification Clarification 15-01

(https://www.dads.state.tx.us/providers/communications/2015/scc/SCC2015-01.pdf).

Not Required

The state determines it has no jurisdiction to investigate a complaint or a referral, or a report to another agency, board, or entity is required.

Assisted Living Facility All Intakes by Priority and Region for FY 2017

Intake priority 01 02 03 04 05 06 07 08 09 10 11 Total

On or before 24 hours 5 2 66 12 6 38 23 28 2 5 4 191

On or before 14 days 43 17 466 102 27 319 161 191 28 20 47 1,421

On or before 30 days 53 16 466 99 26 304 133 176 27 22 31 1,353

https://www.dads.state.tx.us/providers/communications/2015/scc/SCC2015-01.pdf

On or before 45 days 40 15 377 88 31 185 105 157 11 18 29 1,056

Professional review 23 6 126 38 13 73 44 43 11 3 16 396

Withdrawn 3 0 7 1 0 7 1 2 0 0 0 21

Not required 0 1 12 2 1 3 1 4 0 0 0 24

Total 167 57

1,520 342 104 929 468 601 79 68 127 4,462

Assisted Living Facility Complaints by Priority and Region for FY 2017

Complaint priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 20 10 314 58 19 191 103 134 18 18 29 914

On or before 30 days 37 10 301 64 21 177 76 131 15 19 16 867

On or before 45

days 14 7 144 36 10 80 43 86 5 10 19 454

Withdrawn 1 0 2 1 0 5 0 0 0 0 0 9

Not required 0 1 12 2 1 3 1 4 0 0 0 24

Total 76 30 832 171 57 489 246 382 40 51 68 2,442

Assisted Living Facility Incidents by Priority and Region for FY 2017

Incident

priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 23 7 152 44 8 128 58 57 10 2 18 507

On or before 30 days 16 6 165 35 5 127 57 45 12 3 15 486

On or before 45 days 26 8 233 52 21 105 62 71 6 8 10 602


Not required 2 0 5 0 0 2 1 2 0 0 0 12

Total 91 27 688 171 47 440 222 219 39 17 59 2,020

Unlicensed Facility Complaint Intakes by Priority and Region for FY 2017

Complaint priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 1 0 13 0 1 32 11 2 0 7 1 68

On or before 30 days 0 0 1 0 0 5 1 0 0 0 0 7

On or before 45

days 3 0 19 0 3 17 2 1 0 2 0 47

Withdrawn 1 1 28 0 3 42 9 8 0 5 1 98

Not required 0 0 3 0 0 1 1 0 0 0 0 5

Total 5 1 69 0 8 97 26 11 0 15 2 234

Assisted Living and Unlicensed Facility Actions Compared Over Multiple Fiscal Years

Assisted Living Facility Administrative Penalties Imposed and Assessed for FY 2013–2017

47

3436

44

53

9

14

6 7 7

0

10

20

30

40

50

60

FY13 FY14 FY15 FY16 FY17

Imposed Assessed

Assisted Living Facility Injunctive/Other Relief and Civil Penalty Referrals to the Attorney General for FY 2013–2017

Unlicensed Facility Injunctive/Other Relief and Civil Penalty Referrals to the Attorney General or the County/District Attorney for FY 2013–2017

6

9

6

3 3

0

5

10


19

15

2322

26

0

5

10

15

20

25

30


Assisted Living Facility Emergency Suspension and Closing Orders for FY 2013–2017

Assisted Living Facility License Denials and Revocations Proposed for FY 2013–2017

1

0 0 0

3

0

1

2

3

4


6158

39

4946

2 2 2 2 30

10

20

30

40

50

60

70


Denials Revocations

Assisted Living Facility Complaint and Incident Intakes for FY 2013–2017

Unlicensed Facility Complaint Intakes for FY 2013–2017

1,956

2,1162,169

2,2972,242

1,0961,180

1,379

1,633

2,020

800

1,000

1,200

1,400

1,600

1,800

2,000

2,200

2,400


Complaints Incidents

347

306289

259234

0

100

200

300

400

500


Day Activity and Health Services (DAHS) Facility Section

Day Activity and Health Services (DAHS) Facility Actions

The table on page 59 contains information relating to Texas Human Resources Code, Title 6, Chapter 103, Day Activity and Health Services, facility actions, by category, for fiscal year (FY) 2017.


Basis for Imposing

The long-term care regulatory program can assess an administrative penalty against a

person who:

Violates this chapter; a rule, standard or order adopted under this chapter; or a term of a license issued under this chapter.


° On an application for issuance or renewal of a license or in an attachment to the application.

° With respect to a matter under investigation by the regulatory agency. Refuses to allow a representative of the agency to inspect:

° A book, record or file required to be maintained by a day activity and health services facility.

° Any portion of the premises of an assisted living facility.

Willfully interferes with the work of a representative of the agency or the enforcement of this chapter.

Willfully interferes with a representative of the agency preserving evidence of a violation of this chapter or a rule, standard, or order adopted under this chapter or a term of a license issued under this chapter.

Fails to pay a penalty assessed under this chapter before the 30th day after the date the assessment of the penalty becomes final.

Fails to notify the agency of a change of ownership before the effective date of the change of ownership.

Imposed


The regional survey or investigation team and supported during enforcement

review.

Regional or state office staff, considering the survey or investigation findings or evaluating the facility’s history and performance.

The state imposes the action when the administrative penalty recommendation has been reviewed and confirmed by state office. The facility is formally notified of the

administrative penalty citation and the penalty amount. Additionally, the notice includes information about the appeal process available to the day activity and health services provider.

Assessed

Penalties assessed are the final actions after the appeal process has been completed (or

an agreement to settle has been reached) and a final amount has been decided, or if the person charged consents to the penalty or does not respond in a timely manner to the

notice of the penalty. The provider is notified of the amount to be paid and the date payment is due. A lump-sum payment or a monthly payment plan may be agreed upon

during the appeal or settlement process.

Injunctive or Other Relief Referrals to the Office of the Attorney General

Injunctive or other relief cases are referred to the Office of the Attorney General for

action if the regulating agency finds a violation that creates an immediate threat to resident health and safety or the facility is operating without a license.


The state will suspend a facility’s license or order an immediate closing of all or part of the facility if:

The agency finds that the facility is operating in violation of the licensure rules.

The violation creates an immediate threat to the health and safety of a resident.

The order suspending a license or closing a part of a facility is immediately effective on the date the license holder receives written notice or on a later date specified in the order. This suspension of a license may occur simultaneously with any other enforcement

provision available to the agency. The order is valid for 10 days.

Denial of License

The regulating agency can deny a facility’s license when the facility substantially fails to comply with certain rule requirements or the license holder aids, abets or permits

substantial violation of the rules; fails to provide required information or provides false or fraudulent information; fails to pay certain fees; the license holder has operated a facility that has been decertified or had its contract terminated, has been subject to sanctions,

has a criminal conviction, has an unsatisfied final judgment, or has been evicted or had its license suspended; or any controlling person is subject to denial or refusal of a license

as described in Texas Administrative Code, Title 40, Part 1, Chapter 99, Denial or Refusal of License.


The state can revoke the license of a license holder who violates the rules or standards for licensing required by Texas Human Resources Code Chapter 103.

The agency also can revoke a license if the licensee submitted false or misleading statements in the application for license, used subterfuge or other evasive means to obtain a license, or concealed a material fact or failed to disclose information that would

have been the basis to deny a license.

The revocation of a license can occur simultaneously with any other enforcement

provision.

Day Activity and Health Services Facility Actions by Region for FY 2017

Type of Remedy

Actions 01 02 03 04 05 06 07 08 09 10 11 Totals


Imposed 0 0 0 1 0 1 0 1 0 0 3 6

Administrative

penalties 1

Assessed 0 0 0 0 0 1 0 0 0 0 0 1

Injunctive or

other relief 2

Referred 0 0 0 0 0 0 0 0 0 0 0 0

Emergency suspension

and closing orders

Ordered 0 0 0 0 0 0 0 0 0 0 0 0

Denials of

license 3

Proposed 0 0 0 0 0 3 0 0 0 0 3 6

Denials of

license 3

Denied 0 0 1 0 0 2 0 0 0 0 2 5

Revocations of

license 4

Proposed 0 0 1 0 0 0 0 0 0 0 0 1

Revocations of

license 4

Revoked 0 0 0 0 0 0 0 0 0 0 0 0

Notes:

1. Assessed administrative penalties can include final actions on penalties imposed in a

previous fiscal year.

2. Injunctive or other relief cases are referred to the Office of the Attorney General.

3. The agency can propose to deny renewal of a license for many reasons. However, if

a facility has been cited for one or more violations of the licensing rules and those

violations have not been determined to have been corrected by the date the

facility’s license is due for renewal, the agency can propose to deny the application.

If the facility subsequently corrects the violation(s), the agency can withdraw its

proposal to deny the application for license renewal. Denied actions may also

include final actions on cases proposed in a previous fiscal year.

4. Revoked actions can include final actions on cases proposed in a previous fiscal

year.

Day Activity and Health Services Facility Administrative Penalties for FY 2017


ID Facility

Visit Exit Date


04 - Tyler White Oak 104461

Emmanuel Adult Activity Center 08/15/2016 $5,500 $5,500 $0 N

06 - Houston Houston

003319

Adult Town Day Care 08/31/2016 $3,500 $750 $750 $0 Y

08 - San Antonio

San Antonio 003267

Heavenly Hands Adult Day Center 06/30/2016 $1,200 $1,200 $0 N

11 - Corpus Christi

Brownsville

103479

Bello Amanecer

Adult Day Care Inc. 10/18/2016 $500 $500 $0 N

11 - Corpus Christi

Penitas 003047

Home Away From Home 10/19/2016 $500 $500 $0 N

11 - Corpus Christi

Sullivan City

101553

Mi Generacion Adult Day Care

Inc. 03/15/2017 $1,500 $1,500 $0 N

Totals $12,700 $750 $9,950

6 Total day activity and health services facility administrative penalties imposed.

Notes:


penalty citation and amount. This is the amount due and payable if there is no alternative amount resulting from an

appeal held or settlement agreement reached.

2. The assessed column is the amount of penalty due after the appeal process has been completed (or an agreement

to settle has been reached) and a final amount has been decided, or if the person charged consents to the penalty

or does not respond timely to the notice of the penalty.

3. The collected column is the amount of money the facility has paid to DADS.








Day Activity and Health Services Facility Injunctive or Other Relief Referrals to the Office of the Attorney General for FY

2017

DADS did not refer any day activity and health services facilities to the Office of the Attorney General for

injunctive/other relief in FY 2017.

Day Activity and Health Services Facility Emergency Closing Orders for FY 2017

DADS did not issue any emergency closing orders for day activity and health services facilities in FY 2017.

Day Activity and Health Services Facility License Denial and Revocation Proposals for FY 2017


ID Facility

Proposed Action

Revoked Date

Denied Date

Status

03 - Arlington Cedar Hill 104545 Cedar Hill Adult Day Care & Recreation Center

Revoke Hearing

06 - Houston Houston 105081 Cullen Adult Day Care Deny Rescinded

06 - Houston Houston 105081 Cullen Adult Day Care Deny Rescinded

06 - Houston Houston 101671 Wellness Adult Day Care Deny 07/10/2017 License Denied

11 - Corpus Christi

Edinburg 105778 Un Dia A La Vez Adult Day Care Center Inc.


11 - Corpus Christi

Sharyland 106094 Alegria Adult Day Care Deny 12/18/2016 License Denied

11 - Corpus Christi

Weslaco 105755 Amigos Para Siempre Adult Day Care

Deny Rescinded

7 Total day activity and health services facility licensure denials and revocations proposed.

Notes:


1. Hearing — the facility has requested a hearing.

2. License Denied — the application for a license was denied.

3. Rescinded — DADS withdrew the proposed action.

Day Activity and Health Services Facility Complaint and Incident Intakes

Complaints

A complaint allegation is an assertion that a requirement of state licensure has been violated and can come directly from individuals or residents, family members, health care providers, advocates, law enforcement, or other state agencies. Report sources can be

oral or written.

Incidents

An incident is an official notification to the state survey agency from a day activity and health services provider that the physical or mental health or welfare of a consumer has been or may be adversely affected by mistreatment, neglect or abuse. These reports also

include injuries of unknown source and exploitation or misappropriation of consumer or resident property.

Priority Assignment

Complaint and incident intake staff evaluates each complaint based on its unique

circumstances and assigns priorities accordingly. When timeliness is crucial to consumer health and safety, such as in a situation of heating or air conditioner equipment failure, alleged staff walkout, etc., an investigation is initiated immediately by telephone,

regardless of the priority code assignment. After the initial contact, each complaint is assigned a priority. The priorities are:

• On or before 24 hours



• Professional review

• Withdrawn

• Not required


Immediate response by Regulatory Services is warranted because a provider allegedly created or allowed a present and ongoing situation in which the provider’s noncompliance

with one or more requirements of licensure or certification has failed to protect consumers from abuse, neglect, or mistreatment or has caused, or is likely to cause, serious injury, harm, impairment, or death to a consumer.


The present or ongoing threat of continued abuse, neglect, or mistreatment has been removed. The consumer(s) is no longer in imminent danger; however, the provider’s alleged noncompliance with one or more requirements of licensure or certification may

have or has a high potential to cause harm that impacts a consumer’s mental, physical, or psychosocial status and is of such consequence that a rapid response by Regulatory

Services is indicated. There is evidence or suspicion that system(s) failure contributed to or brought on the threat. Usually, specific rather than general information (e.g. descriptive identifiers, individual names, date, time, location of occurrence, description of

harm) will factor into the assignment of this level of priority.


A provider’s alleged noncompliance with one or more requirements of licensure or certification has caused or may cause harm that is of limited consequence and does not

significantly impair the consumer’s mental, physical, or psychosocial status.

Professional Review

A provider who has cause to believe the physical or mental health or welfare of a consumer(s) has been or may be adversely affected by mistreatment, neglect, or abuse

must self-report to the state survey agency immediately upon learning of the alleged conduct or conditions. This notice could include injuries of unknown source and exploitation or misappropriation of consumer property.

Complaint intake staff assign a professional review priority when a provider self-reports an incident to the state and the provider’s oral report indicates that the provider’s

immediate corrective action is reasonably likely to ensure that abuse, neglect, mistreatment or injury to the consumer(s) will not occur again, or at least not while the provider conducts its investigation and professional quality assurance staff reviews the

provider’s written investigation report.

Based on review of the facility investigation report, if further investigation is warranted to

assess whether the provider’s abuse prohibition policies ensure compliance with regulatory requirements, the professional review unit will send notification to regulatory regional staff to schedule an on-site investigation.

Withdrawn

A complaint report filed with the state is withdrawn at the request of the complainant, except when abuse, neglect, or exploitation is alleged. Please refer to Survey and Certification Clarification 15-01


Not Required


Day Activity and Health Services Facility All Intakes by Priority and Region for FY 2017

Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 1 0 15 2 2 9 3 16 0 7 107 162

On or before 30 days 12 0 24 5 3 25 4 59 0 24 256 412


Withdrawn 0 1 0 0 0 1 0 0 0 0 3 5

Not required 0 0 0 0 0 0 0 1 0 1 22 24

Total 18 1 47 7 5 40 7 83 0 45 426 679

Day Activity and Health Services Facility Complaints by Priority and Region for FY 2017


Complaint

Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 1 0 14 2 2 6 3 15 0 6 91 140

On or before 30

days 7 0 17 4 2 25 0 54 0 17 211 337

Withdrawn 0 1 0 0 0 1 0 0 0 0 3 5

Not required 0 0 0 0 0 0 0 1 0 1 17 19

Total 8 1 35 6 4 35 3 71 0 24 332 519

Day Activity and Health Services Facility Incidents by Priority and Region for FY 2017

Incident Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 0 0 1 0 0 3 0 1 0 1 16 22

On or before 30 days 5 0 7 1 1 0 4 5 0 7 45 75


Not required 0 0 0 0 0 0 0 0 0 0 5 5

Total 10 0 12 1 1 5 4 12 0 21 94 160

Day Activity and Health Services Facility Actions Compared Over Multiple Fiscal Years

Day Activity and Health Services Facility License Denials and Revocations Proposed for FY 2013-2017

16 16

20

11

6

10 0 0

10

5

10

15

20

25


Denials Revocations

Day Activity and Health Services Facility Complaint and Incident Intakes for FY 2013-2017

495

632

479

520 519

197165

178 173160

0

100

200

300

400

500

600

700



Home and Community Support Services Agency (HCSSA) Section

Home and Community Support Services Agency (HCSSA) Actions

The table on pages 70 and 71 contain information relating to Texas Health and Safety Code, Title 2, Subtitle G, Chapter 142, Home and Community Support Services, agency actions, by category for fiscal year (FY) 2017.


Basis for Imposing

An administrative penalty can be assessed against a person who violates requirements of Texas Health and Safety Code Chapter 142 or Texas Administrative Code, Title 40, Part

1, Chapter 97, Licensing Standards for Home and Community Support Service Agencies, or Texas Occupations Code, Title 3, Subtitle A, Chapter 102, Solicitation of Patients.

Imposed

The long-term care regulatory program imposes the action when the administrative

penalty recommendation has been reviewed and confirmed by state office. The home and community support services agency is formally notified of the administrative penalty

citation and the penalty amount. Additionally, the notice includes information about the appeal process available to the agency.

Assessed


an agreement to settle has been reached) and a final amount and due date have been decided, or the person accepts the determination by the regulatory agency or fails to respond to the notice letter in a timely manner. The home and community support

services agency is notified of the amount to be paid and the date payment is due. A lump-sum payment or a monthly payment plan can be agreed upon during the appeal or

settlement process.

Civil Penalties

A person is liable for a civil penalty, of not less than $1,000 or more than $2,500 for

each day of the violation, if he or she:

Engages in the business of providing home health, hospice, or

personal assistance services for pay without a license issued

under Texas Health and Safety Code Chapter 142 and Texas

Administrative Code Title 40, Chapter 97.

Represents to the public that he or she is a provider of home

health, hospice, or personal assistance services for pay without a

license issued under Texas Health and Safety Code Chapter 142

and Texas Administrative Code Title 40, Chapter 97.

An action to recover a civil penalty is in addition to an action brought for injunctive relief under Texas Health and Safety Code §142 .013 or any other remedy provided by law. The

Office of the Attorney General pursues this action on behalf of the state to collect the civil penalty.

Denials of License Application

The state regulatory agency can deny a license for any of the reasons specified in Texas

Administrative Code Title 40 §97.21 (relating to denial of an application for a license), such as:

Failure to comply with the statute.

Failure to comply with the licensure requirements.

Knowingly aiding, abetting, or permitting another person to violate the statute or licensure requirements.

Failure to meet the criteria for a license established in Texas Administrative Code

Title 40 §97.11 (relating to criteria and eligibility for licensing).

Denials of License Renewal

The state also can deny the application to renew a license of an existing home and community support services agency.

Expirations of License (in Lieu of Enforcement Actions)

Instead of pursuing additional enforcement actions, the state can choose to allow a home and community support services agency to let its license expire.

Immediate Suspensions

The suspension of a home and community support services agency license can be on an

emergency basis. The suspension is effective immediately and is in effect until lifted. The agency is provided an opportunity for a hearing no later than seven days after the effective date of the suspension.

Surrenders of License (in Lieu of Enforcement Actions)

The state can offer an agency the option to surrender its license, instead of receiving

additional enforcement actions.

License Revocations

The regulating agency can revoke a license issued to an applicant or agency if the

applicant or agency:

Fails to comply with any provision of Texas Health and Safety Code Chapter 142.

Fails to comply with any provision of Texas Administrative Code Title 40, Chapter 97.

Engages in conduct that violates Texas Occupations Code Chapter 102.

Home Health Agency Actions by Region for FY 2017



Imposed 16 7 61 18 12 298 67 100 6 19 57 661

Administrative

penalties 1

Assessed 1 0 7 1 1 41 8 9 1 2 7 78

Injunctive/other relief and

civil penalties

2

Referred 0 0 0 0 0 0 0 0 0 0 0 0

Denials of initial license

application 3

Proposed 1 0 13 0 1 19 3 3 1 2 5 48


application 3

Denied 1 0 4 0 0 8 3 1 0 0 2 19

Denials of license

renewal 4

Proposed 0 1 7 1 2 12 0 4 0 0 1 28

Denials of license

renewal 4

Denied 0 0 0 0 1 2 0 0 0 0 0 3

Expirations of

license 5

Completed 0 2 5 0 0 5 3 3 0 0 2 20

Immediate suspensions

Suspended 0 0 0 0 0 0 0 0 0 0 0 0

Surrenders of

license 6

Completed 0 0 11 2 0 14 1 1 0 0 2 31

Revocations of

license 7

Proposed 1 0 75 5 2 79 2 26 1 4 6 201

Revocations of

license 7

Revoked 0 0 17 0 0 16 1 4 0 1 1 40

Notes:

1. Assessed administrative penalties can include final actions on penalties imposed in a previous fiscal year.

2. The regulatory agency refers injunctive/other relief and civil penalties to the Office of the Attorney General.

3. Proposed actions cannot result in denials if the home health agency comes into

compliance with the licensing requirements before a proposal becomes final.

4. Denial of license renewal proposals cannot result in a denial action if the agency

comes into compliance with the licensure requirements before a proposal becomes final. Denied actions can include actions proposed in previous fiscal years.

5. When the home health agency license is allowed to expire in lieu of further

enforcement action.

6. When the home health agency license is surrendered in lieu of further enforcement

action.

7. Revocation of license proposals can end up as other licensure actions, such as

expiration of license in lieu of further enforcement action or surrender of license in lieu of further enforcement action, without having to revoke the license.

Hospice Agency Actions by Region for FY 2017


Administrative

penalties 1

Imposed 7 0 5 2 1 10 24 15 4 0 3 71

Administrative

penalties 1

Assessed 0 0 1 0 0 0 1 0 0 0 0 2

Injunctive/other

relief and civil

penalties 2

Referred 0 0 0 0 0 0 0 0 0 0 0 0

Denials of initial

license

application 3

Proposed 0 0 3 0 1 4 0 0 0 1 1 10


application 3

Denied 0 0 0 0 1 1 0 0 0 0 0 2

Denials of license

renewal 4

Proposed 0 0 0 0 0 0 0 0 0 0 0 0

Denials of license

renewal 4

Denied 0 0 0 0 0 0 0 0 0 0 0 0

Expirations of

license 5

Completed 0 0 0 0 0 0 0 0 0 0 0 0

Immediate suspensions

Suspended 0 0 0 0 0 0 0 0 0 0 0 0

Surrenders of

license 6

Completed 0 0 1 0 0 0 0 1 0 0 1 3

Revocations of

license 7

Proposed 0 0 22 1 0 21 2 8 1 0 0 55

Revocations of

license 7

Revoked 0 0 2 0 0 2 0 1 0 0 0 5

Notes:

1. Assessed administrative penalties can include final actions on penalties imposed in

a previous fiscal year.

2. The regulatory agency refers injunctive/other relief and civil penalties to the Office

of the Attorney General.

3. Proposed actions cannot result in denials if the hospice agency comes into

compliance with the licensing requirements before a proposal becomes final.

4. Denial of license renewal proposals cannot result in a denial action if the hospice

agency comes into compliance with the licensure requirements before a proposal

becomes final. Denied actions may include actions proposed in previous fiscal

years.

5. When the hospice agency license is allowed to expire in lieu of further

enforcement action.

6. When the hospice agency license is surrendered in lieu of further enforcement

action.

7. Revocation of license proposals can end up as other licensure actions, such as

expiration of license in lieu of further enforcement action or surrender of license in

lieu of further enforcement action, without having to revoke the license.

Home Health Agency Administrative Penalties for FY 2017

Region City License Number

CMS Number

Agency Visit Exit

Date Imposed Assessed Collected Balance

01 - Lubbock

Amarillo 014119 Caring Senior Service of Amarillo

02/15/2017 $1,500 $1,000 $1,000 $0

01 - Lubbock

Amarillo 014910 Epic Pediatric Therapy

06/14/2017 $2,000 $2,000 $0

01 - Lubbock

Amarillo 016709 Visiting Angels 04/27/2017 $750 $750 $0

01 - Lubbock

Brownfield 002205 677415 BRMC Home Care 12/19/2016 $3,000 $3,000 $0

01 - Lubbock

Hereford 003110 457579 Hereford Regional Medical Center Home Care

03/23/2017 $3,000 $3,000 $0

01 - Lubbock

Lubbock 009402 679485 Accolade Home Care

06/06/2017 $1,000 $0 $1,000

01 - Lubbock

Lubbock 001401 457548 Caprock Home Health Services

Inc.

10/04/2016 $750 $750 $0

01 - Lubbock

Lubbock 001401 457548 Caprock Home Health Services

Inc.

03/02/2017 $750 $750 $0

01 - Lubbock

Lubbock 016988 Comfort Keepers #411

08/29/2016 $500 $500 $0

01 - Lubbock

Lubbock 002112 677264 Direct Health Care Inc.

06/30/2017 $850 $0 $850

01 - Lubbock

Lubbock 016596 Forever Faithful Home Care

08/23/2016 $1,500 $1,500 $0

01 - Lubbock

Lubbock 007781 677566 Interim Healthcare of

West Texas LLC

10/31/2016 $1,500 $1,500 $0

Region City License

Number

CMS

Number Agency

Visit Exit


01 - Lubbock

Lubbock 007788 Interim Healthcare of

West Texas LLC

02/15/2017 $750 $750 $0

01 - Lubbock

Lubbock 011741 459496 Kindred at Home 09/23/2016 $2,600 $2,600 $0

01 - Lubbock

Spearman 002212 677416 Hansford Home Care

03/08/2017 $750 $750 $0

01 -

Lubbock

Wheeler 002472 677604 Parkview Hospital

Home Health Agency

06/08/2017 $750 $750 $0

02 - Abilene

Abilene 015680 Educare Community Living Corporation Texas

03/20/2017 $750 $750 $0

02 - Abilene

Brownwood

010816 677455 Brady Health Care Services Inc.

01/12/2017 $750 $750 $0

02 - Abilene

Early 013273 677177 CMS Health Care Inc.

04/19/2017 $750 $750 $0

02 - Abilene

Seymour 002793 458006 Seymour Hospital Home Health

04/06/2017 $2,250 $2,250 $0

02 - Abilene

Wichita Falls

017332 679027 1st Texas Home Health

02/16/2017 $2,250 $2,250 $0

02 - Abilene

Wichita Falls

004895 459071 At Home Care LLC 06/08/2017 $2,250 $2,250 $0

02 - Abilene

Wichita Falls

017926 677101 Healing Hands Healthcare LLC

05/25/2017 $750 $750 $0

03 -

Arlington

Allen 016365 Freedom Home

Health Care LLC

08/01/2016 $1,500 $0 $1,500

03 - Arlington

Arlington 009124 457803 Abundant Home Health LLC

08/24/2016 $1,000 $1,000 $0

03 - Arlington

Arlington 015844 Adom Home Health Care

08/11/2016 $3,000 $0 $3,000

Region City License

Number

CMS

Number Agency

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Agency

03 - Arlington

Arlington 012896 747434 Classic Home Care

11/30/2016 $750 $750 $0

03 - Arlington

Arlington 012154 747510 Redicare Home Health Services Inc.

01/31/2017 $1,500 $250 $1,250

03 - Arlington

Arlington 005005 459213 Tender Heart Home Health LLC

02/17/2017 $1,750 $1,750 $0

03 - Arlington

Bedford 016174 Alon Healthcare Services Inc.

08/11/2016 $1,000 $1,000 $0

03 - Arlington

Bridgeport 017542 459238 Jordan Health Services

12/27/2016 $600 $600 $0

03 - Arlington

Bridgeport 011969 679221 Jordan Health Services

03/03/2017 $750 $750 $0

03 - Arlington

Carrollton 010977 679732 Regal Healthcare Inc.

03/13/2017 $500 $500 $0

03 - Arlington

Carrollton 010325 679324 Trinity Health and Home Care

Services

08/08/2016 $1,000 $1,000 $0

03 - Arlington

Cedar Hill 008997 457831 Charisma Home Healthcare

11/17/2016 $500 $500 $0

03 - Arlington

Cedar Hill 010556 679616 VCM Healthcare LLC

06/29/2017 $5,000 $0 $5,000

03 - Arlington

Dallas 007146 Affordable Elder Care Inc.

08/18/2016 $1,500 $500 $500 $0

03 - Arlington

Dallas 012090 457990 Alcomed Homehealth

Services Inc.

10/31/2016 $1,500 $1,500 $0

03 - Arlington

Dallas 010939 747377 All by Grace Home Health Care

Inc.

06/06/2017 $0 $0 $0

Region City License

Number

CMS

Number Agency

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03 - Arlington

Dallas 008631 453183 Alliance A-Plus Home Health Care

06/28/2017 $1,500 $0 $1,500

03 - Arlington

Dallas 008770 453117 Allied Home Health Agency

07/27/2016 $5,000 $5,000 $0

03 -

Arlington

Dallas 011871 457927 Calvary Home

Health Agency Inc.

02/07/2017 $3,750 $0 $3,750

03 -

Arlington

Dallas 016438 Cambridge

Caregivers LLC

01/27/2017 $1,750 $1,250 $1,250 $0

03 - Arlington

Dallas 009183 457811 Candid Home Health Care

Services LLC

09/01/2016 $1,500 $1,500 $0

03 - Arlington

Dallas 004589 678363 Careworks Home Health Services

Inc.

08/26/2016 $1,500 $1,500 $0

03 - Arlington

Dallas 012256 679716 Cornerstone Home Health

Agency

06/13/2017 $2,750 $0 $2,750

03 - Arlington

Dallas 008936 453157 Home Care Providers of

Texas

12/01/2016 $3,000 $3,000 $0

03 - Arlington

Dallas 012781 747476 Kings Health Care LLC

12/06/2016 $500 $500 $0

03 - Arlington

Dallas 009080 457964 Meritcare Home Health Services Inc.

08/01/2016 $4,500 $0 $4,500

03 - Arlington

Dallas 008889 453109 Raphacare Services Inc.

03/14/2017 $2,250 $0 $2,250

03 - Arlington

Dallas 011681 747131 Silverline Healthcare Network Inc.

09/06/2016 $5,000 $5,000 $0

Region City License

Number

CMS

Number Agency

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03 - Arlington

Dallas 012116 747326 Ultimate Caring Home Health LLC

01/23/2017 $750 $750 $0

03 - Arlington

Denison 003104 TLC Professional Care

12/13/2016 $2,250 $2,250 $0

03 -

Arlington

Desoto 009557 457802 Ferrell Homecare

LLC

09/22/2016 $250 $250 $0

03 - Arlington

Desoto 009657 677806 Global Care Home Health Agency

Inc.

04/13/2017 $5,000 $833 $4,167

03 - Arlington

Desoto 005978 459441 Naaman Community

Health Services Inc.

09/02/2016 $750 $750 $0

03 - Arlington

Desoto 007571 Q & A Health Services

03/08/2017 $1,250 $0 $1,250

03 - Arlington

Duncanville

006886 459323 A One Plus Home Health Care

Agency LLC

02/02/2017 $750 $750 $0

03 - Arlington

Fort Worth 014989 458178 Bridgeway Health Services Inc.

07/18/2016 $2,000 $2,000 $0

03 - Arlington

Fort Worth 008771 679489 In Home Care 02/28/2017 $1,500 $1,500 $0

03 - Arlington

Fort Worth 008771 679489 In Home Care 07/10/2017 $750 $750 $0

03 - Arlington

Fort Worth 016654 Thunder Home Health Services

LLC

03/23/2017 $1,500 $1,500 $0

03 - Arlington

Garland 009200 Anchor Home Health Care

Services Inc.

09/16/2016 $1,500 $1,500 $0

03 - Garland 012731 747240 Destiny Care 12/07/2016 $1,500 $1,000 $500

Region City License

Number

CMS

Number Agency

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Arlington Home Health

03 - Arlington

Garland 012183 747266 Envision Home Health Care LLC

03/15/2017 $750 $0 $750

03 - Arlington

Garland 010902 747331 Everest Home Health Agency

09/19/2016 $6,450 $5,700 $750

03 - Arlington

Grand Prairie

013312 747759 E E Cornerstone Home Health Inc.

06/19/2017 $750 $750 $0

03 - Arlington

Grand Prairie

011340 677801 Good Hands Care Home Health

Services Inc.

05/15/2017 $1,250 $0 $1,250

03 - Arlington

Grand Prairie

008811 453127 Promed Home Health Care LLC

05/11/2017 $1,500 $1,500 $0

03 - Arlington

Irving 008982 673152 Divine Mercy Home Health Inc.

09/06/2016 $1,250 $0 $1,250

03 - Arlington

Irving 008982 673152 Divine Mercy Home Health Inc.

09/27/2016 $1,250 $0 $1,250

03 - Arlington

Irving 015098 743142 National Senior Care Home Health

Services

02/15/2017 $4,500 $4,500 $0

03 - Arlington

Lancaster 013144 Christ Arms Home Health Care Inc.

02/09/2016 $0 $3,000 -$3,000

03 - Arlington

Little Elm 015102 A Better Care DFW

11/22/2016 $1,500 $0 $1,500

03 - Arlington

Mansfield 012711 453126 Medical Case Management Home Health Services

11/15/2016 $2,250 $2,250 $0

03 - Arlington

Mesquite 007616 679064 M E Home Health 08/31/2016 $750 $0 $750

03 - Arlington

Mesquite 007616 679064 M E Home Health 10/06/2016 $3,250 $0 $3,250

Region City License

Number

CMS

Number Agency

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03 - Arlington

Mesquite 011279 747419 Senai Home Health

06/20/2017 $1,000 $0 $1,000

03 - Arlington

Mesquite 009170 673195 Texas Best Care Home Health Inc.

07/14/2016 $2,250 $2,250 $0

03 -

Arlington

Plano 011865 747317 Abiding Care

Services Inc.

03/03/2017 $4,250 $2,126 $2,124

03 - Arlington

Plano 009873 677915 Positive Home Health Agency

04/25/2017 $1,000 $167 $833

03 - Arlington

Richardson 009433 457997 Diamond Care Health Services LLC

06/01/2017 $500 $500 $0

03 - Arlington

Richardson 012429 Viva Pediatrics 04/04/2017 $2,850 $2,850 $0

03 - Arlington

Rowlett 011169 747496 Imanuel Health Services

11/17/2016 $750 $750 $0

04 - Tyler Dallas 012767 747864 Tender Care Inc. 02/08/2017 $1,500 $1,500 $0

04 - Tyler Gilmer 010252 677924 Guardian Angels Home Healthcare

Agency Inc.

05/04/2017 $1,500 $1,500 $0

04 - Tyler Henderson 007040 Acea Home Health

07/27/2016 $2,250 $0 $2,250

04 - Tyler Jefferson 008366 First In Home Health Care

09/20/2016 $750 $750 $0

04 - Tyler Longview 015679 Educare Community Living Corporation Texas

05/01/2017 $750 $750 $0

04 - Tyler Longview 007586 Texas Home Health of America

04/20/2017 $750 $750 $0

04 - Tyler Marshall 016987 Acti-Kare Responsive In-

Home Care

06/27/2016 $600 $600 $0

Region City License

Number

CMS

Number Agency

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04 - Tyler New Boston

017469 Helping Hands Home Health

07/18/2016 $2,350 $1,958 $392

04 - Tyler Palestine 008276 458346 Jordan Health Services

03/09/2017 $750 $750 $0

04 - Tyler Paris 014542 Genesis Pediatric

Home Health

09/08/2016 $1,500 $1,500 $0

04 - Tyler Paris 012399 458041 Guardian Healthcare

08/17/2016 $1,500 $1,500 $0

04 - Tyler Pittsburg 010659 677037 East Texas Medical Center Home Health

North

07/28/2016 $3,000 $3,000 $0

04 - Tyler Tyler 016586 747362 C P Home Care of Tyler

02/08/2017 $1,500 $1,500 $0

04 - Tyler Tyler 014713 Home Instead Senior Care

01/25/2017 $3,000 $3,000 $0

04 - Tyler Tyler 012918 Maxim Healthcare

Services Inc.

09/07/2016 $1,500 $1,500 $0

04 - Tyler Tyler 007537 679039 New Concept Health Services

Inc.

09/29/2016 $4,750 $4,750 $0

04 - Tyler Tyler 012611 Right at Home of Northeast Texas

04/21/2017 $750 $750 $0

04 - Tyler Wills Point 010730 679683 Golden Years Homecare Specialist

Incorporated

11/03/2016 $750 $750 $0

05 - Beaumont

Beaumont 016164 Acclaimed Home Care

12/01/2016 $750 $750 $0

05 - Beaumont

Beaumont 002583 677686 Jefferson County Home Health Care

02/08/2017 $1,500 $1,500 $0

Region City License

Number

CMS

Number Agency

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Inc.

05 - Beaumont

Beaumont 012917 Maxim Healthcare Services Inc.

06/20/2016 $1,550 $1,550 $0

05 - Beaumont

Beaumont 006491 Quality Care Services Inc.

08/23/2016 $1,500 $1,500 $0

05 - Beaumont

Beaumont 008921 Texas Home Health of America

08/03/2016 $750 $750 $0

05 - Beaumont


04/07/2017 $750 $750 $0

05 - Beaumont


04/11/2017 $750 $750 $0

05 - Beaumont

Kirbyville 005265 459335 Home Care Innovations Inc.

01/12/2017 $2,250 $2,250 $0

05 - Beaumont

Livingston 017079 Bethany Home Health Services

06/22/2016 $750 $750 $0

05 - Beaumont

Trinity 014766 747970 Rose of Sharon Home Health Inc.

02/24/2017 $1,500 $1,500 $0

05 -

Beaumont

Tyler 014848 Epic Pediatric

Therapy

11/30/2016 $750 $750 $0

05 - Beaumont

Vidor 005037 458025 Texas Total Care Inc.

08/12/2016 $2,250 $2,250 $0

06 - Houston

Alvin 015341 Reliable Home Care

02/24/2017 $750 $750 $0

06 - Houston

Angleton 009583 679109 Angleton Visiting Nurses

06/08/2017 $3,700 $3,700 $0

06 - Houston

Bay City 008841 673116 Bethany Home Health Services

12/15/2016 $1,300 $1,300 $0

06 - Houston

Bay City 016276 Fullcare Home Health Inc.

09/19/2016 $750 $750 $0

06 - Bellaire 014529 747820 Camillians Home 11/04/2016 $4,100 $4,100 $0

Region City License

Number

CMS

Number Agency

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Houston Health Services

LLC

06 - Houston

Bellaire 015463 Right at Home Metro Houston

08/15/2016 $1,500 $1,500 $0

06 - Houston

Brookshire 016364 Anointed Hands Home Healthcare

12/07/2016 $2,000 $1,800 $1,800 $0

06 - Houston

Conroe 012073 679286 Guardian Angel Home Health Care

04/28/2017 $2,900 $2,900 $0

06 - Houston

Cypress 014972 AC Competent Providers Inc.

01/18/2017 $2,250 $2,100 $1,050 $1,050

06 - Houston

Cypress 008825 453110 Altima Healthcare Services Inc.

05/18/2017 $1,500 $1,500 $0

06 - Houston

Cypress 013394 Coleman Healthcare Inc.

09/26/2016 $6,000 $4,800 $1,175 $3,625

06 - Houston

Cypress 017439 747551 Prana Health Solutions Inc.

08/31/2016 $1,500 $0 $1,500

06 - Houston

Cypress 017439 747551 Prana Health Solutions Inc.

03/10/2017 $750 $0 $750

06 - Houston

Dickinson 009911 747091 All Across America Home

Health Services

05/18/2017 $1,500 $0 $1,500

06 - Houston

Fresno 013191 747701 Guiding Home Care Inc.

09/12/2016 $1,500 $1,500 $0

06 - Houston

Friendswood

016013 743194 Eton Home Healthcare Inc.

08/05/2016 $1,400 $1,400 $0

06 - Houston

Friendswood

014817 Right at Home 02/24/2017 $1,500 $0 $1,500

06 - Houston

Galveston 011323 Right at Home Galveston

10/25/2016 $1,500 $1,500 $0

06 - Galveston 007750 679104 Texas Home 10/04/2016 $750 $750 $0

Region City License

Number

CMS

Number Agency

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Houston Health Skilled

Services

06 - Houston

Galveston 007750 679104 Texas Home Health Skilled

Services

03/09/2017 $2,450 $2,450 $0

06 - Houston

Highlands 016408 Premium Care Dialysis

07/13/2017 $3,700 $0 $3,700

06 - Houston

Houston 016773 1 Divine Home Care Services

06/22/2017 $700 $0 $700

06 -

Houston

Houston 013280 747670 1st American

Choice Home Health Care Services LLC

06/23/2016 $2,250 $2,250 $0

06 - Houston

Houston 010435 679612 1st Choice Healthcare Services Inc.

08/19/2016 $750 $750 $0

06 - Houston

Houston 009547 677890 1st Genesis Home Health Services

03/03/2017 $5,250 $5,250 $0

06 - Houston

Houston 003568 678144 A & A Home Health Services Inc.

03/01/2017 $1,500 $1,500 $0

06 - Houston

Houston 009242 679451 A C Health Services Inc.

10/04/2016 $750 $750 $0

06 - Houston

Houston 010553 679663 A P Home Health Care Services LLC

03/09/2017 $750 $750 $0

06 - Houston

Houston 015990 A Uplifting Health Care and Nutrition Agency

09/21/2016 $2,250 $2,250 $0

06 - Houston

Houston 015123 A&D Home Healthcare Services LLC

03/03/2017 $3,000 $3,000 $0

Region City License

Number

CMS

Number Agency

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06 - Houston

Houston 010142 679643 A+ Medics Services Inc.

03/09/2017 $2,250 $375 $1,875

06 - Houston

Houston 016938 Acti-Kare Responsive In-Home Care

04/20/2017 $1,500 $0 $1,500

06 - Houston

Houston 012027 679061 Advanced Home Health Services Inc.

02/09/2017 $1,500 $1,500 $0

06 - Houston

Houston 013333 Affinity Biotech Inc.

10/06/2016 $1,650 $1,650 $0

06 - Houston

Houston 014035 AGC Home Health Inc.

10/12/2016 $1,750 $1,750 $0

06 - Houston

Houston 016510 677992 Alimed Home Health Care Inc.

09/21/2016 $1,450 $1,450 $0

06 - Houston

Houston 016510 677992 Alimed Home Health Care Inc.

06/29/2017 $2,250 $2,250 $0

06 -

Houston

Houston 012408 677870 All Modern

Healthcare Inc.

12/23/2016 $2,250 $0 $2,250

06 - Houston

Houston 014430 All Star Kids Home Health

Services

10/27/2016 $4,050 $2,430 $2,430 $0

06 - Houston

Houston 017175 679375 Alltech Home Health Inc.

02/02/2017 $3,700 $2,800 $933 $1,867

06 - Houston

Houston 008001 Alpha Healthcare Network Inc.

04/25/2017 $1,500 $0 $1,500

06 -

Houston

Houston 012552 Alpine Healthcare

Incorporated

09/27/2016 $1,250 $1,250 $0

06 - Houston

Houston 011700 Amazing Grace Assisted Living

09/12/2016 $750 $750 $0

06 - Houston

Houston 010482 673136 Amazing Grace Nursing Services

02/23/2017 $1,500 $1,500 $0

Region City License

Number

CMS

Number Agency

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Inc.

06 - Houston

Houston 011160 747145 APHS Healthcare Services Inc.

03/23/2017 $1,500 $0 $1,500

06 - Houston

Houston 003664 678169 Applied Health Care Nursing Division Inc.

03/30/2017 $1,500 $1,500 $0

06 - Houston

Houston 007603 Assist-Med Inc. 03/31/2017 $750 $750 $0

06 - Houston

Houston 016264 Assisting Angels Caregivers LLC

09/22/2016 $700 $700 $0

06 - Houston

Houston 016326 Assisting Hands of West Houston

11/03/2016 $2,250 $1,350 $1,350 $0

06 - Houston

Houston 014055 747740 Atwell Home Health Services Inc.

08/05/2016 $2,200 $2,200 $0

06 - Houston

Houston 014055 747740 Atwell Home Health Services Inc.

09/16/2016 $3,800 $2,800 $2,240 $560

06 - Houston

Houston 006638 679301 Bell Tech Home Healthcare

12/16/2016 $1,500 $1,500 $0

06 - Houston

Houston 006711 458287 Beloved Home Health Services Inc.

01/26/2017 $2,400 $2,400 $0

06 - Houston

Houston 012555 Beneficient Healthcare

03/24/2017 $1,500 $1,500 $0

06 - Houston

Houston 012876 Brookdale at Home Houston

09/14/2016 $750 $750 $0

06 - Houston

Houston 016123 743140 C & O Healthcare Services Inc.

03/21/2017 $1,500 $0 $1,500

06 - Houston

Houston 013172 747787 C and D Healthcare

10/31/2016 $2,000 $0 $2,000

Region City License

Number

CMS

Number Agency

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Services LLC

06 - Houston

Houston 009030 673198 C N G Home Health Inc.

08/25/2016 $2,850 $2,850 $0

06 - Houston

Houston 007015 Care Texas Home Health Agency

09/30/2016 $2,900 $2,100 $2,100 $0

06 - Houston

Houston 005674 Caretemps 09/28/2016 $1,500 $900 $900 $0

06 - Houston

Houston 016189 Caring Hearts 24/7 LLC

06/22/2017 $1,500 $0 $1,500

06 - Houston

Houston 011336 679135 Carocare Healthcare Services Inc.

12/16/2016 $2,050 $1,367 $683

06 - Houston

Houston 009191 679219 Charlton Home Health Inc.

12/22/2016 $750 $750 $0

06 - Houston

Houston 016336 679224 Comforthome Health Care Inc.

01/26/2017 $3,700 $3,700 $0

06 - Houston

Houston 014329 Community Medical Network

Inc.

08/16/2016 $1,998 $0 $1,998

06 - Houston

Houston 017277 679274 Comprehensive Plus Home Health

Inc.

03/10/2017 $1,250 $1,250 $0

06 - Houston

Houston 009688 677880 Confident Care Home Health

Services Inc.

01/20/2017 $2,200 $2,200 $0

06 - Houston

Houston 003258 458333 Consolidated Community

Resources Inc.

05/08/2017 $750 $0 $750

06 - Houston

Houston 003647 Coram CVS/Specialty

Infusion Services

02/16/2017 $750 $750 $0

Region City License

Number

CMS

Number Agency

Visit Exit


06 - Houston

Houston 017236 Coremed Solutions LLC

05/15/2017 $750 $0 $750

06 - Houston

Houston 010231 679387 Cun Health Net Inc.

05/18/2017 $700 $700 $0

06 -

Houston

Houston 017020 Daisy Kids Care 10/20/2016 $1,500 $900 $900 $0

06 - Houston

Houston 013306 DDF Health Services Inc.

09/30/2016 $4,500 $2,250 $1,875 $375

06 - Houston

Houston 009792 679449 Destiny Care Services Inc.

03/06/2017 $600 $0 $600

06 - Houston

Houston 010672 679634 Divine Home Health Care

08/11/2016 $1,499 $1,499 $0

06 - Houston

Houston 010672 679634 Divine Home Health Care

03/03/2017 $700 $700 $0

06 - Houston

Houston 013860 459399 Dynamic Home Health Services

03/17/2017 $1,500 $1,500 $0

06 - Houston

Houston 015891 679730 Dynasty Healthcare

Services Inc.

02/16/2017 $3,850 $0 $3,850

06 - Houston

Houston 014354 459165 Efficient Home Care Inc.

12/23/2016 $1,500 $1,500 $0

06 - Houston

Houston 017373 747785 Elite Vintage Health Care LLC

11/04/2016 $1,400 $1,400 $0

06 - Houston

Houston 009581 677970 Elitte Healthcare and Service

12/15/2016 $2,250 $2,250 $0

06 - Houston

Houston 004350 Emmanuel Health Homecare Inc.

12/29/2016 $2,250 $2,250 $0

06 - Houston

Houston 012204 679692 Empire Home Health Services

12/14/2016 $750 $0 $750

06 - Houston 012241 673134 Encompass Home 09/01/2016 $2,200 $2,200 $0

Region City License

Number

CMS

Number Agency

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Houston Health of Houston

06 - Houston

Houston 012241 673134 Encompass Home Health of Houston

12/15/2016 $500 $500 $0

06 - Houston

Houston 012241 673134 Encompass Home Health of Houston

01/10/2017 $1,500 $1,500 $0

06 - Houston

Houston 014986 Epic Pediatric Therapy

08/09/2016 $1,550 $1,550 $0

06 - Houston


08/30/2016 $1,800 $0 $1,800

06 - Houston


09/07/2016 $2,250 $4,500 $4,500 $0

06 - Houston


01/19/2017 $1,500 $1,500 $0

06 - Houston


05/01/2017 $900 $900 $0

06 - Houston

Houston 008892 457829 Essence Health Care Inc.

08/23/2016 $600 $600 $0

06 -

Houston

Houston 005283 Eternal

Healthcare Center Inc.

09/14/2016 $1,500 $1,500 $0

06 - Houston

Houston 016541 Evergreen Private Care

03/09/2017 $1,450 $1,450 $0

06 - Houston

Houston 008356 679287 Excellence Health Care Inc.

01/27/2017 $750 $750 $0

06 - Houston

Houston 016588 Extended Family Inc.

06/07/2017 $4,400 $0 $4,400

06 -

Houston

Houston 010417 Faith in Him

Health Services

10/19/2016 $5,450 $0 $5,450

06 - Houston

Houston 009356 679188 Fiango Home Health Care

12/14/2016 $1,500 $0 $1,500

Region City License

Number

CMS

Number Agency

Visit Exit


06 - Houston

Houston 009356 679188 Fiango Home Health Care

01/31/2017 $1,500 $0 $1,500

06 - Houston

Houston 008913 453170 Fidelity Care Home Health

09/02/2016 $1,500 $0 $1,500

06 -

Houston

Houston 014233 Fransent

Healthcare Inc.

10/19/2016 $2,250 $0 $2,250

06 - Houston

Houston 010534 747096 Friends Health Services

08/05/2016 $5,050 $0 $5,050

06 - Houston

Houston 015455 Garden Healthcare Services

Corporation

09/02/2016 $3,250 $3,250 $0

06 - Houston

Houston 009885 677994 Gaspy Home Healthcare Inc.

04/03/2017 $4,050 $4,050 $0

06 - Houston

Houston 006617 459068 GC Health Services Inc.

09/14/2016 $1,500 $1,500 $0

06 -

Houston

Houston 006617 459068 GC Health

Services Inc.

03/17/2017 $1,600 $1,600 $0

06 - Houston

Houston 008502 679402 GCS Health Services Limited

Liability Company

03/06/2017 $1,500 $600 $900

06 - Houston

Houston 011655 747661 Get Well Home Health Services of

Houston Inc.

04/14/2017 $5,050 $5,050 $0

06 - Houston

Houston 016439 Godly Hearts Home Healthcare

Agency LLC

06/29/2017 $1,450 $0 $1,450

06 - Houston

Houston 016520 Griswold Home Care Southwest

and Greater South Houston

03/29/2017 $750 $750 $0

Region City License

Number

CMS

Number Agency

Visit Exit


06 - Houston

Houston 016945 Healthcare PRN Inc.

08/25/2016 $2,100 $0 $2,100

06 - Houston

Houston 017303 678220 Heart Home Health Care Inc.

03/13/2017 $750 $750 $0

06 -

Houston

Houston 013228 747810 Hefty Healthcare

Services Inc.

04/19/2017 $750 $0 $750

06 - Houston

Houston 016397 Height of Hope Home Care

09/28/2016 $3,750 $3,750 $0

06 - Houston

Houston 008198 679315 Hitech Medical Services

04/21/2017 $750 $0 $750

06 - Houston

Houston 005440 458091 Home Health Unlimited Inc.

02/10/2017 $9,300 $1,500 $7,800

06 - Houston

Houston 015563 Home Instead Senior Care

07/13/2017 $3,700 $0 $3,700

06 - Houston

Houston 009128 Humane Health Care Inc.

03/16/2017 $1,500 $1,500 $0

06 - Houston

Houston 017831 Icon Health Services LLC

01/25/2017 $1,450 $1,450 $0

06 - Houston

Houston 013883 Iconic Healthcare Services Co.

10/06/2016 $2,950 $2,950 $0

06 - Houston

Houston 010680 747299 Incarnation Home Health Services Inc.

07/06/2017 $1,500 $0 $1,500

06 - Houston

Houston 013733 Integrated Home Health Care Inc.

11/18/2016 $1,450 $1,450 $0

06 - Houston

Houston 014880 747001 Jadalia Home Health Agency

Inc.

01/26/2017 $1,500 $1,500 $0

06 - Houston

Houston 012039 743198 Jaimel Health Care Services LLC

04/12/2017 $2,250 $2,250 $0

Region City License

Number

CMS

Number Agency

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06 - Houston

Houston 017383 677826 Jalstad Healthcare Services

01/05/2017 $1,500 $1,500 $0

06 - Houston

Houston 008407 Josh Healthcare Services Inc.

01/11/2017 $2,000 $2,000 $0

06 -

Houston

Houston 008182 679247 Joy Home Health

Care

12/23/2016 $3,000 $3,000 $0

06 - Houston

Houston 012008 Just Real Kare 09/13/2016 $700 $700 $0

06 - Houston

Houston 016296 K & A Home Health Inc.

09/27/2016 $9,800 $0 $9,800

06 - Houston

Houston 016102 Kaycee Integrity Health Services

Inc.

09/29/2016 $2,250 $1,600 $1,600 $0

06 - Houston

Houston 011337 679398 Kina Healthcare Services Inc.

05/11/2017 $2,100 $1,200 $1,200 $0

06 - Houston

Houston 012764 679497 Kingwood Home Health

04/11/2017 $2,000 $0 $2,000

06 - Houston

Houston 013893 Legacy Healthcare Services

10/13/2016 $2,250 $2,250 $0

06 - Houston

Houston 010788 743133 Lifeway Healthcare Inc.

04/05/2017 $750 $750 $0

06 - Houston

Houston 011392 743196 Living Hope Home Healthcare

05/04/2017 $2,200 $2,200 $0

06 - Houston

Houston 007087 Loyal Home Health Care Agency

09/15/2016 $750 $750 $0

06 - Houston

Houston 013069 747440 Macy's Health Services Inc.

08/19/2016 $3,000 $3,000 $0

06 - Houston

Houston 010369 458098 Masters Health Care Services Inc.

03/16/2017 $1,500 $1,500 $0

Region City License

Number

CMS

Number Agency

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06 - Houston

Houston 016985 679093 Maxcare Home Health Services

Inc.

01/06/2017 $4,250 $4,250 $0

06 - Houston

Houston 014130 459384 Maximum Care 12/13/2016 $1,750 $0 $1,750

06 - Houston


06 -

Houston


06 - Houston

Houston 010275 Maxwell Providers Inc.

03/21/2017 $2,100 $2,100 $0

06 - Houston

Houston 015527 679640 Merida Health Care Group

05/25/2017 $2,950 $2,950 $0

06 - Houston

Houston 007872 677901 Metro Health Services

01/24/2017 $2,750 $0 $2,750

06 - Houston

Houston 010799 Momentum Home Health Services

Inc.

10/13/2016 $1,350 $1,350 $0

06 - Houston

Houston 016721 679608 National Nursing & Rehab Houston

LLC

02/24/2017 $1,500 $1,500 $0

06 - Houston

Houston 005983 459125 New Age Home Health Services

Inc.

03/02/2017 $1,400 $800 $800 $0

06 - Houston

Houston 009419 677873 Newchannel Healthcare

Services

03/08/2017 $2,950 $2,950 $0

06 - Houston

Houston 000446 457955 Nightingale Services Inc.

08/04/2016 $1,500 $1,500 $0

06 - Houston

Houston 014318 Nursing Home Health Services

10/25/2016 $750 $750 $0

Region City License

Number

CMS

Number Agency

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Inc.

06 - Houston

Houston 007590 459466 Omega Home Health Service

Inc.

02/27/2017 $850 $850 $0

06 - Houston

Houston 009290 457993 Onsite Health Care Services

02/02/2017 $2,250 $1,875 $375

06 - Houston

Houston 010533 679659 Opt Home Healthcare Inc.

01/26/2017 $750 $750 $0

06 - Houston

Houston 007338 Outreach Home Care

02/02/2017 $1,400 $1,400 $0

06 - Houston

Houston 016044 Parker Place Home Health

Services

10/26/2016 $3,000 $3,000 $0

06 - Houston

Houston 016173 Pediatric Home Healthcare LLC

06/23/2017 $1,400 $0 $1,400

06 - Houston

Houston 013648 747771 Phico Healthcare Service Inc.

12/20/2016 $1,400 $500 $900

06 - Houston

Houston 016483 679254 Precise Home Health

08/09/2016 $750 $0 $750

06 - Houston

Houston 013681 Primeage Health Services Inc.

10/05/2016 $3,750 $2,500 $417 $2,083

06 - Houston

Houston 010276 457952 Providian Health Care Inc.

07/20/2016 $1,450 $1,450 $0

06 - Houston

Houston 002306 677440 PSA Healthcare Inc.

03/09/2017 $1,450 $1,450 $0

06 - Houston

Houston 002306 677440 PSA Healthcare Inc.

07/17/2017 $3,000 $0 $3,000

06 - Houston

Houston 016935 Reach Pediatric Home Therapy

10/06/2016 $2,250 $2,250 $0

06 - Houston 010739 743154 Redeemed Health 03/09/2017 $2,200 $1,467 $733

Region City License

Number

CMS

Number Agency

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Houston Services Inc.

06 - Houston

Houston 014075 Reliant Pediatric Therapy Services

PC

10/19/2016 $2,950 $2,950 $0

06 - Houston

Houston 008301 673138 Resource Health Care Inc.

02/27/2017 $1,500 $1,500 $0

06 - Houston

Houston 015811 Right at Home 02/24/2017 $2,250 $2,250 $0

06 - Houston

Houston 014667 677942 Royal Star Healthcare Inc.

03/30/2017 $2,250 $2,250 $0

06 - Houston

Houston 015298 Safe Harbor Care 05/11/2017 $750 $750 $0

06 - Houston

Houston 014132 Sahab Health Care Services LLC

10/20/2016 $5,900 $3,060 $2,840

06 - Houston

Houston 014248 Samcos Healthcare Services Inc.

10/19/2016 $2,250 $2,250 $0

06 - Houston

Houston 012680 679471 San Martin Nursing Services LLC

04/27/2017 $3,700 $0 $3,700

06 - Houston

Houston 009667 677891 Simplex Health and Allied Services Inc.

03/02/2017 $750 $750 $0

06 - Houston

Houston 008005 679246 Special Kids Care 12/23/2016 $1,450 $1,450 $0

06 - Houston

Houston 016965 Specialized Pediatric Home

Therapy

07/20/2017 $750 $750 $0

06 - Houston

Houston 010872 453186 St Jude Visiting Nurses

Homehealth Inc.

12/15/2016 $1,450 $1,450 $0

Region City License

Number

CMS

Number Agency

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06 - Houston

Houston 013776 St Thomas Home Health Services

Inc.

10/05/2016 $1,500 $1,500 $0

06 - Houston

Houston 009600 677874 Star Home Health Inc.

11/10/2016 $900 $0 $900

06 - Houston


01/11/2017 $1,500 $0 $1,500

06 -

Houston

Houston 009600 677874 Star Home Health

Inc.

02/17/2017 $1,600 $0 $1,600

06 - Houston


04/14/2017 $1,450 $0 $1,450

06 - Houston

Houston 015429 Star of Maris Home Health Inc.

03/21/2017 $750 $0 $750

06 - Houston

Houston 011186 747009 Sumic Care Incorporated

07/28/2017 $750 $0 $750

06 - Houston

Houston 010630 Synergy Homecare

10/26/2016 $1,500 $1,500 $0

06 - Houston

Houston 016783 Synergy Homecare Bay Area

06/15/2017 $2,900 $0 $2,900

06 - Houston

Houston 016796 747280 T and M Healthcare Service Inc.

11/03/2016 $1,400 $1,400 $0

06 - Houston

Houston 007751 679102 Texas Home Health Skilled Services

07/28/2017 $1,500 $0 $1,500

06 - Houston

Houston 012556 679306 Texas Human Healthcare Services

02/03/2017 $6,800 $0 $6,800

06 - Houston

Houston 012556 679306 Texas Human Healthcare

03/21/2017 $750 $0 $750

Region City License

Number

CMS

Number Agency

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Services

06 - Houston

Houston 011752 743170 Texas Premier Care Services Inc.

02/17/2017 $1,500 $1,500 $0

06 - Houston

Houston 006843 459172 Texas Quality One Medical Services

12/16/2016 $2,250 $2,250 $0

06 - Houston

Houston 012326 The Eldercare Network LLC

10/27/2016 $1,200 $0 $1,200

06 - Houston

Houston 016266 The Master Caregiver

Company LLC

09/22/2016 $2,250 $2,250 $0

06 - Houston

Houston 004948 459310 Today's Healthcare LLC

03/27/2017 $2,000 $2,000 $0

06 - Houston

Houston 016097 Top Notch Health Care Assistance LLC

01/27/2017 $700 $0 $700

06 - Houston

Houston 006486 459308 Total Concept Home Health Agency

01/13/2017 $750 $750 $0

06 - Houston

Houston 009281 Touch of Class 09/15/2016 $750 $750 $0

06 - Houston

Houston 013263 747420 Transition Home Health Care

12/01/2016 $4,650 $4,650 $0

06 - Houston

Houston 017125 747659 Uchesstar Healthcare &

Rehabilitation Inc.

12/14/2016 $0 $0 $0

06 - Houston

Houston 008617 679450 Ultimate Home Health Services

08/30/2016 $600 $600 $0

06 - Houston

Houston 011238 747265 Vamet Consulting and Medical Services

11/01/2016 $2,250 $2,250 $0

06 - Houston 010308 679748 Ventex Home 01/30/2017 $2,200 $2,200 $0

Region City License

Number

CMS

Number Agency

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Houston Health Agency

Inc.

06 - Houston

Houston 013456 747801 Vina Health Care Services Inc.

11/17/2016 $750 $750 $0

06 - Houston

Houston 013037 Visiting Angels 02/24/2017 $750 $750 $0

06 - Houston

Houston 017295 747279 Vista Home Healthcare LLC

01/06/2017 $2,950 $2,950 $0

06 - Houston

Houston 010643 679210 West Wynde Health Services

05/04/2017 $3,700 $1,300 $2,400

06 - Houston

Houston 004096 Wilcare Inc. 10/13/2016 $3,000 $3,000 $0

06 - Houston

Houston 012316 679728 Xtra-Care Home Health Inc.

02/24/2017 $750 $750 $0

06 - Houston

Humble 003072 457264 Kindred at Home 04/13/2017 $1,450 $1,450 $0

06 - Houston

Katy 005963 A Jac Healthmark 09/29/2016 $1,500 $0 $1,500

06 - Houston

Katy 014221 Comfort Keepers 10/18/2016 $750 $750 $0

06 - Houston

Katy 016391 Eagle Home Health Care LLC

07/13/2017 $2,200 $0 $2,200

06 - Houston

Katy 016521 Sweet Home Care 02/02/2017 $2,200 $2,200 $0

06 - Houston

Katy 010537 679622 Winners Healthcare

Solutions Inc.

02/24/2017 $750 $750 $0

06 - Houston

Kemah 009750 Priority Healthcare PAS

03/10/2017 $1,600 $0 $1,600

06 - Lake 016243 Carebuilders at 01/04/2017 $1,450 $0 $1,450

Region City License

Number

CMS

Number Agency

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Houston Jackson Home

06 - Houston

Lake Jackson

009576 457995 Coastal Staff Relief Inc.

08/18/2016 $3,450 $3,450 $0

06 - Houston

Lake Jackson

012561 458399 IPH Home Health Care

08/11/2016 $1,700 $1,700 $0

06 - Houston

League City

009291 679176 Jeby Health Care Services Inc.

09/07/2016 $1,500 $1,500 $0

06 - Houston

League City


01/19/2017 $2,250 $2,250 $0

06 - Houston

League City


03/15/2017 $2,250 $2,250 $0

06 - Houston

League City

015581 673161 Kindred at Home 06/22/2017 $2,250 $2,250 $0

06 - Houston

Magnolia 016905 All-Around Home Health

07/12/2017 $700 $0 $700

06 - Houston

Missouri City

009564 457950 Beacon Home Health Agency LLC

08/05/2016 $750 $750 $0

06 - Houston

Missouri City

012639 747575 CGN Healthcare Services Inc.

06/16/2017 $2,950 $0 $2,950

06 - Houston

Missouri City

013159 747606 Divine Professionals Healthcare Inc.

06/08/2017 $1,500 $0 $1,500

06 - Houston

Missouri City

014930 Jadazch Home Health Services

08/19/2016 $5,250 $0 $0 $0

06 - Houston

Missouri City

014584 747849 Manifestation Home Healthcare

Inc.

12/08/2016 $750 $750 $0

06 - Houston

Missouri City

012247 677865 Primeway Healthcare

Services Inc.

03/01/2017 $1,400 $0 $1,400

Region City License

Number

CMS

Number Agency

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06 - Houston

Missouri City

012369 673155 Shalom Health Care Services Inc.

08/11/2016 $2,250 $1,500 $1,500 $0

06 - Houston

Missouri City

011364 747010 Texas Choice Healthcare Services Inc.

07/14/2016 $6,000 $5,200 $4,333 $867

06 - Houston

Pasadena 011267 Jordan Health Services

09/14/2016 $1,500 $1,500 $0

06 -

Houston

Pasadena 016507 Right at Home 01/06/2017 $3,000 $2,250 $0 $2,250

06 - Houston

Pearland 012610 747366 Cardinal Health Care Services Inc.

11/30/2016 $750 $750 $0

06 - Houston

Pearland 016415 Five Star Home Dialysis

01/26/2017 $5,200 $5,200 $0

06 - Houston

Pearland 012657 747627 Marathon Healthcare

Services LLC

08/31/2016 $750 $750 $0

06 -

Houston

Pearland 014024 New Age

Healthcare Services Inc.

10/12/2016 $3,550 $0 $3,550

06 - Houston

Pearland 011891 679314 Twenty First Century Solutions Home Health Services Inc.

01/13/2017 $2,200 $2,200 $0

06 - Houston

Richmond 017644 679322 Aarn Health Services

02/16/2017 $3,000 $3,000 $0

06 - Houston

Richmond 017674 747530 Bethel America Health Care LLC

04/14/2017 $2,900 $2,900 $0

06 - Houston

Richmond 012464 747545 C & E Home Health Services

Inc.

01/27/2017 $1,450 $1,450 $0

06 - Richmond 016343 Divine Choice 12/06/2016 $1,250 $0 $1,250

Region City License

Number

CMS

Number Agency

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Houston Healthcare

Services Inc.

06 - Houston

Richmond 016545 747033 Ebra Home Health Services Inc.

05/12/2017 $2,150 $358 $1,792

06 - Houston

Richmond 009549 677984 Evening Star Healthcare Inc.

06/29/2017 $3,650 $0 $3,650

06 - Houston

Richmond 016628 Extension Home Health Services

LLC

02/16/2017 $1,000 $1,000 $0

06 -

Houston

Richmond 016916 747228 Firststep

Healthcare Services Inc.

08/18/2016 $3,050 $3,050 $0

06 - Houston

Richmond 016428 747528 Johad Healthcare Services Inc.

08/25/2016 $1,500 $1,500 $0

06 - Houston

Richmond 014261 747894 K CN Home Care LLC

11/16/2016 $750 $375 $375

06 - Houston

Richmond 014850 747921 Lonestar Home Health Care

09/27/2016 $7,200 $0 $7,200

06 -

Houston

Richmond 012377 747389 Paix Health

Services Inc.

11/17/2016 $1,500 $1,500 $0

06 - Houston

Richmond 011927 677933 Passion Central Home Health

Services Inc.

03/30/2017 $750 $750 $0

06 - Houston

Richmond 014476 Quincy Healthcare Inc.

10/18/2016 $750 $750 $0

06 - Houston

Richmond 016461 Savior Care Home Services

02/02/2017 $1,450 $730 $720

06 - Houston

Richmond 013293 679389 Trans American Healthcare Inc.

03/23/2017 $750 $750 $0

06 - Houston

Rosenberg 008799 Alief Health Care Inc.

10/11/2016 $3,750 $3,750 $0

Region City License

Number

CMS

Number Agency

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06 - Houston

Rosenberg 011366 747335 Jiwealth Health Services

11/04/2016 $3,750 $3,750 $0

06 - Houston

Sealy 016369 QBT Healthcare Services

05/19/2017 $5,100 $5,100 $0

06 -

Houston

Spring 016406 Always Best Care 12/16/2016 $4,500 $2,925 $2,438 $488

06 - Houston

Spring 012287 Cole Pediatric Therapy

09/28/2016 $3,000 $2,250 $2,250 $0

06 - Houston

Spring 013291 747611 Silver Spring Home Healthcare Services Inc.

03/24/2017 $2,900 $2,900 $0

06 - Houston

Stafford 010673 679697 Careline Home Health Service Inc.

08/30/2016 $2,250 $0 $2,250

06 - Houston

Stafford 013083 743138 Community Health Associates Inc.

08/05/2016 $1,400 $1,400 $0

06 - Houston

Stafford 016803 747068 Cotel Healthcare Services LLC

07/14/2017 $750 $750 $0

06 - Houston

Stafford 012747 677803 Embassy Home Healthcare

12/23/2016 $3,700 $0 $3,700

06 - Houston

Stafford 013302 747601 Francis Healthcare

Services Inc.

08/30/2016 $1,500 $0 $1,500

06 - Houston

Stafford 011045 679750 Fresno Healthcare Services Inc.

08/24/2016 $1,845 $0 $1,845

06 - Houston

Stafford 009967 679566 K & G Quality Home Healthcare

05/25/2017 $2,250 $2,250 $0

06 -

Houston

Stafford 011333 677907 Majestik Care

Providers Inc.

03/09/2017 $750 $700 $50

06 - Stafford 012912 Maxim Healthcare 02/08/2017 $750 $750 $0

Region City License

Number

CMS

Number Agency

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Houston Services Inc.

06 - Houston

Stafford 007859 457741 Memorial Hermann Home

Health

05/12/2017 $750 $0 $750

06 - Houston

Stafford 014521 743114 Memorial Methodist Home

Healthcare

08/04/2016 $2,450 $0 $2,450

06 - Houston

Stafford 015685 679786 National Senior Care Home Health

Services

08/18/2016 $2,400 $2,400 $0

06 -

Houston

Stafford 009975 679560 Nissi Home Health

Care and Personal Assistance Care Services Agency

08/11/2016 $1,600 $2,450 $2,450 $0

06 - Houston

Stafford 017096 747392 Oasis Healthcare Inc.

01/13/2017 $2,250 $2,250 $0

06 - Houston

Stafford 005985 Quality Dialysis One LLC

10/06/2016 $750 $750 $0

06 - Houston

Stafford 014437 747825 Tophill Homecare Services Inc.

08/03/2016 $5,700 $5,700 $5,700 $0

06 - Houston

Stafford 012016 677884 Triple O Health Services Inc.

02/16/2017 $1,500 $0 $1,500

06 -

Houston

Sugar

Land

012004 677966 A Care Home

Health Services

06/29/2017 $1,900 $0 $1,900

06 - Houston

Sugar Land

017612 747794 Alpha Home Health Care

Corporation

11/03/2016 $2,900 $2,900 $0

06 - Houston

Sugar Land

013819 Aumaris Health Care Services Inc.

10/12/2016 $2,950 $2,500 $450

06 - Houston

Sugar Land

014238 677938 C & C Ultra Healthcare

08/30/2016 $2,750 $0 $2,750

Region City License

Number

CMS

Number Agency

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Providers Inc.

06 - Houston

Sugar Land

011856 747000 Customized Health Care

Services Inc.

03/17/2017 $4,450 $0 $4,450

06 - Houston

Sugar Land

010426 673114 Gablink Inc. 05/25/2017 $1,450 $0 $1,450

06 - Houston

Sugar Land

011165 679787 Jubilee Health Care Inc.

04/07/2017 $2,950 $1,900 $0 $1,900

06 - Houston

Sugar Land

012908 747574 Mirage Healthcare Services Inc.

03/31/2017 $3,000 $1,500 $1,500

06 - Houston

Sugar Land

011493 747215 Shiloh First Health Care Inc.

08/25/2016 $4,450 $3,200 $3,200 $0

06 - Houston

Sugar Land

017704 747054 Starching Home Health Services Inc.

05/04/2017 $1,500 $0 $1,500

06 - Houston

Sugar Land

012496 747391 Sugarland Home Health Agency Inc.

12/02/2016 $2,200 $2,200 $0

06 - Houston

Sugar Land

008025 679186 Your Quality Health Care Inc.

02/27/2017 $750 $750 $0

06 - Houston

Texas City 015278 678259 A*Med Home Health

11/03/2016 $750 $750 $0

06 - Houston

The Woodlands

016234 Amada Senior Care

09/27/2016 $2,250 $1,575 $1,575 $0

06 - Houston

The Woodlands

010674 679618 Avatar Home Health Care Agency LLC

09/12/2016 $2,200 $2,200 $0

06 - Houston

The Woodlands

014182 679483 Maxim Healthcare Services Inc.

09/02/2016 $1,500 $1,000 $1,000 $0

06 - Houston

The Woodlands

015375 458396 Pathfinder Home Health

04/14/2017 $1,450 $0 $1,450

Region City License

Number

CMS

Number Agency

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06 - Houston

Webster 002174 677299 Home Care Professional

Services Inc.

01/13/2017 $5,800 $4,800 $1,000

06 - Houston

Weimar 016184 House of Nurses Incorporated

01/11/2017 $1,250 $0 $1,250

06 - Houston

Wharton 015316 747465 Mother Love Health Care Services

01/23/2017 $1,500 $1,500 $0

07 - Austin Austin 007439 Angel Healthcare LP

09/20/2016 $750 $750 $0

07 - Austin Austin 007439 Angel Healthcare LP

01/11/2017 $500 $500 $0

07 - Austin Austin 016176 Avidcare Home Health Services.

LLC

10/25/2016 $1,250 $1,250 $0

07 - Austin Austin 017027 457871 Bellcoa Home Health Service

Inc.

10/14/2016 $1,500 $1,500 $0

07 - Austin Austin 017342 Caresearch Select Inc.

05/10/2017 $750 $0 $750

07 - Austin Austin 014434 Cella Bellas Senior Services

10/27/2016 $500 $0 $500

07 - Austin Austin 014052 Elder Homecare Inc.

01/05/2017 $500 $500 $0

07 - Austin Austin 013546 678267 Encompass Home Health of Austin

11/08/2016 $900 $900 $0

07 - Austin Austin 014927 Epic Pediatric Therapy

03/24/2017 $1,250 $1,250 $0

07 - Austin Austin 017032 Expectations

Unshackled

09/09/2016 $1,500 $0 $1,500

07 - Austin Austin 011732 Girling 10/07/2016 $750 $750 $0

Region City License

Number

CMS

Number Agency

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Community Care

Texas by Harden Healthcare

07 - Austin Austin 015766 747658 Health at Home 05/15/2017 $1,500 $1,500 $0

07 - Austin Austin 017966 743173 Health Sense Home Care Inc.

04/20/2017 $750 $750 $0

07 - Austin Austin 017966 743173 Jordan Health Services

06/02/2017 $500 $500 $0

07 - Austin Austin 017668 Lifespring Home Health

06/14/2017 $1,500 $1,500 $0

07 - Austin Austin 003605 Meals On Wheels Central Texas In-Home Care

09/15/2016 $750 $750 $0

07 - Austin Austin 017255 Patient's Premier Choice LLC

10/20/2016 $2,000 $1,500 $1,500 $0

07 - Austin Austin 012541 Personalized Living At Summit

at Westlake Hills

03/10/2017 $1,000 $1,000 $0

07 - Austin Austin 014687 Rescare Rehab

Without Walls Inc.

09/09/2016 $500 $500 $0

07 - Austin Austin 016399 677433 Robinson Creek Home Health and

Hospice

10/19/2016 $4,250 $0 $4,250

07 - Austin Austin 007053 Rosy Home Health Care

Services Inc.

06/29/2017 $1,500 $0 $1,500

07 - Austin Austin 015450 Senior Sitters LLC 04/20/2017 $1,000 $1,000 $0

07 - Austin Austin 014142 Sonrisas Therapies-

Pediatric Home and Healthcare

09/08/2016 $500 $0 $500

Region City License

Number

CMS

Number Agency

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Services LLC

07 - Austin Austin 016792 Stellar Senior Care LLC

03/23/2017 $1,750 $1,750 $0

07 - Austin Brenham 015856 Aviva Home Health Incorporated

06/20/2017 $750 $0 $750

07 - Austin Brenham 017658 TGI Brook Healthcare

06/20/2017 $500 $500 $0

07 - Austin Bryan 017033 677823 Cornerstone Home Health

06/02/2017 $500 $0 $500

07 - Austin Bryan 013790 Home Instead Senior Care

06/22/2017 $500 $500 $0

07 - Austin Buda 008988 453125 Progressive Home Health Agency

02/09/2017 $1,500 $1,500 $0

07 - Austin Burnet 016739 677154 Seton Home Care 08/09/2016 $3,500 $3,500 $0

07 - Austin College Station

017632 457099 Alomega Home Health Care LLC

12/14/2016 $4,750 $4,750 $0

07 - Austin College

Station

012482 Comfort Keepers

#696

06/22/2017 $500 $500 $0

07 - Austin Crockett 014127 457159 At Home Healthcare

10/19/2016 $750 $750 $0

07 - Austin Elgin 017058 Nurse Next Door 09/21/2016 $1,000 $1,000 $0


017320 457709 Wesleyan Home Health

10/26/2016 $1,750 $1,750 $0

07 - Austin Harker Heights

009082 Heights Home Health

06/13/2016 $1,000 $1,000 $0

07 - Austin Hillsboro 016221 679573 Family and Health First of Hillsboro

10/18/2016 $2,450 $2,450 $0

07 - Austin Kileen 002578 677733 Home Care of Metroplex

02/15/2017 $3,250 $3,250 $0

Region City License

Number

CMS

Number Agency

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Hospital

07 - Austin Kyle 016887 679048 Seton Home Care 01/31/2017 $500 $500 $0

07 - Austin Lakeway 016423 Comforcare 08/03/2016 $3,650 $3,650 $0

07 - Austin Pflugerville 017013 Cater-2-U Home Health Care Services LLC

08/31/2016 $5,250 $2,625 $2,625 $0

07 - Austin Pflugerville 005778 459475 First Care Home Health Services

03/29/2017 $500 $500 $0

07 - Austin Round

Rock

017132 Adoring Home

Care

09/26/2016 $500 $0 $500


017349 Amada Senior Care Austin

12/21/2016 $2,250 $1,500 $750


017349 Amada Senior Care Austin

05/04/2017 $750 $750 $0


015933 747925 Ambe Care Home Health LLC

06/08/2017 $500 $0 $500


007626 679088 Apicon Home Health Agency

Inc.

07/08/2016 $1,000 $1,000 $0


017185 Christy Grace Health Center Inc.

01/10/2017 $4,000 $4,000 $0


017570 Lovely Saints Home Care Inc.

05/08/2017 $500 $0 $500


017570 Lovely Saints Home Care Inc.

05/17/2017 $2,000 $0 $2,000


012877 Senior Helpers 09/28/2016 $4,250 $4,000 $2,000 $2,000


012877 Senior Helpers 02/02/2017 $2,750 $2,000 $750

07 - Austin Round 012877 Senior Helpers 03/24/2017 $2,250 $0 $2,250

Region City License

Number

CMS

Number Agency

Visit Exit


Rock


012877 Senior Helpers 05/01/2017 $750 $0 $750


014569 747913 Unic Home Healthcare Inc.

10/17/2016 $750 $750 $0


014569 747913 Unic Home Healthcare Inc.

01/05/2017 $10,500 $0 $10,500

07 - Austin Temple 016946 Brookdale Meridian Temple

08/23/2016 $3,500 $3,500 $0

07 - Austin Temple 013943 Epic Health Services

11/03/2016 $750 $750 $0

07 - Austin Temple 013943 Epic Health Services

04/17/2017 $1,900 $1,900 $0

07 - Austin Temple 017188 Home Care Assistance Bell

and McLennan Counties

10/04/2016 $4,500 $2,925 $0 $2,925

07 - Austin Temple 001412 457555 Scott and White Home Care Agency

03/02/2017 $2,500 $2,500 $0

07 - Austin Temple 013904 Tender Mercies 03/15/2017 $500 $500 $0

07 - Austin Waco 015970 At Your Place Living Assistance

08/10/2016 $2,500 $2,500 $0

07 - Austin Waco 016743 Providence Family Care

08/17/2016 $500 $500 $0

07 - Austin Waco 007587 Texas Home Health of America

05/10/2017 $500 $500 $0

07 - Austin Wimberley 006083 678174 Wimberley Home Health

05/19/2017 $1,500 $1,500 $0

07 - Austin Woodway 011181 677694 Interim 03/03/2017 $500 $500 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Healthcare of

Waco

08 - San Antonio

Arlington 015930 677248 Theracare Home Health

08/26/2016 $2,800 $2,800 $0

08 - San Antonio

Boerne 015920 Home Instead Senior Care Franchise 577

03/03/2017 $650 $0 $650

08 - San Antonio

Boerne 017225 Visiting Angels 11/11/2016 $1,400 $1,400 $0

08 - San

Antonio

Converse 014438 First Steps

Nursing and Therapy Services PLLC

11/18/2016 $1,400 $1,400 $0

08 - San Antonio

Converse 014438 First Steps Nursing and Therapy Services

PLLC

06/21/2017 $600 $600 $0

08 - San Antonio

Eagle Pass 013388 747874 Anthem Healthcare

01/12/2017 $750 $750 $0

08 - San Antonio

Eagle Pass 008267 677144 Maverick Home Health Agency

03/16/2017 $650 $650 $0

08 - San Antonio

Fredericksburg

016622 Fredericksburg Home Care LLC

07/26/2017 $600 $600 $0

08 - San Antonio

Hallettsville

013980 Helping Hearts Sitter Service

09/21/2016 $2,850 $2,850 $0

08 - San Antonio

Harwood 013984 Visiting Angels 03/02/2017 $500 $500 $0

08 - San Antonio

New Braunfels

017323 Comforcare Home Care - New Braunfels

05/25/2017 $750 $750 $0

08 - San New 011695 677681 Hill Country Home 01/20/2017 $2,050 $2,050 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio Braunfels Health

08 - San Antonio

San Antonio

013879 A Amazing Home Care

02/03/2017 $500 $500 $0

08 - San Antonio

San Antonio

017095 A Comfort Care 02/08/2017 $500 $500 $0

08 - San Antonio

San Antonio

016567 679145 Abiding Home Health LLC

05/26/2017 $500 $500 $0

08 - San Antonio

San Antonio

016687 ACP Primary Home Care Inc.

06/09/2017 $500 $500 $0

08 - San Antonio

San Antonio

017426 Acts of Kindness Homecare

05/18/2017 $1,400 $1,400 $0

08 - San Antonio

San Antonio

012460 679553 Adventia Healthcare Associates Inc.

07/14/2017 $1,400 $1,400 $0

08 - San Antonio

San Antonio

008332 679312 Advocate Home Care

06/16/2017 $3,000 $3,000 $0

08 - San Antonio

San Antonio

015955 Alamo Pediatric Therapy

01/06/2017 $550 $550 $0

08 - San Antonio

San Antonio

008105 679062 All-Care 02/10/2017 $3,350 $3,350 $0

08 - San Antonio

San Antonio

012030 459440 Alpha Nursing & Therapy LLC

12/15/2016 $4,750 $0 $4,750

08 - San Antonio

San Antonio


03/23/2017 $750 $0 $750

08 - San Antonio

San Antonio


06/02/2017 $4,450 $0 $4,450

08 - San

Antonio

San

Antonio

016982 459049 Altima Home

Health Care Inc.

04/13/2017 $550 $550 $0

08 - San Antonio

San Antonio

016940 Amada Senior Care North San

12/08/2016 $1,150 $1,575 -$425

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio

08 - San Antonio

San Antonio

017329 Amada Senior Care San Antonio

West

06/23/2017 $700 $700 $0

08 - San Antonio

San Antonio

009369 457907 American Medical Home Health

Services - San Antonio LLC

11/04/2016 $600 $600 $0

08 - San Antonio

San Antonio

008287 679307 Amistad Homecare Inc.

04/17/2017 $4,650 $4,650 $0

08 - San

Antonio

San

Antonio

006915 Angel Healthcare 08/19/2016 $750 $0 $750

08 - San Antonio

San Antonio

015700 Assurance Residential Care

Services Inc.

10/27/2016 $10,400 $0 $10,400

08 - San Antonio

San Antonio

017133 Better Life Solutions LLC

04/27/2017 $4,200 $700 $3,500

08 - San Antonio

San Antonio

015675 Brightstar Care 10/27/2016 $2,650 $2,650 $0

08 - San

Antonio

San

Antonio

015675 Brightstar Care 02/09/2017 $2,050 $2,050 $0

08 - San Antonio

San Antonio

017163 Brit-Tex Nursing Services Inc.

11/17/2016 $600 $600 $0

08 - San Antonio

San Antonio

007919 Caring Senior Service of San Antonio

05/05/2017 $1,550 $1,000 $1,000 $0

08 - San Antonio

San Antonio

010165 Christus Visiting Nurse Association Community Care

San Antonio

03/16/2017 $500 $500 $0

08 - San San 015800 Comfort Keepers 10/28/2016 $3,250 $3,250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio Antonio

08 - San Antonio

San Antonio

015800 Comfort Keepers 03/13/2017 $500 $500 $0

08 - San Antonio

San Antonio

010623 457901 Completecare Home Health and Hospice

03/10/2017 $1,450 $1,450 $0

08 - San Antonio

San Antonio

007836 Concord Primary Care Services Inc.

12/08/2016 $1,200 $1,200 $0

08 - San Antonio

San Antonio

002360 677515 Continucare Home Health Inc.

05/18/2017 $1,400 $1,400 $0

08 - San Antonio

San Antonio

008948 673124 Crest Medical 05/25/2017 $1,250 $1,250 $0

08 - San Antonio

San Antonio

015918 Disability Services of The Southwest Inc.

03/30/2017 $750 $750 $0

08 - San Antonio

San Antonio

009747 Eagle Healthcare Services

03/14/2017 $500 $500 $0

08 - San Antonio

San Antonio

016351 Eastwood Care Services

05/02/2017 $3,400 $2,360 $2,360 $0

08 - San Antonio

San Antonio

009908 En Su Casa Caregivers

04/13/2017 $550 $550 $0

08 - San Antonio

San Antonio

009490 679044 Encompass Home Health of Central Texas

03/02/2017 $500 $500 $0

08 - San Antonio

San Antonio

009490 679044 Encompass Home Health of Central Texas

03/31/2017 $950 $950 $0

08 - San Antonio

San Antonio

014513 679419 Everlasting Home Health Care Inc.

09/22/2016 $1,850 $1,850 $0

08 - San Antonio

San Antonio

013551 747595 Generations Health Care Inc.

03/29/2017 $250 $250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


08 - San Antonio

San Antonio

013969 453152 Guardian Healthcare

03/07/2017 $1,250 $1,250 $0

08 - San Antonio

San Antonio

015302 Helping Our Seniors LLC

08/19/2016 $3,900 $3,255 $3,255 $0

08 - San

Antonio

San

Antonio

015302 Helping Our

Seniors LLC

10/12/2016 $550 $400 $400 $0

08 - San Antonio

San Antonio

015222 Home Care Assistance of San

Antonio

05/02/2017 $1,300 $1,300 $0

08 - San Antonio

San Antonio

009363 Home Caring LLC 04/04/2017 $750 $750 $0

08 - San Antonio

San Antonio

009363 Home Caring LLC 04/27/2017 $1,300 $1,300 $0

08 - San Antonio

San Antonio

007822 Home Instead Senior Care

07/25/2017 $700 $700 $0

08 - San Antonio

San Antonio

008178 678191 Homecare Dimensions Inc.

12/15/2016 $550 $550 $0

08 - San Antonio

San Antonio

015338 457910 Honorcare Home Health

01/30/2017 $4,100 $0 $4,100

08 - San Antonio

San Antonio

011553 In Home Senior Care

08/11/2016 $2,650 $2,650 $0

08 - San Antonio

San Antonio

011018 679775 InHome Care 10/07/2016 $5,100 $5,100 $0

08 - San Antonio

San Antonio

015154 679275 Jordan Health Services

07/22/2016 $750 $750 $0

08 - San Antonio

San Antonio

011260 Jordan Health Services

01/03/2017 $550 $550 $0

08 - San Antonio

San Antonio

015895 Kinderside Home Health Services

01/05/2017 $1,900 $1,900 $0

08 - San San 004137 Med Team Inc. 01/05/2017 $550 $550 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio Antonio

08 - San Antonio

San Antonio

004137 Med Team Inc. 03/30/2017 $800 $800 $0

08 - San Antonio

San Antonio

014941 677032 Merida Health Care Group

03/30/2017 $2,900 $2,900 $0

08 - San Antonio

San Antonio

017293 Mission Road Developmental Center

10/10/2016 $1,400 $1,000 $1,000 $0

08 - San Antonio

San Antonio

014065 National Nursing and Rehab Sa Pediatrics Inc.

10/21/2016 $2,050 $2,050 $0

08 - San Antonio

San Antonio

016999 New Horizon Provider Services

12/09/2016 $1,950 $1,950 $0

08 - San Antonio

San Antonio

016563 Once Upon A Time Home

Health LLC

05/19/2017 $2,200 $2,000 $200

08 - San Antonio

San Antonio

007332 Outreach Home Care

04/26/2017 $500 $500 $0

08 - San Antonio

San Antonio

017148 Passionate Healthcare

Services

04/12/2017 $2,550 $2,550 $0

08 - San Antonio

San Antonio

016216 Pediatric Health Therapy Inc.

03/24/2017 $500 $500 $0

08 - San Antonio

San Antonio

016229 Pediatric Private Duty Nursing Inc.

03/31/2017 $650 $650 $0

08 - San Antonio

San Antonio

006603 Personal Care Management Inc.

04/26/2017 $500 $500 $0

08 - San Antonio

San Antonio

003513 Professional Care Home Health Inc.

10/19/2016 $650 $650 $0

08 - San Antonio

San Antonio

003513 Professional Care Home Health Inc.

12/01/2016 $2,250 $2,250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


08 - San Antonio

San Antonio

003826 678101 Progressive Home Care Inc.

05/08/2017 $3,550 $3,550 $0

08 - San Antonio

San Antonio

013858 678016 PT Home Services of San Antonio Inc.

03/13/2017 $1,650 $1,650 $0

08 - San Antonio

San Antonio

009828 679006 Restorative Health Care

12/02/2016 $2,250 $2,250 $0

08 - San

Antonio

San

Antonio

007530 San Juan Primary

Home Care Agency

10/11/2016 $550 $550 $0

08 - San Antonio

San Antonio

013877 Santana Primary Home Care Inc.

10/20/2016 $1,300 $1,300 $0

08 - San Antonio

San Antonio

013354 747579 Signal Home Health Care LLC

09/30/2016 $700 $700 $0

08 - San Antonio

San Antonio

014641 Small Steps Pediatric Home Health

02/01/2017 $2,300 $2,300 $0

08 - San Antonio

San Antonio

015189 679667 Southern Assured Home Health LLC

02/24/2017 $1,400 $1,400 $0

08 - San Antonio

San Antonio

007459 679026 Special Kids Care 06/23/2017 $700 $700 $0

08 - San Antonio

San Antonio

012046 457912 Summit Home Health Care

11/04/2016 $2,250 $2,250 $0

08 - San Antonio

San Antonio

013689 679504 Superior Home Health of San Antonio LLC

02/10/2017 $2,200 $2,200 $0

08 - San Antonio

San Antonio

015725 Synergy Homecare of Greater San

Antonio

11/08/2016 $2,900 $2,900 $0

08 - San San 016749 Touching Hearts 09/08/2016 $3,200 $2,240 $747 $1,493

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio Antonio at Home

08 - San Antonio

San Antonio

015033 U. S. Renal Care San Antonio

Home Therapies

07/22/2016 $5,250 $5,250 $0

08 - San Antonio

San Antonio

011818 677931 Universal Nursing Services of Texas

08/12/2016 $1,300 $1,300 $0

08 - San Antonio

San Antonio

011818 677931 Universal Nursing Services of Texas

03/13/2017 $1,150 $1,150 $0

08 - San Antonio

San Antonio

014268 West Side Primary Home Care Inc.

09/07/2016 $2,150 $2,150 $0

08 - San Antonio

Victoria 008831 Caring Senior Services of Victoria

12/01/2016 $1,850 $1,850 $0

08 - San Antonio

Victoria 016627 459392 Health Force Home Health Care

10/05/2016 $750 $750 $0

08 - San Antonio

Victoria 017112 World of Words Speech & Feeding

Services LLC

03/22/2017 $2,800 $2,800 $0

08 - San

Antonio

Yoakum 010681 677112 Accolade Home

Care

10/27/2016 $1,400 $700 $700 $0

09 - Abilene

Crane 002412 677562 Rural Home Health Inc.

02/01/2017 $1,450 $1,450 $0

09 - Abilene

Midland 012084 459246 Accolade Home Care

07/13/2017 $750 $750 $0

09 - Abilene

Midland 011404 677864 Angels Care Home Health of

West Texas

08/25/2016 $3,000 $3,000 $0

09 - Abilene

Midland 017433 679058 Merida Health Care Group

12/01/2016 $3,000 $3,000 $0

09 - Odessa 016994 Crossland Care 09/07/2016 $3,000 $3,000 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Abilene Inc.

09 - Abilene

Odessa 003467 Nurses Unlimited Inc.

03/13/2017 $750 $750 $0

10 - El Paso

El Paso 016448 American Arch Homehealth & Personal

Assistance Care Agency LLC

01/26/2017 $750 $750 $0

10 - El Paso

El Paso 014695 747872 Angels 2 You Home Health

07/27/2016 $7,250 $500 $6,750

10 - El

Paso

El Paso 014695 747872 Angels 2 You

Home Health

11/22/2016 $750 $750 $0

10 - El Paso

El Paso 014046 Camino De Salud Home Care

02/02/2017 $750 $400 $400 $0

10 - El Paso

El Paso 010033 Caring Senior Service

12/21/2016 $750 $750 $0

10 - El Paso

El Paso 016923 El Paso Dedicated Services

08/19/2016 $500 $500 $0

10 - El Paso

El Paso 011472 458314 Encompass Home Health of El Paso

04/13/2017 $500 $500 $0

10 - El Paso

El Paso 014797 Epic Pediatric Therapy

09/16/2016 $2,000 $2,000 $0

10 - El Paso

El Paso 014427 457513 Kindred at Home 04/07/2017 $1,500 $1,500 $0

10 - El Paso

El Paso 016959 458219 Merida Healthcare Group

09/01/2016 $1,500 $1,500 $0

10 - El Paso

El Paso 007333 Outreach Home Care

03/10/2017 $750 $750 $0

10 - El Paso

El Paso 016891 Panorama Health Services LLC

09/08/2016 $2,250 $2,250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


10 - El Paso

El Paso 016778 San Antonio In-Home Health Care

08/04/2016 $1,750 $1,225 $613 $613

10 - El Paso

El Paso 009195 673119 Santa Fe Home Care LLC

04/21/2017 $1,000 $1,000 $0

10 - El

Paso

El Paso 013723 Valle Del Sol

Primary Home Care

11/18/2016 $1,750 $1,750 $0

10 - El

Paso

El Paso 017230 Villa Children’s

Therapy

10/28/2016 $750 $750 $0

10 - El Paso

El Paso 016897 Visiting Angels 11/16/2016 $6,000 $6,000 $0

10 - El Paso

Fabens 016908 Our Family Home Health Care Agency

10/10/2016 $1,750 $1,750 $0

10 - El Paso

Socorro 017445 Atentos Healthcare Services

05/31/2017 $750 $750 $0

11 - Corpus Christi

Alice 013683 747607 Mi Casa Home Health Agency

12/15/2016 $1,800 $1,800 $0

11 - Corpus Christi

Alice 015568 747917 Premiere Angel Care Home Health LLC

12/20/2016 $500 $500 $0

11 - Corpus Christi

Alice 007114 Saldivar Primary Home Care

04/04/2017 $1,300 $1,300 $0

11 - Corpus Christi

Alice 008876 453171 St Peters Home Health Inc.

09/22/2016 $1,400 $0 $1,400

11 - Corpus Christi

Brownsville

007432 Acclaim Health Services Inc.

10/12/2016 $750 $750 $0

11 - Corpus

Christi

Brownsvill

e

007610 Advance Plus

Home Health

01/20/2017 $6,050 $0 $6,050

11 - Corpus Brownsvill 014304 Las Jacarandas 09/30/2016 $2,350 $2,350 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Christi e Healthcare

Services

11 - Corpus Christi

Brownsville

010168 743155 Stat Nursing Home Health Care

Inc.

02/24/2017 $1,700 $1,700 $0

11 - Corpus Christi

Corpus Christi

003177 677522 American Medical Home Health

Services

06/16/2017 $600 $600 $0

11 - Corpus Christi

Corpus Christi

007918 Caring Senior Service of Corpus

Christi

12/22/2016 $2,000 $0 $2,000

11 - Corpus Christi

Corpus Christi

016554 747542 Coastal Home Health Care

10/04/2016 $1,500 $1,500 $0

11 - Corpus Christi

Corpus Christi

008442 459433 Legacy Home Health Agency Inc.

06/15/2017 $500 $500 $0

11 - Corpus Christi

Corpus Christi

006229 459200 Nurses On Wheels Inc.

02/17/2017 $1,250 $1,250 $0

11 - Corpus Christi

Corpus Christi

017636 457958 Oasis Home Healthcare

05/19/2017 $1,650 $1,650 $0

11 - Corpus Christi

Corpus Christi

014579 678428 Trio Home Health Care Inc.

07/20/2016 $1,000 $1,000 $0

11 - Corpus Christi

Corpus Christi

014579 678428 Trio Home Health Care Inc.

07/20/2017 $1,000 $1,000 $0

11 - Corpus Christi

Edinburg 011517 679779 At Home Health Care LLC

03/16/2017 $2,000 $2,000 $0

11 - Corpus Christi

Edinburg 011272 Jordan Health Services

10/04/2016 $1,000 $1,000 $0

11 - Corpus Christi

Edinburg 017174 677813 Proactive Homecare

05/02/2017 $8,550 $8,550 $0

11 - Corpus Edinburg 016324 Santa Trinidad 10/06/2016 $1,500 $0 $0 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Christi Homecare LLC

11 - Corpus Christi

Harlingen 008815 679438 Christian Quality Home Health Care

Inc.

06/29/2017 $4,950 $4,950 $0

11 - Corpus Christi

Harlingen 016105 Innovative Valley Home Health LLC

01/05/2017 $3,500 $3,500 $0

11 - Corpus Christi

Harlingen 008379 La Familia Home Care

01/12/2017 $3,300 $3,300 $0

11 - Corpus Christi

Harlingen 009479 677922 Merida Health Care Group

11/10/2016 $1,500 $1,500 $0

11 - Corpus Christi

Harlingen 009479 677922 Merida Health Care Group

02/01/2017 $1,900 $1,900 $0

11 - Corpus Christi

Harlingen 010183 679706 Patient Care Specialists

11/07/2016 $14,150 $9,300 $3,100 $6,200

11 - Corpus Christi

Harlingen 003055 457089 Rio Grande Home Health Agency Inc.

12/08/2016 $3,700 $2,900 $725 $2,175

11 - Corpus Christi

Harlingen 002231 677238 Sunglo Home Health Services Inc.

12/07/2016 $1,200 $0 $1,200

11 - Corpus Christi

Harlingen 016446 Unidos Primary Home Care LLC

09/08/2016 $6,700 $6,700 $0

11 - Corpus Christi

Harlingen 004119 678165 Vicki Roy Home Health Care Inc.

12/15/2016 $2,000 $1,500 $1,500 $0

11 - Corpus Christi

La Joya 009584 679466 Angels of Mercy Home Health LLC

03/23/2017 $1,000 $1,000 $0

11 - Corpus Christi

Laredo 007772 Complete Choice Care Inc.

04/18/2017 $4,750 $4,750 $0

11 - Corpus Christi

Laredo 010070 677941 Excellent Nursing Care PC

01/19/2017 $3,250 $3,250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


11 - Corpus Christi

Laredo 014290 Lionsitos Primary Home Care

10/26/2016 $2,200 $2,200 $0

11 - Corpus Christi

Laredo 014290 Lionsitos Primary Home Care

01/17/2017 $3,100 $3,100 $0

11 - Corpus

Christi

Laredo 007687 Sands Care

Health Services LC

09/13/2016 $1,000 $1,000 $0

11 - Corpus

Christi

Laredo 008583 679185 Texas Health

Staffing Services Inc.

08/25/2016 $750 $750 $0

11 - Corpus Christi

Laredo 009337 Texas Provider Care LLC

06/21/2017 $1,000 $1,000 $0

11 - Corpus Christi

Mathis 007438 679063 American Medical Home Health

Services-Mathis

06/12/2017 $2,500 $2,500 $0

11 - Corpus Christi

McAllen 007268 Abundant Health Care and Personal

Assistance Services

03/10/2017 $1,100 $1,100 $0

11 - Corpus Christi

McAllen 010852 747500 All Seasons Home Care

05/24/2017 $1,300 $1,300 $0

11 - Corpus Christi

McAllen 016284 679530 Allegiance Health Care Inc.

09/28/2016 $1,500 $1,500 $0

11 - Corpus Christi

McAllen 009348 457858 Essential Home Care Inc.

03/03/2017 $8,500 $5,525 $925 $4,600

11 - Corpus Christi

McAllen 010495 679782 Hospital at Home 01/20/2017 $1,600 $1,600 $0

11 - Corpus Christi

McAllen 009247 673101 Presidente Home Care Inc.

04/07/2017 $2,900 $483 $2,417

11 - Corpus Christi

McAllen 008604 679436 Sunrise Health Care Services Ltd

08/12/2016 $2,700 $2,700 $0

Region City License

Number

CMS

Number Agency

Visit Exit


11 - Corpus Christi

McAllen 016017 677851 Super Hero Kids Home Health

12/13/2016 $8,550 $7,000 $7,000 $0

11 - Corpus Christi

Mission 012407 747774 Caridad Healthcare Inc.

03/29/2017 $1,500 $1,500 $0

11 - Corpus

Christi

Mission 017460 679179 Criterion Health

Care Inc.

10/27/2016 $2,750 $2,750 $0

11 - Corpus Christi

Mission 010619 Mirasol Health Services Inc.

11/18/2016 $750 $750 $0

11 - Corpus Christi

Mission 009987 677978 Proficient Home Care Solutions

01/30/2017 $3,150 $2,205 $1,105 $1,100

11 - Corpus Christi

Mission 017334 Summit Renal Services LLC

10/19/2016 $3,350 $0 $3,350

11 - Corpus Christi

Palmview 011490 459486 KSC Home Care LLC

12/12/2016 $3,100 $3,100 $0

11 - Corpus Christi

Pharr 010212 Ace Primary Home Care Inc.

05/12/2017 $750 $750 $0

11 - Corpus Christi

Pharr 015917 Angels All Around Home Care LLC

08/29/2016 $7,500 $6,000 $6,000 $0

11 - Corpus Christi

Weslaco 012125 459489 Friends Health Care Services Inc.

03/21/2017 $2,900 $0 $2,900

11 - Corpus Christi

Zapata 012686 747501 Mi Pueblo Home Health Care LLC

02/02/2017 $2,100 $2,100 $0

Totals $1,292,292 $125,590 $876,468

661 Total home health agency administrative penalties imposed.

Notes:

1. The imposed column is the total amount of penalty after the state has reviewed and confirmed the

administrative penalty citation and amount. This is the amount due and payable if no alternative amount

results from an appeal or if no settlement agreement reached.

2. The assessed column is the amount due after the appeal process has been completed (or an agreement to

settle has been reached) and a final amount and due date have been decided, or the person accepts the

determination by the regulating agency or fails to respond to the notice letter in a timely manner.

3. The collected column is the amount of money the facility has paid to the agency.

4. The balance column is the amount of penalty the facility owes. These amounts do not necessarily reflect the

final amount the facility may owe. The amounts can change based on a hearing or negotiated settlement.

Since these amounts can change, this column is not totaled.

Hospice Administrative Penalties for FY 2017


CMS Number

Agency Visit Exit


01 - Lubbock Childress 004642 451658 Childress Regional Medical Center Hospice

04/19/2017 $3,750 $3,000 $0 $3,000

01 - Lubbock Lubbock 016805 671667 Hospice of The South Plains

08/18/2016 $2,250 $2,250 $0

01 - Lubbock Lubbock 010522 671561 Interim Hospice of West Texas

09/28/2016 $2,500 $2,500 $0


11/08/2016 $2,100 $2,100 $0


07/12/2017 $1,600 $1,600 $0

01 - Lubbock Lubbock 005035 451520 Kindred Hospice

05/12/2017 $750 $0 $750

01 - Lubbock Perryton 002657 451589 Hospice of Ochiltree

General Hospital

03/22/2017 $1,500 $0 $1,500

03 - Arlington

Benbrook 015108 741516 Harbor Hospice of Fort Worth LP

03/02/2017 $1,500 $1,500 $0

03 - Arlington

Dallas 006983 451504 Vitas Healthcare of Texas LP

09/15/2016 $1,000 $1,000 $0

03 - Arlington

Garland 016719 Saint Catherine Hospice Inc.

09/20/2016 $1,500 $1,500 $0

03 - Arlington

Irving 013951 671633 Comfort Hospice

05/02/2017 $1,000 $1,000 $0

03 - The 014625 671754 Comfort Care 01/20/2017 $1,500 $1,500 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Arlington Colony Hospice Inc.

04 - Tyler Tyler 014772 671744 Cima Hospice 08/08/2016 $3,000 $3,000 $0

04 - Tyler Tyler 015986 451756 Heart to Heart Hospice of Tyler LTD

09/28/2016 $750 $0 $750

05 - Beaumont

Bellaire 016502 451612 Cima Hospice 09/22/2016 $2,200 $2,200 $0

06 - Houston Bellaire 015828 671539 Kindred Hospice

06/07/2017 $2,250 $2,250 $0

06 - Houston Houston 014449 671706 Corpus Christi Hospice

01/20/2017 $1,500 $1,500 $0

06 - Houston Houston 017815 Lifepointe Hospice and Home Health

03/23/2017 $750 $0 $750

06 - Houston Katy 012471 671653 A Hug Away Healthcare Inc.

05/11/2017 $700 $700 $0

06 - Houston Katy 014626 671680 Vantage Hospice

09/16/2016 $1,000 $1,000 $0

06 - Houston Kingwood 011779 671672 Bethel Hospice of Houston Inc.

04/05/2017 $1,500 $1,500 $0

06 - Houston League City

015580 671596 Kindred Hospice

06/09/2017 $750 $0 $750

06 - Houston Pearland 013913 Chosen Hospice Care LLC

10/12/2016 $2,350 $2,350 $0

06 - Houston Stafford 013822 671600 Silverado Hospice - South Houston

03/10/2017 $1,500 $1,500 $0

06 - Houston The Woodlands

014587 671649 Altus Hospice of North Houston LP

01/06/2017 $1,400 $1,400 $0

Region City License

Number

CMS

Number Agency

Visit Exit


07 - Austin Austin 016422 451798 A*Med Home Health

11/10/2015 $2,000 $1,300 $1,300 $0

07 - Austin Austin 016422 451798 A*Med Home Health

02/23/2017 $2,000 $2,000 $0

07 - Austin Austin 013782 671538 Austin's Grace

Hospice LLC

11/09/2016 $1,250 $1,250 $0

07 - Austin Austin 017218 Blue Star Home Care

09/27/2016 $2,500 $1,800 $0 $1,800

07 - Austin Austin 014874 671752 Brookdale Hospice Austin

09/14/2016 $750 $750 $0

07 - Austin Austin 017023 741638 Encompass Hospice of

Austin

06/14/2017 $1,250 $1,250 $0

07 - Austin Austin 011306 671630 Harbor Hospice of Austin LP

12/09/2016 $2,000 $2,000 $0

07 - Austin Austin 015542 Harbor Hospice of Georgetown

LP

12/21/2016 $3,000 $3,000 $0

07 - Austin Austin 015952 671529 Heart To Heart Hospice of

Austin Ltd

12/20/2016 $3,000 $0 $3,000

07 - Austin Austin 017517 671502 New Century Hospice of

Austin

12/30/2016 $2,649 $2,649 $0

07 - Austin Austin 011453 671631 Resolutions Hospice

01/19/2017 $2,250 $2,250 $0

07 - Austin Austin 016399 451614 Robinson Creek Home Health and Hospice

04/13/2017 $500 $500 $0

07 - Austin Bryan 015951 741673 Harbor Hospice of Bryan-

12/16/2016 $2,250 $2,250 $0

Region City License

Number

CMS

Number Agency

Visit Exit


College Station

LP

07 - Austin Burnet 016740 451543 Seton Hospice 08/10/2016 $1,500 $1,500 $0

07 - Austin College Station

016303 671738 Encompass Hospice of

Bryan/College Station

02/09/2017 $2,750 $2,750 $0



12/07/2016 $750 $750 $0

07 - Austin Georgetow

n

009947 671517 Kindred

Hospice

02/17/2017 $1,000 $1,000 $0


017434 671555 New Century Hospice of

Central Texas

05/03/2017 $750 $750 $0


017434 671555 New Century Hospice of

Central Texas

06/01/2017 $2,250 $2,250 $0

07 - Austin Hewitt 016436 451759 Southerncare Waco

08/17/2016 $500 $500 $0

07 - Austin Moody 017302 Gentle Transitions Hospice

05/09/2017 $2,750 $2,750 $0


013855 671628 Hospice Compassus

11/01/2016 $3,750 $3,750 $0

07 - Austin San Marcos

013833 671753 Compassionate Care Hospice of Central Texas LLC

05/01/2017 $1,000 $1,000 $0

07 - Austin Waco 012591 671594 Kindred Hospice

01/12/2017 $2,250 $2,250 $0

08 - San New 014399 671747 Harbor Hospice 12/07/2016 $2,000 $2,000 $0

Region City License

Number

CMS

Number Agency

Visit Exit


Antonio Braunfels of New

Braunfels LP

08 - San Antonio

San Antonio

010496 451765 Cima Hospice 09/13/2016 $2,050 $2,050 $0

08 - San Antonio

San Antonio

015981 671746 Encompass Hospice of Central Texas

09/20/2016 $750 $750 $0

08 - San Antonio

San Antonio

016068 671533 Heart To Heart Hospice of San Antonio LLC

02/28/2017 $700 $0 $700

08 - San Antonio

San Antonio

016048 741552 Holy Savior Hospice

10/11/2016 $650 $650 $0

08 - San Antonio

San Antonio


08/10/2016 $3,000 $3,000 $0

08 - San Antonio

San Antonio


09/22/2016 $2,100 $2,100 $0

08 - San Antonio

San Antonio

016781 741511 Merida Health Care Group

03/13/2017 $2,550 $2,550 $0

08 - San

Antonio

San

Antonio

017244 Pallium Hospice

LLC

06/14/2017 $5,100 $5,100 $0

08 - San Antonio

San Antonio

013328 671655 River City Hospice

01/04/2017 $700 $700 $0

08 - San Antonio

San Antonio

016459 451726 Southern Hospice Care Texas Inc.

08/23/2016 $750 $0 $750

08 - San Antonio

San Antonio

016473 741585 Transitions Hospice LLC

07/14/2017 $500 $500 $0

08 - San Antonio

Spring Branch

017160 Heart of Texas Hospice

11/30/2016 $650 $650 $0

08 - San Antonio

Spring Branch

017462 451712 Heart of Texas Hospice

06/30/2017 $1,050 $1,050 $0

Region City License

Number

CMS

Number Agency

Visit Exit


08 - San Antonio

Victoria 011246 671581 Crown Hospice LLC

07/19/2017 $500 $500 $0

09 - Abilene Midland 002022 451531 Hospice of Midland Inc.

05/04/2017 $1,500 $1,500 $0

09 - Abilene Midland 017433 Merida Health

Care Group

01/03/2017 $6,950 $6,950 $0

09 - Abilene San Angelo


04/06/2017 $3,000 $3,000 $0

09 - Abilene Seminole 008511 451737 Memorial Hospice

04/18/2017 $3,250 $3,250 $0

11 - Corpus Christi

Laredo 015081 671614 Altus Hospice of South Texas

LP

08/02/2016 $2,500 $2,500 $0

11 - Corpus Christi

Laredo 015103 671524 Merida Health Care Group

12/02/2016 $5,950 $5,950 $0

11 - Corpus Christi

Pharr 012384 671634 Selah Hospice Care Inc.

09/19/2016 $3,000 $3,000 $0

Totals $134,449 $6,100 $118,549

71 Total hospice agency administrative penalties imposed.

Notes:

1. The imposed column is the total amount of penalty after the state has

reviewed and confirmed the administrative penalty citation and amount. This

is the amount due and payable if no alternative amount results from an

appeal or if no settlement agreement reached.

2. The assessed column is the amount due after the appeal process has

been completed (or an agreement to settle has been reached) and a

final amount and due date have been decided, or the person accepts the

determination by the state or fails to respond to the notice letter in a

timely manner.

3. The collected column is the amount of money the facility has paid to the regulating agency.

4. The balance column is the amount of penalty the facility owes. These amounts

do not necessarily reflect the final amount the facility may owe. The amounts

can change based on a hearing or negotiated settlement. Since these

amounts may change, this column is not totaled.

Home and Community Support Services Agency Injunctive/Other Relief and Civil Penalty

Referrals to the Office of the Attorney General for FY 2017

DADS did not refer any home and community support services agency to the Office of the

Attorney General for injunctive/other relief in FY 2017.

Home Health Agency Denials of License Application for FY 2017


CMS Number

Agency Denial Date

01 - Lubbock

Amarillo Hearts & Hands Respite Care

08/14/2017

03 - Arlington

Dallas Z Rn LLC 08/03/2017

03 - Arlington

Denton Alpha Kingdom Care Inc.

01/20/2017

03 -

Arlington

Fort

Worth Zera Inc. 08/17/2017

03 - Arlington

Mansfield

Homewatch Caregivers of Greater Tarrant

11/30/2016

06 - Houston

Cypress Queens Care In Home Inc.

04/22/2017

06 - Houston

Houston Dee Grace Care LLC 02/02/2017

06 - Houston

Houston Elk Care Services LLC 02/20/2017

06 - Houston

Houston St Paul Healthcare System LLC

08/31/2017

06 - Houston

Houston Texas Courtesy Home Healthcare

04/20/2017

06 - Houston

Houston Total Care Provider Service Expert

11/15/2016

06 - Houston

Humble Angel Care Enterprise Home Health

03/24/2017

06 - Houston

Iowa Colony

Touching Hearts at Home

02/24/2017

07 - Austin Austin Hearthstone 01/11/2017


Empathy & Grace LLC 02/23/2017

07 - Austin Waco AR Moni Healthcare Services Inc.

10/02/2016

08 – San Antonio

Del Rio Borderland Home Health Care LLC

10/24/2016

11 – Corpus

Christi

Edinburg Better Life Home Health 01/26/2017


CMS Number

Agency Denial Date

11 –

Corpus Christi

Edinburg Golden Life Providers Services

01/10/2017

19 Total home health agency denials of license application.

Hospice Agency Denials of License Application for FY 2017


CMS Number

Agency Denial Date

05 - Beaumont

Nacogdoches

Harbor Hospice and Home Health LP

12/18/2016

06 - Houston Katy Pristine Healthcare Services Inc.

03/03/2017

2 Total hospice agency denials of license application.

Home Health Agency Denials of License Renewal for FY 2017

Region City License

Number

CMS

Number Agency

Denial

Date

05 -

Beaumont

Lufkin 013933 Statewide Healthcare,

LLC

03/11/2017

06 - Houston Houston 011160 747145 APHS Healthcare Services Inc.

08/06/2017

06 - Houston Houston 016483 679254 Precise Home Health 10/19/2016

3 Total home health agency denials of license renewal.

Hospice Agency Denials of License Renewal for FY 2017

DADS did not deny renewal of any licenses for a hospice agency in FY 2017.

Home Health Agency Expirations of License (in Lieu of Further Enforcement Action) for FY 2017


CMS Number

Agency Denial Date

02 - Abilene Abilene 013741 West Texas Home

Health Services

01/01/2017

02 - Abilene Snyder 015458 Comfort Keepers #500

02/17/2017

03 - Arlington

Arlington 010407 679638 St Nicholas Healthcare Agency

10/28/2016

03 - Arlington

Dallas 016843 Hope Companion Care, LLC

06/30/2017

03 - Arlington

Duncanville

016160 679304 Trendsetters Home Health Care, LLC

02/09/2017

03 - Arlington

Keller 016841 Qualicare SKG 06/30/2017

03 - Arlington

Royse City

016864 Kindred Home Health Care Inc.

04/30/2017

06 - Houston

Houston 012387 747721 Alpha One Healthcare LTD

01/31/2017

06 - Houston 012552 Alpine Healthcare 04/30/2017


CMS Number

Agency Denial Date

Houston Incorporated

06 - Houston

Houston 012335 Axion Healthcare Services LLC

03/22/2017

06 - Houston

Houston 010010 Inland Home Health LLC

01/13/2017

06 - Houston

Houston 003822 458489 Texas Medical Services

02/28/2017

07 - Austin Brenham 017370 Omega Divine Healthcare Inc.

08/10/2017

07 - Austin Cedar Park

016616 Heaven Sent Care Givers, LLC

02/24/2017


016599 Hospitality Home Healthcare Agency LLC

02/01/2017

08 - San Antonio

Castroville

016692 Heal- Anew Healthcare Services, LLC

04/19/2017

08 - San Antonio

San Antonio

016888 Abba Elder Care 06/30/2017

08 - San Antonio

San Antonio

016311 JPR Quality Home Health Care Inc.

10/31/2016

11 - Corpus Christi

Donna 013510 Triple A Provider Services

11/09/2016

11 - Corpus Christi

Mission 016750 AV Home Care 08/02/2017

20 Total home health agency expirations of license.

Hospice Agency Expirations of License (in Lieu of Further Enforcement Action) for FY 2017

DADS did not accept any expirations of license (in lieu of further enforcement action) for a hospice agency in FY 2017.

Home Health Agency Immediate Suspension Orders for FY 2017

DADS did not issue any immediate suspension orders for a home health agency in FY 2017.

Hospice Agency Immediate Suspension Orders for FY 2017

DADS did not issue any immediate suspension orders for a hospice agency in FY 2017.

Home Health Agency Surrenders of License (in Lieu of Further Enforcement Action) for FY

2017

Region City License

Number

CMS

Number Agency

Surrender

Date

03 - Arlington Allen 016365 Freedom Home Health Care LLC

10/06/2016

03 - Arlington Arlington 010407 679638 St Nicholas Healthcare Agency

11/01/2016

03 - Arlington Fort Worth 017551 At Home Home Care 08/01/2017

03 - Arlington Irving 016560 Commitment 2 Care LLC 08/24/2017

03 - Arlington Irving 016903 Molina Personal Care of Texas Inc.

07/13/2017

03 - Arlington Little Elm 015102 A Better Care DFW 02/01/2017

03 - Arlington McKinney 016993 McKinney Home Health Care 07/06/2017

03 - Arlington Mesquite 011556 677879 Divinity Healthcare PLLC 08/30/2017

03 - Arlington Plano 013518 Kind Heart Home Health Inc. 05/17/2017

03 - Arlington Richardson 015696 Companion Residential Care LLC

11/07/2016

03 - Arlington Wylie 015757 Dear Angels Healthcare Services LLC

08/29/2017

04 - Tyler Overton 017494 Senior Shepherds of Texas Limited Liability Company

03/23/2017

04 - Tyler Sulphur Springs

017599 Abacus Healthcare 05/10/2017

06 - Houston Houston 017461 ABC 4 Kids 03/14/2017

06 - Houston Houston 013352 747037 Angel Wings Home

Healthcare Agency

12/01/2016

06 - Houston Houston 016240 Cautious Providers 11/09/2016

06 - Houston Houston 014329 Community Medical Network Inc.

06/16/2017

06 - Houston Houston 011101 747076 Deligent Health Services Inc.

09/22/2016

06 - Houston Houston 014233 Fransent Healthcare Inc. 07/31/2017

06 - Houston Houston 011045 679750 Fresno Healthcare Services Inc.

11/30/2016

06 - Houston Houston 010426 Gablink, Inc. 06/05/2017

06 - Houston Houston 017850 Texas Home Health of America

07/26/2017

06 - Houston Houston 017125 747659 Uchesstar Healthcare & Rehabilitation Inc.

04/05/2017

06 - Houston Magnolia 017355 Grandcare Living Assistance 11/28/2016

06 - Houston Missouri City

014930 Jadazch Home Health Services

10/31/2016


CMS Number

Agency Surrender

Date

06 - Houston Richmond 011769 747166 Care Committers Health

Services Inc.

10/31/2016

06 - Houston The Woodlands

017478 Passionate Heart Home Care 02/21/2017

07 - Austin Austin 017342 Caresearch Select Inc. 08/11/2017

08 - San Antonio

Seguin 010893 True Independence at Home LLP

01/20/2017

11 - Corpus Christi

Alice 008876 453171 St Peters Home Health Inc. 03/15/2017

11 - Corpus Christi

Edinburg 016324 Santa Trinidad Homecare LLC

12/22/2016

31 Total home health agency surrenders of license.

Hospice Agency Surrenders of License (in Lieu of Further Enforcement Action) for FY 2017

Region City License

Number

CMS

Number Agency

Surrender

Date

03 - Arlington Mesquite 017142 Serving Hearts Hospice 06/16/2017

08 - San

Antonio

San

Antonio

016459 451726 Southern Hospice Care Texas

Inc.

10/27/2016

11 - Corpus Christi

Weslaco 004847 451662 Knapp Medical Center Hospice Care Services

06/23/2017

3 Total hospice agency surrender of license.

Home Health Agency Revocations of License for FY 2017


CMS Number

Agency Date

Revoked

03 - Arlington

Arlington 017067 Simply Sublime Homecare, LLC 07/23/2017

03 - Arlington

Carrollton 013638 747634 Hice Healthcare Services Inc. 05/31/2017

03 - Arlington

Crossroads

016912 Reliable Haven Healthcare Services LLC

07/16/2017

03 - Arlington

Dallas 015518 Little Dove Pediatric Home Health

05/31/2017

03 - Arlington

Dallas 016844 Qualicare Dallas Central 07/14/2017

03 - Arlington

Dallas 017094 Salosilver Healthcare LLC 07/23/2017

03 - Arlington

De Soto 017272 Home Helpers & Direct Link 58813

07/09/2017

03 - Fort 017158 Lovelace Home Care Agency 07/09/2017


CMS Number

Agency Date

Revoked

Arlington Worth LLC

03 - Arlington

Garland 011542 677820 Prelude Health Care Services LLC

10/10/2016

03 - Arlington

Greenville 015953 MCI Health Care Services 07/15/2017

03 - Arlington

Irving 008982 673152 Divine Mercy Home Health Inc. 01/01/2017

03 - Arlington

Mansfield 017105 Iso Healthcare LLC 07/23/2017

03 - Arlington

Mansfield 017206 Lean-On-Me Home Health LLC 07/09/2017

03 - Arlington

McKinney 017733 Cherubim Hands Home Healthcare Inc.

07/27/2017

03 - Arlington

Mesquite 011570 743153 Essencee Care Health Services 06/29/2017

03 - Arlington

Mesquite 007616 679064 M E Home Health 01/21/2017

03 - Arlington

Plano 017429 Angel Care Services 08/09/2017

06 -

Houston

Houston 017396 ALIF Healthcare Services Inc. 03/05/2017

06 - Houston

Houston 016123 743140 C & O Healthcare Services Inc. 08/05/2017

06 - Houston

Houston 017381 Caregivers On Call LLC 04/13/2017

06 - Houston

Houston 009356 679188 Fiango Home Health Care 05/09/2017

06 - Houston

Houston 005440 458091 Home Health Unlimited Inc. 08/13/2017

06 - Houston

Houston 016296 K & A Home Health, Inc. 03/20/2017

06 - Houston

Houston 017718 Royal Premium Group 08/18/2017

06 - Houston

Houston 017039 747344 The Ark Healthcare Inc. 06/29/2017

06 - Houston

Katy 017483 Market Square House 04/05/2017

06 - Houston

Pearland 017563 Americhoice Healthcare Services

07/08/2017

06 - Houston

Pearland 017393 Precision Home Health LLC 03/11/2017

06 - Rosharon 017727 Above Average Healthcare 08/16/2017


CMS Number

Agency Date

Revoked

Houston Services

06 - Houston

Spring 017565 Qualicare of The Woodlands 07/08/2017

06 - Houston

Stafford 014676 Agape Services Incorporated 12/02/2016

06 - Houston

Sugar Land

014734 Advance Home Health, Inc. 04/14/2017

06 - Houston

Wharton 017596 Azure Healthcare Incorporated 07/21/2017

07 - Austin Brenham 017413 Chappell Hill Personal Assistance Services LLC

05/14/2017

08 - San Antonio

San Antonio

017488 Endeavor Home Health Care LLC

03/10/2017

08 - San Antonio

San Antonio

017526 Halo of Hearts 03/30/2017

08 - San Antonio

Victoria 017504 Apple Healthcare Providers Inc. 06/01/2017

08 - San Antonio

Victoria 017541 747792 Total Home Health Galveston 07/15/2017

10 - El Paso El Paso 017555 Carvel Senior Care 05/18/2017

11 - Corpus Christi

Palmview 017266 Los Lagos Healthcare Inc. 12/15/2016

40 Total home health agency revocations of license.

Hospice Agency Revocations of License for FY 2017

Region City License

Number

CMS

Number Agency

Date

Revoked

03 - Arlington

Dallas 017004 Texacare Hospice Incorporated

07/18/2017

03 - Arlington

Garland 017152 Pioneer Hospice Care Services, LLC

07/09/2017

06 - Houston Houston 017686 741513 Aclaim Healthcare, Inc.

07/21/2017

06 - Houston Houston 017737 Meek Healthcare Inc. 08/16/2017

08 - San

Antonio

San

Antonio 017268 Gravitas Hospice LLC 10/26/2016

5 Total hospice agency revocations of license.

Home and Community Support Services Agency Complaint and Incident Intakes

Complaints

A complaint allegation is an assertion that a requirement of state licensure or federal

certification has been violated and can come directly from individuals or residents, family

members, health care providers, advocates, law enforcement, or other state agencies. Report sources can be oral or written.

Incidents

An incident is an allegation of abuse, neglect, or misappropriation of property; an allegation of conduct or a condition resulting in the exploitation of consumers; or any act

allegedly perpetrated by agency staff and reported by agency management or other agency staff.

Priority Assignment

The long-term care regulatory intake unit evaluates each complaint or incident based on its unique circumstances and assigns priorities accordingly. When timeliness is crucial to

the health and safety of a consumer(s), such as in a situation of heating or air conditioner equipment failure (if the consumer is in an inpatient hospice unit), alleged staff walkout,

etc., an investigation can be initiated immediately by telephone, regardless of the priority code assignment. After the initial telephone contact, an on-site visit is conducted according to the timeframe specified by the priority assignment. The priorities that can be

assigned to a home and community support services agency are:

On or before two working days

On or before 10 working days

On or before 45 calendar days



Next on-site

Desk review

Withdrawn

Not applicable

On or Before Two Working Days

Immediate response by the regulatory agency is warranted because a home and community support services agency provider allegedly created or allowed a present and

ongoing situation in which the provider’s noncompliance with one or more requirements of licensure or certification has failed to protect consumers or has caused, or is likely to cause, serious injury, harm, impairment, or death.

On or Before 10 Working Days

Alleged provider noncompliance might have or has a high potential to cause harm that affects a consumer’s mental, physical, or psychosocial well-being and is of such consequence that a rapid response by the regulatory agency is indicated. The complaint

allegation(s) asserts that one or more of the following exist:

Nursing care was not delivered as planned to a consumer with present and ongoing need for nursing care.

There was a break in service for skilled services for Medicaid waiver consumers.

Home and community support services agency personnel were not available to the consumers during normal operating hours.

The consumer sustained harm from improper or inadequate care and service provision.

Immediate threat to health and safety has been removed, but the situation poses a continued threat to consumers.


This priority applies only to Home and Community Support Services Agency Joint

Commission, Community Health Accreditation Program, or Accreditation Commission for Health Care deemed agencies with Centers for Medicare and Medicaid Services regional

office authorization.

A provider’s alleged noncompliance with one or more requirements of licensure or certification has a low potential for more than minimal harm or physical, mental, or

psychosocial harm that did not directly impact consumer or resident health and safety and functional status; this priority may also be assigned for alleged violations of regulations

that do not directly impact consumer or resident health and safety.


The allegation(s) asserts that one or more of the following exist:

Noncompliance with one or more requirements of licensure or certification that has a low potential for more than minimal harm or resulted in physical, mental, or psychosocial harm that did not directly impact consumer health and safety

Financial insolvency without alleged impact on consumers

Inaccurate clinical records


The complaint allegation(s) asserts that an agency is providing home health services

(hiring and sending out nurses to provide skilled nursing services or hiring and sending out aides to provide personal assistance services) without a license.

Next On-site

This priority replaced “on or before 120 working days” during FY 2008. The complaint

allegation(s) asserts that one or more of the following exist:

Discharge without proper notice

Illegal remuneration (i.e., solicitation or kickbacks)

Personal assistance services not being provided when the situation does not pose a serious threat to the consumer’s health and safety

Consumer rights violations

Billing irregularities

Desk Review

The regulatory agency uses desk reviews for off-site investigation of home and community support services agency self-reported incidents. If further investigation is warranted to

ensure compliance with federal, state, or local laws, regional staff schedule an on-site investigation. Whether investigation is by desk review or on-site, it must be completed on or before 120 working days.

Withdrawn

A complaint report filed with the state is withdrawn at the request of the complainant, except when abuse, neglect or exploitation is alleged. Please refer to Survey and

Certification Clarification 15-01 (https://www.dads.state.tx.us/providers/communications/2015/scc/SCC2015-01.pdf).


Not Applicable

The state determines it has no jurisdiction to investigate a complaint or a referral, or when a report to another agency, board, or entity is required.

Home and Community Support Services Agency All Intakes by Priority and Region for FY 2017

Intake Priority

01 02 03 04 05 06 07 08 09 10 11 Total

On or before

2 working days 4 0 3 1 1 7 3 8 1 0 5 33

On or before

10 working

days 3 2 49 10 6 41 14 30 1 10 32 198

On or before

45 working days 21 10 312 55 42 284 92 122 14 26 187 1,165

On or before

90 working days 1 0 7 1 10 4 1 6 2 1 33

Next on site 10 15 115 24 15 138 51 49 4 22 145 588

Desk review 123 280 1,144 535 225 730 662 666 181 135 1,539 6,220

Withdrawn 3 1 12 1 0 2 1 5 1 0 0 26

Not applicable 42 26 226 35 36 166 51 89 70 21 120 882

Total 207 334 1,868 661 326 1,378 878 970 278 216 2,029 9,145

Home and Community Support Services Agency Complaints by Priority and Region for FY

2017

Complaint

Priority 01 02 03 04 05 06 07 08 09 10 11 Total

On or before

2 working days 3 0 3 1 1 7 3 8 1 0 5 32

On or before

10 working days 3 2 47 9 6 34 14 27 1 9 26 178

On or before

45 working days 13 8 244 47 34 255 72 99 11 23 154 960

On or before

90 working days 1 0 7 0 1 10 4 1 6 2 1 33

Next on site 10 13 113 24 14 130 51 49 4 22 144 574

Withdrawn 3 1 12 1 0 2 1 5 1 0 0 26

Not applicable 17 1 104 6 9 54 18 22 2 9 15 257

Complaint

Priority 01 02 03 04 05 06 07 08 09 10 11 Total

Total 50 25 530 88 65 492 163 211 26 65 345 2,060

Home and Community Support Services Agency Incidents by Priority and Region for FY 2017

Incident Priority

01 02 03 04 05 06 07 08 09 10 11 Total

On or before

2 working days 1 0 0 0 0 0 0 0 0 0 0 1

On or before

10 working days 0 0 2 1 0 7 0 3 0 1 6 20

On or before

45 working days 8 2 68 8 8 29 20 23 3 3 33 205

Next on site 0 2 2 0 1 8 0 0 0 0 1 14

Desk review 123 280 1,144 535 225 730 662 666 181 135 1,539 6,220

Not applicable 25 25 122 29 27 112 33 67 68 12 105 625

Total 157 309 1,338 573 261 886 715 759 252 151 1,684 7,085

Home and Community Support Services Agency Actions Compared Over Multiple Fiscal Years

Home Health Agency Administrative Penalties Imposed and Assessed for FY 2013–2017

Hospice Agency Administrative Penalties Imposed and Assessed for FY 2013–2017

397

507

663

593

661

30 4382

3878

0

100

200

300

400

500

600

700


Imposed Assessed

29

38

78

6661

16 5

2 20

10

20

30

40

50

60

70

80

90


Imposed Assessed

Home Health Agency License Application Denials Proposed and Denials for FY 2013–2017

30

22

39

35

48

1714

1619 19

0

10

20

30

40

50

60


Proposed Denied

Home Health Agency License Renewal Denials Proposed and Denials for FY 2013–2017

Home and Community Support Services Agency Expirations of License (in Lieu of Further

Enforcement Action) for FY 2013–2017

4

13

10

15

28

3 3 3

8

3

0

5

10

15

20

25

30


Proposed Denied

118

10 11

20

0 0 0 0 00

5

10

15

20

25


Home Health Hospice

Home and Community Support Services Agency Surrenders of License (in Lieu of Further

Enforcement Action) for FY 2013–2017

2628

25

34

31

23

2 23

0

5

10

15

20

25

30

35

40


Home Health Hospice

Home Health Agency License Revocations Proposed and Revocations for FY 2013–2017

Hospice Agency License Revocations Proposed and Revocations for FY 2013–2017

219

120109

138

201

3930 37 45 40

0

50

100

150

200

250


Proposed Revoked

29

15 14

30

55

4 28

3 50

10

20

30

40

50

60


Proposed Revoked

Home and Community Support Services Agency Complaint and Incident Intakes for FY 2013–

2017

2,055 2,194 2,159 2,212 2,060

4,6945,025 5,123

6,387

7,085

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000



Intermediate Care Facilities for Individuals with an Intellectual Disability or

Related Conditions (ICFs/IID) Section

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) Actions

The table on page 124 contains information relating to Texas Health and Safety Code, Title 4, Subtitle B, Chapter 252, Intermediate Care Facilities, for licensed intermediate care

facility for individuals with an intellectual disability or related conditions actions, by category, for fiscal year (FY) 2017.


Basis for imposing

The long-term care regulatory agency can assess an administrative penalty against a facility that violates Texas Health and Safety Code Chapter 252, or a rule, standard, or order adopted, or license issued, under Texas Health and Safety Code Chapter 252.

Imposed


The regional survey or investigation team and supported during enforcement review

Regional or state office regulatory staff, considering the survey or investigation findings or evaluating the facility’s past history or performance

The state imposes the action when the administrative penalty recommendation has been reviewed and confirmed by state office staff. The facility is formally notified of the

administrative penalty citation and the penalty amount. Additionally, the notice includes information about the appeal process available to the facility.

Assessed


an agreement to settle has been reached) and a final amount and due date have been decided, or the person accepts the determination by the state agency or fails to respond

to the notice letter in a timely manner. The facility is notified of the amount to be paid and the date payment is due. A lump-sum payment or a monthly payment plan can be agreed upon during the appeal or settlement process.

Injunctive/Other Relief and Civil Penalties

Injunctive/other relief and civil penalty cases are referred to the Office of the Attorney

General for action. When a case is resolved through settlement, a portion of the payment is designated a civil penalty and normally deposited to general revenue. The Office of the Attorney General receives the portion designated as attorney fees and costs.

One or more survey or investigative visits may result in a recommendation for civil penalties for a facility depending on the findings. These visits are generally consolidated

into one case per facility for referral.

A civil penalty may be awarded if the facility violates a licensing rule and the stat determines that the violation creates a threat to the health and safety of a resident.


In certain situations, the commissioner of the agency can allow, in lieu of demanding payment of an administrative penalty, the use (under the supervision of the agency) of

any portion of the penalty to ameliorate the violation or to improve services (other than administrative services) in the facility affected by the violation.

Trusteeships

The state regulatory agency, through the Office of the Attorney General, can petition a court of competent jurisdiction for the involuntary appointment or appointment by

agreement of a trustee to operate a facility if one or more of the following conditions exist:




An emergency exists that presents an immediate threat to the health and safety of the residents.

The facility is closing (whether voluntarily or through an emergency closing order), and arrangements for relocation of the residents to other licensed/certified intermediate care facilities for individuals with an intellectual disability or related conditions or into a waiver program have not been made before closure.


The state will suspend a facility’s license or order an immediate closing of all or part of the

facility if:

The agency finds that the facility is operating in violation of licensure rules.


The order suspending a license or closing a part of a facility is immediately effective on the date the license holder receives written notice or on a later date specified in the order.

This suspension of a license may occur simultaneously with any other enforcement provision available to state regulators. The order is effective for 10 days.

Denials of License

The regulatory agency can deny a facility’s license when the facility does not meet licensure rules or when the facility fails to maintain compliance with these rules on a

continuous basis.

It can deny a facility’s license if an applicant, manager, or affiliate:

Substantially fails to comply with licensure requirements or has violations that posed or pose a serious threat to health and safety, or fails to maintain compliance on a continuous basis.

Aids, abets, or permits a substantial violation of Texas Health and Safety Code Chapter 252.

Fails to submit required information and documents needed to complete the application process or provides false or fraudulent information.


Has had a license revoked, has been debarred or excluded, has an unsatisfied final

judgment, has been decertified or evicted, has a license suspended, or has a criminal conviction.

Is subject to denial or refusal as described in Texas Administrative Code, Title 40, Part 1, Chapter 99, Denial or Refund of License.

Revocations of License

The state can revoke a facility’s license if it finds that the license holder has violated the

requirements established under Texas Health and Safety Code Chapter 252 and that violation either jeopardizes the health and safety of residents, is repeated, or is a

substantial violation of Texas Health and Safety Code Chapter 252.

The state also can revoke a facility’s license if the license holder submitted false or

misleading statements in the application for license, used subterfuge or other evasive means to obtain a license, concealed a material fact, or failed to disclose information that would have been the basis for denial, or received monetary or other remuneration from a

person or agency that furnishes services or materials to the facility for a fee.

The revocation of a license may occur simultaneously with any other enforcement

provision available to the state.

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition Actions by Region for FY 2017



Imposed 0 1 4 1 7 4 1 3 1 0 2 24

Administrative

penalties 1

Assessed 0 0 3 0 1 2 2 1 0 0 0 9

Injunctive/other relief and civil

penalties 2

Referred 0 0 0 0 0 0 0 0 0 0 0 0


Approved 0 1 0 0 0 0 0 0 1 0 0 2

Amelioration of

violations

Denied 0 0 0 0 0 0 0 0 0 0 0 0


Emergency suspension and

closing orders

Ordered 0 0 0 0 0 0 0 0 0 0 0 0

Denials of license 3 Proposed 0 0 0 0 1 0 0 1 1 0 0 3

Denials of license 3 Denied 0 0 0 0 1 0 0 0 0 0 0 1

Revocations of

license 3

Proposed 0 0 0 0 0 0 0 0 0 0 0 0

Revocations of

license 3

Revoked 0 0 0 0 0 0 0 0 0 0 0 0

Notes:

1. Assessed administrative penalties can include final actions on penalties imposed

in a previous fiscal year.

2. The state refers injunctive/other relief and civil penalty requests to the Office of

the Attorney General.

3. Denied and revoked actions can include final actions on cases proposed in a


Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Administrative Penalties for

FY 2017


ID Facility

Visit Exit


02 - Abilene

Wichita Falls 003797 Ouachita Acres 04/03/2017 $5,000 $46 $0 Y

03 - Arlington

Arlington 007277 Educare Community

Living

Corporation - Texas

02/22/2017 $15,000 $15,000 $0 N

03 - Arlington

Burleson 003635 Stella Mae 06/27/2017 $15,000 $0 $15,000 Y

03 - Arlington

Greenville 007282 Terry Place 03/09/2017 $20,000 $15,000 $5,000 $10,000 Y

03 - Arlington

Krum 003886 Laurel House 06/01/2017 $10,000 $10,000 $0 N

04 - Tyler Tyler 003634 Pettit House 07/07/2016 $5,000 $0 $0 N

05 - Beaumont

Beaumont 003673 Carnation Living Center

04/12/2017 $5,000 $5,000 $0 N

05 -

Beaumont

Beaumont 003674 McAnelly

Community Home

02/17/2017 $5,000 $5,000 $0 N

05 -

Beaumont

Beaumont 003693 Sams Way

Living Center

06/29/2017 $5,000 $5,000 $0 N

05 - Beaumont

Beaumont 003964 Cambridge Group Home

08/03/2016 $5,000 $5,000 $0 N

05 - Beaumont

Lufkin 007406 Markus House 01/17/2017 $5,000 $804 $804 $0 Y

05 - Beaumont

Nacogdoches 007535 H Community Service of

Nacogdoches,

08/26/2016 $5,000 $5,000 $0 N


ID Facility

Visit Exit


Inc

05 -

Beaumont

Silsbee 007554 Roosevelt

Community Home

01/25/2017 $5,000 $5,000 $0 N

06 - Houston

Baytown 003671 McFarland House

08/31/2016 $5,000 $0 $0 $0 Y

06 - Houston

Cypress 003654 Cypress Group Home

03/24/2017 $5,000 $5,000 $0 N

06 - Houston

Houston 007571 Westview I 01/20/2017 $5,000 $5,000 $0 N

06 -

Houston

Pasadena 007346 Judy Living

Center

11/21/2016 $5,000 $5,000 $0 N

07 - Austin

Austin 007483 Chinatree Community

Residence

04/12/2017 $5,000 $0 $5,000 Y

08 - San Antonio

San Antonio 007362 Rustling Way 09/13/2016 $2,000 $2,000 $0 N

08 - San Antonio

San Antonio 007458 Larimer Square 03/14/2017 $1,000 $1,000 $0 N

08 - San

Antonio

Victoria 003926 Victoria Group

Home

09/23/2016 $1,000 $1,000 $0 N

09 - Abilene

San Angelo 003609 Casa De Tres Rios

09/14/2016 $5,000 $1,146 $0 N

11 - Corpus Christi

Brownsville 003744 Caring Palms Health Care

Center

09/02/2016 $5,000 $5,000 $0 N

11 - Corpus Christi

Brownsville 003744 Caring Palms Health Care

Center

03/13/2017 $5,000 $5,000 $0 N

Totals $149,000 $15,804 $90,997

24 Total intermediate care facilities for individuals with an intellectual disability or related conditions

administrative penalties imposed.

Notes:

1. The imposed column is the total amount of penalty after the state has reviewed and confirmed the

administrative penalty citation and amount. This is the amount due and payable if there is no alternative

amount resulting from an appeal held or if no settlement agreement is reached.

2. The assessed column is the amount of penalty due after the appeal process has been completed (or an

agreement to settle has been reached) and a final amount has been decided, or if the person charged consents

to the penalty or does not respond timely to the notice of the penalty.

3. The collected column is the amount of money the facility has paid to the state.


amount the facility may owe. The amounts can change based on a hearing or negotiated settlement. Since

these amounts may change, there is no total for this column. An administrative penalty with a negative balance

may indicate an overpayment or that the penalty was rescinded after payment.

5. The “H” column stands for Hearing, and a “Y” in this column indicates the facility requested a hearing on the



Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Injunctive/Other Relief and

Civil Penalty Referrals to the Office of the Attorney General for FY 2017

DADS did not refer any intermediate care facilities for individuals with an intellectual disability or related conditions to

the Office of the Attorney General for injunctive/other relief in FY 2017.

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Amelioration of Violations for FY 2017


ID Facility Decision

Decision Date

Amount Ameliorated

02 - Abilene

Wichita Falls

003797 Ouachita Acres Approved in Part

08/17/2017 $4,953.52

09 - Abilene

San Angelo

003609 Casa De Tres Rios

Approved in Part

05/15/2017 $3,853.68

2 Total intermediate care facilities for individuals with an intellectual disability or related conditions ameliorations processed.

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Trusteeships for FY 2017

DADS did not place a trustee in any intermediate care facilities for individuals with an intellectual disability or related conditions in FY 2017

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Emergency Suspension and Closing Orders for FY 2017

DADS did not issue an emergency suspension and closing order in any intermediate care

facilities for individuals with an intellectual disability or related conditions in FY 2017.

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related

Conditions License Denials and Revocations Proposed for FY 2017


ID Facility

Proposed

Action

Revoked

Date

Denied

Date Status

05 -

Beaumont Nacogdoches 007535

H H H Community

Service of Nacogdoches,

Inc Deny 02/28/2017

License

Denied

08 - San Antonio Seguin 003999 Mosaic Deny Rescinded

09 - Abilene San Angelo 003606 Mosaic Deny Rescinded

3 Total intermediate care facilities for individuals with an intellectual disability

or related conditions license denials and revocations processed.

Notes:


1. License Denied — the application for a license was denied

2. Rescinded — DADS withdrew the proposed action

Intermediate Care Facilities for Individuals with an Intellectual Disability or

Related Conditions Complaint and Incident Intakes

Complaints

A complaint allegation is an assertion that a requirement of state licensure or federal

certification has been violated and can come directly from individuals or residents, family members, health care providers, advocates, law enforcement, or other state agencies.

Report sources can be oral or written.

Incidents

An incident is an official notification to the state survey agency by the facility owner,

administrator, designee, or any employee of the facility who has cause to believe that the physical or mental health of an individual has been or may be adversely affected by

abuse, neglect, exploitation, or other unusual events or occurrences in accordance with Texas Health and Safety Code Chapter 252; 40 Texas Administrative Code §90.212(b) (1) or the Memorandum of Understanding between DADS and the Texas Department of Family

and Protective Services.

Priority Assignment

The regulatory agency’s complaint intake unit evaluates each complaint based on its unique circumstances and assigns priorities accordingly. When timeliness is crucial to the health and safety of a consumer(s), such as imminent transfer or discharge, heating or air

conditioner equipment failure, alleged staff walkout, etc., an investigation can be initiated immediately by telephone, regardless of the priority code assignment. After the initial

telephone contact, an on-site visit is conducted according to the time frame specified by the priority assignment. The priorities available for an intermediate care facilities for individuals with an intellectual disability or related conditions facility are:

On or before 24 hours



Professional review

Financial

Withdrawn

Not required


Immediate response by the state is warranted because a provider allegedly created or

allowed a present and ongoing situation in which the provider’s noncompliance with one or more requirements of licensure or certification has failed to protect consumers from abuse,

neglect, or mistreatment or has caused, or is likely to cause, serious injury, harm, impairment, or death.


The present or ongoing threat of continued abuse, neglect, or mistreatment has been

removed. The consumer(s) is no longer in imminent danger; however, the provider’s alleged noncompliance with one or more requirements of licensure or certification may have or has a high potential to cause harm that impacts a consumer’s mental, physical, or

psychosocial status and is of such consequence that a rapid response by the state survey agency is indicated. There is evidence or suspicion that system(s) failure contributed to or

brought on the threat. Usually, specific rather than general information (e.g., descriptive

identifiers, individual names, date, time, location of occurrence, description of harm) will factor into the assignment of this level of priority.


A provider’s alleged noncompliance with one or more requirements of licensure or certification has a low potential for more than minimal harm or resulted in physical,

mental, or psychosocial harm that did not directly impact consumer health and safety and functional status. This priority also can be assigned for alleged violations of regulations

that do not directly impact consumer health and safety.

Professional Review

A professional review priority is assigned by Complaint Intake Call Center staff when a provider self-reports an incident to the state in accordance with Texas Health and Safety

Code Chapter 252, 40 Texas Administrative Code §90.213 or 40 Texas Administrative Code §90.225 when the provider’s incident report indicates the provider’s immediate corrective action is reasonably likely to ensure the safety of individuals while the provider

conducts its investigation and a Professional Quality Assurance staff reviews the provider’s written investigation report.

Based on review of the facility investigation report, if further investigation is warranted to assess whether the provider complies with regulatory requirements, professional review

staff will change the priority and send notification to the regulatory regional staff to schedule an on-site investigation.

Financial

These investigations involve complaint allegations related to a consumer not having access to their trust funds, failure to maintain trust funds for consumers, or failure to

transfer or release trust funds when a consumer is discharged or deceased.

Withdrawn

A complaint report filed with the state is withdrawn at the request of the complainant, except when harm to a resident alleged. Please refer to Survey and Certification Clarification 15-01


Not Required


https://www.dads.state.tx.us/providers/communications/2015/scc/SCC2015-01.pdf)


Conditions All Intakes by Priority and Region for FY 2017. These include intakes regarding the State Supported Living Centers.

Intake Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 19 21 59 8 25 59 89 39 52 25 52 448

On or before 45 days 28 14 53 9 26 42 92 46 53 16 44 423


Financial 0 0 2 0 0 1 2 2 2 0 1 10

Withdrawn 0 0 2 0 1 0 2 0 0 0 0 5

Not required 1 6 8 0 3 3 8 7 6 4 5 51

Total 60 55 167 19 58 124 231 104 146 53 132 1149


Conditions Complaints by Priority and Region for FY 2017. These include intakes regarding the State Supported Living Centers.

Complaint Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 3 5 30 4 7 20 21 21 8 6 19 144

On or before 45 days 3 7 30 7 13 9 29 30 13 4 18 163

Financial 0 0 2 0 0 1 2 2 2 0 1 10

Withdrawn 0 0 2 0 1 0 2 0 0 0 0 5

Not required 0 3 1 0 0 1 0 3 0 1 1 10

Total 7 16 69 11 21 32 55 57 24 11 41 344


Conditions Incidents by Priority and Region for FY 2017. These include intakes regarding the State Supported Living Centers.

Incident Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14

days 16 16 29 4 18 39 68 18 44 19 33 304

Incident Priority

01 02 03 04 05 06 07 08 09 10 11 Total

On or before 45

days 25 7 23 2 13 33 63 16 40 12 26 260


Not required 1 3 7 0 3 2 8 4 6 3 4 41

Total 53 39 98 8 37 92 176 47 122 42 91 805

Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Actions Compared Over Multiple Fiscal Years

Facility Administrative Penalties Imposed and Assessed for FY 2013–2017

15

6

26

20

24

2 1 20

9

0

5

10

15

20

25

30


Imposed Assessed

Nursing Facility (NF) Section

Nursing Facility (NF) Actions

The table on page 137 contains information relating to Texas Health and Safety Code, Title 4, Subtitle B, Chapter 242, Convalescent and Nursing Homes and Related Institutions,

nursing facility actions, by category, for fiscal year (FY) 2017.


The long-term care regulatory agency can assess administrative penalties for each violation of the statutes or rules, including each violation found in a single survey. A violation that is the subject of a penalty is presumed to continue on each successive day

until it is corrected. The date of correction alleged by the facility in its written plan of correction will be presumed to be the actual date of correction unless it is later determined

by the state that the correction was not made by that day or was not satisfactory.

The state regulatory agency can impose an administrative penalty against:

An applicant for a license

A license holder

A partner, officer, director, or managing employee of an applicant or a license holder

A person who controls a nursing facility

Basis for Imposing

The long-term care regulatory agency can impose an administrative penalty when a facility licensed under Texas Health and Safety Code Chapter 242, fails to meet specified

rules and requirements found in Texas Administrative Code, Title 40, Part 1, Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification. The agency can

assess an administrative penalty against a person who:

Violates Texas Health and Safety Code Chapter 242 or a rule, standard, or order adopted, or license issued, under Texas Health and Safety Code Chapter 242.


o On an application for issuance or renewal of a license or in an attachment to the

application.

o With respect to a matter under investigation by the state regulatory agency.

Refuses to allow a representative of the agency to inspect:

o A book, record, or file required to be maintained by a facility.

o Any portion of the premises of a facility.

Willfully interferes with the work of a representative of the state agency or the enforcement of this chapter.

Willfully interferes with a representative of the state preserving evidence of a violation of a rule, standard or order adopted, or license issued, under Texas Health and Safety Code Chapter 242.

Fails to pay a penalty assessed by the state under Texas Health and Safety Code Chapter 242, by the 10th day after the date the assessment of the penalty becomes final.

Fails to notify the state regulatory agency of a change of ownership before the effective date of the change of ownership.

No facility will be penalized because of a physician’s or consultant’s nonperformance

beyond the facility’s control or if documentation clearly indicates the violation is beyond the facility’s control.

Imposed


The regional survey or investigation team and supported during enforcement review.

Regional or state office regulatory staff, considering the survey or investigation findings or evaluating the facility’s history and performance.

The state imposes the action when the administrative penalty recommendation has been

reviewed and confirmed by state office staff. The facility is formally notified of the administrative penalty citation, the penalty amount and the due date. Additionally, the notice includes information about the appeal process available to the facility.

Assessed

Penalties assessed are the final actions after the appeal process has been completed (or an agreement to settle has been reached) and a final amount has been decided, or the facility consents to the administrative penalty, fails to respond to the state agency’s notice

letter in a timely manner, or fails to correct the violation to the state’s satisfaction. The facility is notified of the amount to be paid and the date payment is due. A lump-sum

payment or a monthly payment plan can be agreed upon during the appeal or settlement process.

Injunctive/Other Relief and Civil Penalties

The long-term care regulatory agency refers injunctive/other relief and civil penalty cases to the Office of the Attorney General for action. A civil penalty may be awarded if a facility

violates a licensing rule and the state survey agency determines the violation threatens the health and safety of a resident. When a case is resolved through settlement, a portion

of the payment is designated a civil penalty and normally deposited to general revenue. The Office of the Attorney General collects attorney fees and costs for civil penalty cases.

One or more survey or investigative visits for a facility can be referred for civil penalty.

These multiple visits are generally consolidated into one case per facility for referral.


In certain situations, the commissioner of the state agency can allow, in lieu of demanding payment of an administrative penalty, the use (under the supervision of the agency) of any portion of the penalty to ameliorate the violation or to improve services (other than

administrative services) in the facility affected by the violation.

Trusteeships

The state regulatory agency, through the Office of the Attorney General, can petition a court of competent jurisdiction for the involuntary appointment of a trustee to operate a facility if one or more of the following conditions exist:




An emergency exists that presents an immediate threat to the health and safety of the residents.

The facility is closing and arrangements for relocation of the residents to other licensed institutions have not been made before closure.


The state can suspend a facility’s license or order an immediate closing of all or part of the facility if:

It finds the facility is operating in violation of licensure rules.


The order suspending a license or closing a part of a facility is immediately effective on the date the license holder receives a written notice or on a later date specified in the order.

This suspension of a license may occur simultaneously with any other enforcement provision available to the state. The order is valid for 10 days.

Suspension of Admissions

If the state agency finds that a facility has committed an act for which a civil penalty can be imposed under Texas Health and Safety Code §242.065, the commissioner can order

the facility to immediately suspend admissions.

Denial of Payment for New Admissions

To participate in the Medicare or Medicaid program, or both, long-term care facilities must be certified as meeting federal participation requirements. Long-term care facilities include skilled nursing facilities for Medicare and nursing facilities for Medicaid. Among the

remedies available to the secretary of the Centers for Medicare and Medicaid Services (CMS) and the state under the Social Security Act to address facility noncompliance is

denial of payment for all new Medicare and Medicaid admissions. This remedy may — and in certain instances, must — be imposed by CMS or the state Medicaid agency. Denial of payment for new admissions can be imposed alone or in combination with other remedies

to encourage quick compliance.

Denial of License

The state can deny a facility’s license when the facility does not meet licensure rules or when the facility does not have a satisfactory history of compliance with state and federal nursing facility regulations.

It can deny a facility’s license if the applicant or controlling party:

Does not have a satisfactory history of compliance.

Fails to submit required information and documents needed to complete the application process.

Has had a license revoked, has allowed a license to expire or surrendered a license when revocation action was pending, has been debarred or excluded, has an unsatisfied final judgment, has been decertified or evicted, has had a license suspended, or has a criminal conviction.

Violated Texas Health and Safety Code Chapter 242 or a rule, standard, or order adopted, or license issued, under Texas Health and Safety Code Chapter 242, in either a repeated or substantial manner, or aids, abets, or permits a substantial violation of Texas Health and Safety Code Chapter 242.


Committed any act described by Texas Health and Safety Code §242.066(a)(2)-(6).

Fails to comply with Texas Health and Safety Code §242.074.

Fails to meet the minimum standards of financial condition.

Fails to notify the state survey agency of a significant adverse change in financial

condition.

Is subject to denial or refusal as described in Texas Administrative Code, Title 40, Part 1, Chapter 99, Denial or Refusal of License.


The state can revoke a license if the license holder (or other person described in Texas

Health and Safety Code §242.032(d)):

Violated Texas Health and Safety Code Chapter 242 or a rule, standard, or order adopted, or license issued, under Texas Health and Safety Code Chapter 242, in either a repeated or substantial manner.

Committed any act described by Texas Health and Safety Code §242.066(a)(2)-(6).

Failed to comply with Texas Health and Safety Code §242.074.

The revocation of a license can occur simultaneously with any other enforcement provision available to the state.

Civil Money Penalties

To participate in the Medicare or Medicaid program, or both, long-term care facilities must be certified as meeting federal participation requirements. Long-term care facilities include

skilled nursing facilities for Medicare and nursing facilities for Medicaid. Among the remedies available to the secretary of the Centers for Medicare and Medicaid Services (CMS) and the state under the Social Security Act to address facility noncompliance is a

civil money penalty (CMP). CMPs can be imposed to remedy noncompliance at amounts not to exceed $10,000 per day. The statute additionally permits the secretary and the

state to impose a CMP for past instances of noncompliance even if a facility is in compliance at the time of a current survey. In accordance with Code of Federal

Regulations, Title 42, Chapter IV, Subchapter G, Part 488, Subpart F, Section 488.436, CMPs: waiver of hearing, reduction of penalty amount, if the facility waives the right to a hearing, in writing, within 60 days from the date of the notice imposing the civil money

penalty, CMS or the state reduces the civil money penalty amount by 35 percent.

Federal regulations allow for penalties to be imposed, in $50 increments, in the following

amounts:

$3,050 to $10,000 per day for deficiencies constituting immediate jeopardy

$50 to $3,000 per day when immediate jeopardy does not exist, but the violation either caused actual harm or caused no actual harm but has the potential for more than minimal harm

CMS and the state regulatory agency can also impose penalties on a “per-instance” basis of noncompliance; the penalties range between $1,000 to $10,000 per instance.

In determining the amount of penalty, CMS or the state must take into account:

The facility’s history of noncompliance, including repeated deficiencies

The facility’s financial condition

The factors specified in 42 CFR §488.404 (regarding the seriousness of the deficiency)

The facility’s degree of culpability

CMS can impose CMPs against Medicare or Medicare/Medicaid-certified nursing facilities.

The state can impose CMPs only against Medicaid-certified nursing facilities.

Nursing Facility Actions by Region for FY 2017

Type of Remedy

Actions 01 02 03 04 05 06 07 08 09 10 11 Totals


Imposed 9 0 0 2 0 28 2 14 0 0 1 56

Administrative

penalties 1

Assessed 0 0 0 0 0 4 0 2 0 0 0 6

Injunctive/other relief and civil

penalties 2

Referred 0 0 0 0 0 0 0 0 0 0 0 0


Approved 4 0 0 0 0 6 0 2 0 0 0 12


Denied 0 0 0 0 0 0 0 0 0 0 0 0


Closures under trusteeship

Accomplished

0 0 0 0 0 0 0 0 0 0 0 0

Emergency suspension and

closing orders

Ordered 0 0 0 0 0 0 0 0 0 0 0 0

Suspensions of

admission

Ordered 0 0 0 0 0 0 0 0 0 0 0 0

Denial of Payment for New

Admissions

Imposed 3 0 12 12 1 17 5 2 3 4 2 61

Denials of

license 3

Proposed 0 0 0 1 0 0 0 0 0 0 0 1

Denials of

license 3

Denied 0 0 0 1 0 0 0 0 0 0 0 1

Revocations of

license 4

Proposed 0 0 0 1 0 0 0 0 0 0 0 1

Revocations of

license 4

Revoked 0 0 0 0 0 0 0 0 0 0 0 0

Civil money penalties

Imposed 13 18 57 46 15 56 23 22 14 13 17 294

Civil money

penalties 5

Assessed 3 1 5 9 1 3 1 4 4 3 2 36

Notes:

1. Assessed administrative penalties can include final actions on penalties imposed in a


2. DADS refers injunctive/other relief and civil penalties to the Office of the Attorney

General.

3. DADS may propose to deny renewal of a license for many reasons. However, if a

facility has been cited for one or more violations of the licensing rules and those

violations have not been determined to have been corrected by the date the facility’s

license is due for renewal, DADS may propose to deny the application. If the facility

subsequently corrects the violation(s), DADS may withdraw its proposal to deny the

application for license renewal. Denied actions may also include final actions on cases

proposed in a previous fiscal year.

4. Revoked actions may include final actions on cases proposed in a previous fiscal year.

5. Assessed civil money penalties can include final actions on penalties imposed in a


Nursing Facility Administrative Penalties for FY 2017


ID Facility

Visit Exit Date


01 - Lubbock Amarillo 005231 Plum Creek Healthcare Residence

03/30/2017 $4,200 $4,200 $0 N

01 - Lubbock Crosbyton 004370 Crosbyton Nursing and Rehabilitation Center

05/10/2017 $33,600 $33,600 $0 N

01 - Lubbock Littlefield 004520 Littlefield Hospitality 08/24/2016 $73,500 $0 $73,500 N

01 - Lubbock Lockney 004514 Lockney Health and Rehabilitation Center

01/25/2017 $33,600 $0 $0 N

01 - Lubbock Lubbock 004347 Lubbock Hospitality

Nursing and Rehabilitation Center

09/09/2016 $44,100 $44,100 $0 N

01 - Lubbock Lubbock 004491 Mi Casita LTC Partners Inc

01/11/2017 $2,100 $2,100 $0 N

01 - Lubbock Lubbock 004942 Lakeridge LTC Partners Inc

12/30/2016 $2,100 $2,100 $0 N

01 - Lubbock Lubbock 005338 Heritage Oaks Nursing and Rehabilitation Center

11/17/2016 $138,600 $85,350 $0 N

01 - Lubbock Lubbock 105212 Windmill Nursing & Rehab Center

02/16/2017 $2,100 $0 $0 N

04 - Tyler Gladewater 005266 Truman W Smith

Childrens Care Center

10/12/2016 $21,000 $21,000 $0 N

04 - Tyler Mount Pleasant

104115 Greenhill Villas 05/25/2016 $15,500 $0 $0 Y

06 - Houston Alvin 005035 Winchester Lodge Healthcare Center

04/29/2016 $200 $200 $0 N

06 - Houston Baytown 103620 Cedar Bayou Nursing & Rehab Center

10/16/2016 $5,400 $10,800 -$5,400 N

06 - Houston El Campo 004105 S.P.J.S.T. Rest Home 3

01/12/2017 $1,200 $0 $1,200 N


ID Facility

Visit Exit Date


06 - Houston Houston 000284 Garden Terrace

Alzheimers Center of Excellence

02/08/2017 $6,400 $6,400 $0 N

06 - Houston Houston 004077 Parkway Place 09/14/2016 $1,250 $1,250 $0 N

06 - Houston Houston 004774 Afton Oaks Nursing Center

12/21/2016 $4,200 $4,200 $0 N

06 - Houston Houston 004823 Jacinto City Healthcare Center

06/02/2016 $75,000 $75,000 $0 N

06 - Houston Houston 004823 Jacinto City Healthcare Center

05/09/2017 $11,700 $11,700 $0 N

06 - Houston Houston 005367 The Westbury Place 08/11/2016 $8,400 $8,400 $0 N

06 - Houston Houston 005367 The Westbury Place 10/26/2016 $18,600 $18,600 $0 N

06 - Houston Houston 010316 Brookdale Galleria 10/20/2016 $31,500 $0 $0 N

06 - Houston Houston 102294 Park Manor of Westchase

01/26/2017 $4,200 $0 $0 N

06 - Houston Houston 103866 Legend Oaks Healthcare and

Rehabilitation-West Houston

04/06/2017 $2,400 $2,400 $0 N

06 - Houston Houston 105395 SCC at Clear Brook Crossing Rehabilitation and Heatlhcare Center

12/02/2016 $18,300 $0 $936 N

06 - Houston La Marque 005379 Bayou Pines Care Center

04/28/2017 $52,200 $0 $52,200 N

06 - Houston League City 005285 Harbourview Care Center Inc

10/27/2016 $2,400 $2,400 $0 N

06 - Houston Missouri City

005226 First Colony Health and Rehabilitation

Center

04/20/2017 $6,000 $6,000 $0 N

06 - Houston Missouri 105892 Windsor Quail Valley 11/04/2016 $9,600 $0 $0 N


ID Facility

Visit Exit Date


City Post-Acute Healthcare

06 - Houston Pasadena 005048 Pasadena Care Center 09/15/2016 $68,800 $0 $68,800 N

06 - Houston Pasadena 005120 Vista Continuing Care Center

03/30/2017 $1,000 $1,000 $0 N

06 - Houston Pasadena 103086 The Courtyards at Pasadena

05/25/2017 $9,200 $9,200 $0 N

06 - Houston Richmond 004751 Brazosview Healthcare Center

01/06/2017 $600 $600 $0 N

06 - Houston Sealy 100852 Colonial Belle Nursing Home Sealy

09/01/2016 $3,600 $3 $0 N

06 - Houston Sugar Land 005145 Sugar Land Health

Care Center

03/08/2017 $14,400 $0 $14,400 N

06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land

08/04/2016 $3,000 $3,000 $0 N

06 - Houston Texas City 005368 Oceanview Healthcare and Rehabilitation

01/26/2016 $20,300 $20,300 $0 N

06 - Houston Texas City 005368 Oceanview Healthcare and Rehabilitation

03/23/2016 $23,000 $23,000 $0 N

06 - Houston Willis 005061 Willis Nursing and Rehabilitation LP

02/28/2017 $4,400 $4,400 $0 N

07 - Austin Bastrop 004874 Bastrop Nursing Center

08/10/2016 $7,500 $7,500 $0 N

07 - Austin Lampasas 004906 Regal Healthcare Residence

08/05/2016 $7,500 $7,500 $0 N

08 - San Antonio

Boerne 004008 Carechoice of Boerne 07/07/2016 $4,200 $4,200 $0 N

08 - San Antonio

Eagle Pass 005009 Eagle Pass Nursing and Rehabilitation

03/30/2017 $3,000 $3,000 $0 N

08 - San Antonio

Fredericksburg

004851 Fredericksburg Nursing and

Rehabilitation LP

01/27/2017 $1,500 $1,500 $0 N


ID Facility

Visit Exit Date


08 - San

Antonio

Lockhart 004891 Chisolm Trail Nursing

and Rehabilitation Center

09/29/2016 $4,200 $0 $0 N

08 - San Antonio

San Antonio

004473 Meridian Care Monte Vista

08/18/2016 $3,000 $3,000 $0 N

08 - San Antonio

San Antonio

004579 Alamo Heights Health and Rehabilitation

Center

10/13/2016 $4,200 $2,730 $2,730 $0 Y

08 - San Antonio

San Antonio

004721 Blanco Villa Nursing and Rehabilitation LP

10/04/2016 $3,000 $3,000 $0 N

08 - San Antonio

San Antonio

005211 San Pedro Manor 07/21/2016 $6,000 $873 $0 N

08 - San Antonio

San Antonio

005211 San Pedro Manor 12/16/2016 $1,500 $1,500 $0 N

08 - San Antonio

San Antonio

100297 Paramount Senior Care Centers at San

Antonio

01/20/2017 $4,500 $4,500 $0 N

08 - San Antonio

San Antonio

101669 Mystic Park Nursing & Rehab Center

10/27/2016 $2,100 $2,100 $0 N

08 - San Antonio

San Antonio

104747 SCC at Westover Hills Rehabilitation and Healthcare Center

10/20/2016 $10,500 $10,500 $0 N

08 - San Antonio

San Antonio

104934 The Rio at Mission Trails

09/15/2016 $1,500 $1,500 $0 N

08 - San Antonio

San Antonio

104934 The Rio at Mission Trails

11/03/2016 $1,500 $1,500 $0 N

11 - Corpus Christi

Weslaco 004636 Valley Grande Manor 02/06/2017 $1,500 $1,500 $0 Y

Totals $844,850 $2,730 $457,706

56 nursing facility administrative penalties imposed.

Notes:


penalty citation and amount. This is the amount due and payable if no alternative amount results from an appeal

held or settlement agreement reached.

2. The assessed column is the amount due after the appeal process has been completed (or an agreement to settle

has been reached) and a final amount has been decided, or the facility consents to the administrative penalty,

fails to respond to the agency’s notice letter in a timely manner, or fails to correct the violation to the agency’s

satisfaction.

3. The collected column is the amount of money the facility has paid to the state.






violation. Once a facility requests and meets the criteria for a hearing on the violation, the case results will be pending until the appeal process is complete. An “N” indicates no hearing was requested by the facility.

Nursing Facility Injunctive/Other Relief and Civil Penalty Referrals to the Office of the Attorney General for FY 2017

DADS did not refer any nursing facilities for injunctive/other relief and civil penalty referrals to the Office of the Attorney

General in FY 2017.

Nursing Facility Amelioration of Violations for FY 2017



Decision Date

Amount Ameliorated

01 - Lubbock

Hale Center

004882 Hale Center Health and Rehabilitation

Approved 12/01/2016 $44,100

01 - Lubbock

Lockney 004514 Lockney Health and Rehabilitation

Center

Approved 06/13/2017 $33,600

01 - Lubbock

Lubbock 005338 Heritage Oaks Nursing and

Rehabilitation Center

Approved In Part

02/24/2017 $53,250

01 - Lubbock

Lubbock 105212 Windmill Nursing & Rehab Center

Approved 07/28/2017 $2,100

06 - Houston

El Campo

004105 S.P.J.S.T. Rest Home 3

Approved 08/04/2017 $1,200

06 - Houston

Houston 010316 Brookdale Galleria Approved 07/06/2017 $31,500

06 - Houston

Houston 102294 Park Manor of Westchase

Approved 07/31/2017 $4,200

06 - Houston

Houston 105395 SCC at Clear Brook Crossing

Rehabilitation and Heatlhcare Center

Approved In Part

08/15/2017 $17,364

06 - Houston

Missouri City

105892 Windsor Quail Valley Post-Acute Healthcare

Approved 07/28/2017 $9,600

06 - Houston

Sealy 100852 Colonial Belle Nursing Home Sealy

Approved 02/27/2017 $3,597



Decision Date

Amount Ameliorated

08 - San Antonio

Lockhart 004891 Chisolm Trail Nursing and Rehabilitation

Center

Approved 05/09/2017 $4,200

08 - San

Antonio

San

Antonio

005211 San Pedro Manor Approved 01/18/2017 $5,127

12 Total nursing facility ameliorations processed.

Nursing Facility Trusteeships for FY 2017

DADS did not order any trustees placed in nursing facilities in FY 2017.

Nursing Facility Closures Under Trusteeship for FY 2017

DADS did not close any nursing facilities under trusteeship in FY 2017.

Nursing Facility Emergency Suspension and Closing Orders for FY 2017

DADS did not issue any emergency suspension or closing orders to a nursing facility in FY 2017.

Nursing Facility Suspensions of Admission for FY 2017

DADS did not issue any suspension of admission orders to a nursing facility in FY 2017.

Nursing Facility Denial of Payment for New Admissions for FY 2017


ID Facility Visit Exit Date Start Date End Date

01 - Lubbock Hale Center 004882 Hale Center Health and Rehabilitation

04/03/2017 05/03/2017 06/16/2017

01 - Lubbock Littlefield 004520 Littlefield Hospitality 08/24/2016 11/19/2016 02/24/2017

01 - Lubbock Lubbock 004072 Bender Terrace 09/28/2016 10/27/2016 12/04/2016

03 - Arlington Benbrook 004606 Benbrook Nursing & Rehabilitation Center

03/07/2017 04/05/2017 04/16/2017

03 - Arlington Dublin 004058 Golden Age Healthcare Residence

02/01/2017 03/01/2017 03/09/2017

03 - Arlington Fort Worth 005371 Fireside Lodge Retirement Center Inc

08/04/2016 09/01/2016 09/21/2016

03 - Arlington Fort Worth 004822 Fort Worth Manor 11/18/2016 12/16/2016 12/19/2016

03 - Arlington Fort Worth 102791 Trail Lake Nursing & Rehabilitation

12/30/2016 01/17/2017 01/17/2017

03 - Arlington Fort Worth 004980 Trinity Healthcare Residence

11/03/2016 02/14/2017 02/23/2017

03 - Arlington Lancaster 004998 Westridge Nursing and Rehabilitation LP

02/06/2017 03/02/2017 03/28/2017

03 - Arlington Rockwall 106108 Highland Meadows Health & Rehab

02/17/2017 03/15/2017 03/16/2017

03 - Arlington Stephenville 004962 Mulberry Manor 01/03/2017 01/26/2017 02/08/2017

03 - Arlington Van Alstyne 004608 Meadowbrook Care Center 10/05/2016 10/29/2016 11/01/2016

03 - Arlington Waxahachie 004114 Renfro Healthcare Center 02/10/2017 02/19/2017 04/12/2017

03 - Arlington Weatherford 004865 Weatherford Health Care Center

08/04/2016 09/01/2016 09/29/2016

04 - Tyler Canton 104845 Canton Oaks 11/01/2016 11/29/2016 12/04/2016

04 - Tyler Emory 005184 Senior Suite Care & Rehab LLC

03/15/2017 05/30/2017 06/01/2017

04 - Tyler Gilmer 005293 Focused Care of Gilmer 03/30/2017 04/28/2017 05/16/2017

04 - Tyler Jacksonville 004986 Gardendale Rehabilitation 10/27/2016 11/24/2016 01/20/2017



and Nursing Center

04 - Tyler Longview 005374 Whispering Pines Lodge 09/14/2016 10/13/2016 10/25/2016

04 - Tyler Marshall 103421 Heritage House of Marshall Health & Rehabilitation

Center

05/25/2017 06/22/2017 07/06/2017

04 - Tyler Mount

Pleasant

104115 Greenhill Villas 05/10/2017 06/08/2017 06/22/2017

04 - Tyler New Boston 004185 New Boston Healthcare Center

04/17/2017 05/13/2017 07/21/2017

04 - Tyler Paris 004586 Paris Healthcare Center 10/26/2016 11/23/2016 12/08/2016

04 - Tyler Pittsburg 004749 Pittsburg Nursing Center 10/05/2016 11/03/2016 12/27/2016

04 - Tyler Rusk 004304 Cherokee Trails Nursing Home

11/15/2016 12/16/2016 01/26/2017

04 - Tyler Tyler 103323 The Waterton Healthcare & Rehabilitation

04/13/2017 05/12/2017 05/19/2017

05 - Beaumont Port Arthur 004630 Senior Rehabilitation &

Skilled Nursing Center

03/22/2017 04/20/2017 04/26/2017

06 - Houston Columbus 004430 Columbus Oaks Healthcare Community

03/15/2017 04/12/2017 05/17/2017

06 - Houston Houston 104360 Grace Care Center at Veterans Memorial

08/31/2016 09/06/2016 10/06/2016

06 - Houston Houston 104200 Legend Oaks Healthcare and Rehabilitation -

North/Willowbrook

08/24/2016 09/23/2016 10/12/2016

06 - Houston Houston 004000 Seven Acres Jewish Senior

Care Services Inc

10/27/2016 11/25/2016 01/03/2017

06 - Houston Houston 005174 St Dominic Village Rehabilitation and Nursing

Center

09/09/2016 10/08/2016 10/09/2016

06 - Houston Houston 009567 The Methodist Hospital SNF 09/09/2016 10/06/2016 10/30/2016

06 - Houston Houston 005367 The Westbury Place 04/12/2017 05/11/2017 08/24/2017



06 - Houston Houston 106098 West Houston Rehabilitation and Healthcare Center

08/23/2016 09/21/2016 10/06/2016

06 - Houston Houston 005348 West Oaks Nursing & Rehab Center

05/10/2017 06/07/2017 07/02/2017

06 - Houston Houston 005149 Woodwind Lakes Health and Rehabilitation Center

11/15/2016 12/15/2016 12/29/2016

06 - Houston Humble 005208 Oakmont Healthcare and Rehabilitation Center of

Humble

05/16/2017 06/14/2017 06/20/2017

06 - Houston Lake Jackson 005139 Lake Jackson Healthcare Center

04/13/2017 05/13/2017 05/25/2017

06 - Houston Missouri City 105225 Chelsea Gardens 06/10/2017 07/11/2017 08/24/2017

06 - Houston Missouri City 005226 First Colony Health and Rehabilitation Center

01/11/2017 02/09/2017 02/11/2017

06 - Houston Pasadena 005048 Pasadena Care Center 09/15/2016 10/14/2016 01/21/2017

06 - Houston Pearland 103557 The Colonnades at Reflection Bay

11/04/2016 12/02/2016 01/01/2017

06 - Houston Tomball 105652 The Heights of Tomball 10/27/2016 11/25/2016 01/26/2017

07 - Austin Austin 000213 Brookdale Westlake Hills 03/31/2017 05/02/2017 05/05/2017

07 - Austin Bremond 005161 Bremond Nursing and Rehabilitation Center

02/08/2017 03/11/2017 03/19/2017

07 - Austin Cameron 004140 Cameron Nursing and Rehab

09/19/2016 10/18/2016 10/28/2016

07 - Austin Hutto 106146 Falcon Ridge Rehabilitation 08/31/2016 10/06/2016 11/01/2016

07 - Austin Waco 004025 Crestview Healthcare Residence

10/19/2016 11/17/2016 01/05/2017

08 - San Antonio

San Antonio 004107 Normandy Terrace Nursing & Rehabilitation Center

05/13/2017 06/10/2017 07/04/2017

08 - San Antonio

San Antonio 104747 SCC at Westover Hills Rehabilitation and

07/19/2016 09/01/2016 09/07/2016



Healthcare Center

09 - Abilene Big Spring 005294 Parkview Nursing and Rehabilitation Center

04/06/2017 05/03/2017 05/04/2017

09 - Abilene Lamesa 004672 Sage Healthcare Center 09/01/2016 09/30/2016 11/09/2016

09 - Abilene Odessa 004164 Deerings Nursing and Rehabilitation LP

09/20/2016 10/18/2016 10/23/2016

10 - El Paso El Paso 004994 Mesa Hills Healthcare Residence

12/09/2016 01/07/2017 02/26/2017

10 - El Paso El Paso 004791 Mountain View Health & Rehabilitation

03/09/2017 04/06/2017 04/16/2017

10 - El Paso El Paso 005380 Mountain Villa Nursing Center

08/26/2016 09/22/2016 11/17/2016

10 - El Paso El Paso 005239 Pebble Creek Nursing Center

05/05/2017 06/03/2017 07/10/2017

11 - Corpus Christi

Corpus Christi

004567 Retama Manor Nursing Center

08/25/2016 09/24/2016 10/20/2016

11 - Corpus Christi

Rockport 005295 Oak Crest Nursing Center 04/18/2017 05/18/2017 06/22/2017

61 Total nursing facility denial pf payment for new admissions imposed.

Nursing Facility License Denials and Revocations Proposed for FY 2017


ID Facility

Proposed

Action

Revoked

Date

Denied

Date Status

04 - Tyler

Longview 004380 Eden Specialty Care


04 - Tyler

New Boston

004185 New Boston Healthcare

Center

Revoke IR Letter

2 Total nursing facility license denials and revocations proposed.

Notes:


1. IR Letter – the facility has requested an informal review.

2. License Denied – DADS denied the application for license.

Nursing Facility Civil Money Penalties for FY 2017


ID Facility

Visit Exit Date

Imposed Assessed Collected Balance IA

01 - Lubbock

Amarillo 004383 Hillside Heights Rehabilitation

Suites

07/07/2017 $3,702 $0 $3,702 F

01 - Lubbock

Amarillo 105650 Amarillo Center for

Skilled Care

08/25/2016 $4,663 $3,031 $0 F

01 - Lubbock

Brownfield 004283 Brownfield Rehabilitation

and Care Center

03/10/2017 $1,500 $0 $0 F

01 - Lubbock

Brownfield 005014 Apex Secure Care Brownfield

05/25/2017 $63,558 $0 $41,313 F

01 - Lubbock

Hale Center 004882 Hale Center Health and Rehabilitation

04/03/2017 $4,594 $0 $2,986 F

01 - Lubbock

Lubbock 004072 Bender Terrace

12/10/2015 $2,000 $2,000 $0 F

01 - Lubbock

Lubbock 004072 Bender Terrace

09/28/2016 $217,298 $0 $217,298 F

01 - Lubbock

Lubbock 005138 Lubbock Health Care

Center

04/18/2017 $8,762 $0 $5,695 F

01 - Lubbock

Lubbock 104743 Crown Point Health Suites

12/14/2016 $3,063 $3,063 $3,063 $0 F

01 - Lubbock

Olton 005318 Runningwater Draw Care Center Inc

04/24/2017 $24,830 $0 $16,140 F

01 - Plainview 005328 Prairie House 03/15/2017 $8,762 $0 $5,695 F


ID Facility

Visit Exit Date


Lubbock Living Center

01 - Lubbock

Post 005165 Post Nursing & Rehab Center

$13,414 $0 $13,414 F

01 - Lubbock

Wheeler 005178 Wheeler Nursing and

Rehabilitation LP

09/28/2016 $7,200 $40,342 -$35,662 F

02 - Abilene

Abilene 004028 Coronado Nursing Center

04/25/2016 $100,145 $100,145 $0 F

02 - Abilene

Abilene 004681 Northern Oaks Living &


$48,219 $48,219 $0 F

02 - Abilene

Abilene 106050 Silver Spring 07/07/2016 $42,950 $0 $42,950 F

02 -

Abilene


02 - Abilene


02 - Abilene

Brownwood 004266 Cross Country Healthcare Center

02/10/2017 $73,908 $48,040 $0 F

02 - Abilene

Brownwood 004266 Cross Country Healthcare Center

03/29/2017 $116,610 $0 $116,610 F

02 - Abilene

Brownwood 004881 Brownwood Nursing and Rehabilitation

LP

03/22/2017 $140,032 $0 $91,021 F

02 - Abilene

Cisco 004250 Cisco Nursing &

Rehabilitation

08/16/2016 $23,800 $15,470 $15,470 $0 F


ID Facility

Visit Exit Date


02 -

Abilene

Clyde 004395 Clyde Nursing

Center

$14,623 $12,124 $12,124 $0 F

02 - Abilene

Comanche 004230 Western Hills Healthcare

Residence

12/20/2016 $15,090 $0 $10,020 F

02 - Abilene

Jayton 004202 Kent County Nursing Home

09/01/2016 $256,700 $166,855 $89,845 S

02 - Abilene

Knox City 004248 Brazos Valley Care Home

10/31/2016 $49,530 $0 $32,488 F

02 -

Abilene

Ranger 004253 Ranger Care

Center

10/18/2016 $4,113 $2,673 $0 F

02 - Abilene

Snyder 005133 Snyder Oaks Care Center

05/20/2016 $12,000 $12,000 $0 F

02 - Abilene

Stamford 004930 Stamford Residence and Rehabilitation

Center

01/11/2016 $27,750 $37,342 -$9,592 F

02 - Abilene

Stamford 004930 Stamford Residence and


02/02/2017 $205,674 $0 $133,688 F

02 - Abilene

Sweetwater 004645 Sweetwater Healthcare Center

10/05/2016 $8,000 $10,896 -$2,896 F

03 - Arlington

Arlington 004276 Oakwood Nursing and Rehabilitation

LP

02/11/2017 $32,733 $0 $21,276 F

03 - Arlington

Arlington 004725 Heritage Oaks 01/17/2017 $111,551 $72,508 $0 F

03 - Arlington

Arlington 005031 Interlochen Health and

06/29/2016 $49,500 $32,175 $0 F


ID Facility

Visit Exit Date


Rehabilitation

Center

03 -

Arlington

Arlington 005031 Interlochen

Health and Rehabilitation Center

11/10/2016 $44,919 $29,197 $0 F

03 - Arlington

Arlington 005031 Interlochen Health and Rehabilitation

Center

05/03/2017 $36,198 $0 $23,529 F

03 - Arlington

Arlington 102993 Senior Care of Green Oaks

05/25/2017 $4,460 $0 $0 F

03 - Arlington

Benbrook 004606 Benbrook Nursing & Rehabilitation

Center

03/07/2017 $15,548 $0 $15,548 F

03 -

Arlington

Benbrook 004606 Benbrook

Nursing & Rehabilitation Center

03/26/2017 $89,452 $0 $95,299 F

03 - Arlington

Bridgeport 005260 Senior Care Health and Rehabilitation

Center - Bridgeport

01/11/2017 $4,600 $2,990 $0 F

03 - Arlington

Carrollton 105841 Remarkable Healthcare of Prestonwood

03/09/2017 $38,700 $25,155 $0 F

03 - Arlington

Cedar Hill 005101 Cedar Hill Healthcare Center

$26,313 $0 $17,103 F

03 - Arlington

Cedar Hill 005101 Cedar Hill Healthcare

11/20/2016 $10,141 $0 $6,592 F


ID Facility

Visit Exit Date


Center

03 - Arlington

Cedar Hill 102675 Crestview Court

05/18/2017 $6,480 $0 $4,212 F

03 - Arlington

Cleburne 103468 Ridgeview Rehabilitation

and Skilled Nursing

02/01/2017 $541,093 $351,710 $0 $371,287 F

03 - Arlington

Crowley 103223 Senior Care of Crowley

07/14/2016 $15,600 $10,140 $0 F

03 - Arlington

Dallas 004432 The Lennwood Nursing and

Rehabilitation

11/10/2016 $75,379 $0 $51,725 F

03 -

Arlington

Dallas 103496 The

Rehabilitation & Wellness Centre of

Dallas LLC

09/13/2016 $154,852 $100,654 $0 F

03 - Arlington

Dallas 105087 The Hillcrest of North Dallas

04/28/2017 $3,962 $0 $0 F

03 - Arlington

Decatur 004483 Heritage Place of Decatur

03/02/2017 $85,608 $55,645 $0 F

03 - Arlington

Denton 005228 Vintage Health Care Center

01/27/2017 $20,575 $13,374 $0 F

03 - Arlington

Dublin 004058 Golden Age Healthcare

Residence

02/01/2017 $26,659 $0 $17,984 F

03 - Arlington

Duncanville 004512 The Laurenwood

Nursing and Rehabilitation

05/16/2017 $5,602 $0 $5,602 F

03 - Arlington

Fort Worth 000236 Brookdale Broadway

02/01/2017 $37,222 $24,194 $0 F


ID Facility

Visit Exit Date


Cityview

03 - Arlington

Fort Worth 004002 DFW Nursing & Rehab

12/21/2016 $33,603 $0 $34,806 F

03 - Arlington

Fort Worth 004780 Heartland Health Care

Center-Ft. Worth

07/14/2017 $17,807 $0 $10,000 F

03 - Arlington

Fort Worth 004814 Park View Care Center

01/08/2017 $66,779 $66,779 $66,779 $0 F

03 - Arlington

Fort Worth 004822 Fort Worth Manor

$4,207 $0 $4,207 F

03 - Arlington

Fort Worth 004822 Fort Worth Manor

11/18/2016 $25,150 $0 $16,348 F

03 - Arlington

Fort Worth 004979 River Oaks Health and Rehabilitation

Center

12/22/2016 $132,519 $0 $86,137 F

03 - Arlington

Fort Worth 005001 Pennsylvania Nursing and


04/26/2017 $248,731 $0 $248,731 F

03 - Arlington

Fort Worth 005018 Arlington Heights Health and Rehabilitation

Center

$220,730 $0 $203,700 F

03 -

Arlington

Fort Worth 005018 Arlington

Heights Health and Rehabilitation

Center

01/20/2017 $19,763 $12,846 $0 F

03 - Fort Worth 005371 Fireside Lodge 08/04/2016 $30,150 $0 $30,150 F


ID Facility

Visit Exit Date


Arlington Retirement

Center Inc

03 -

Arlington

Fort Worth 102791 Trail Lake

Nursing & Rehabilitation

12/30/2016 $18,000 $0 $18,000 F

03 - Arlington

Fort Worth 103112 Green Valley Healthcare and Rehabilitation Center

09/28/2016 $67,219 $43,692 $0 F

03 - Arlington

Greenville 004381 Greenville Gardens

03/08/2017 $18,998 $12,349 $0 F

03 - Arlington

Greenville 004887 Legend Healthcare and Rehabilitation - Greenville

$10,208 $0 $0 F

03 - Arlington

Greenville 005284 Briarcliff Health Center

of Greenville Inc

02/10/2017 $45,718 $29,717 $0 F

03 - Arlington

Honey Grove 004858 Honey Grove Nursing Center

06/23/2017 $5,050 $0 $3,283 F

03 - Arlington

Italy 004362 Trinity Nursing and

Rehabilitation of Italy LP

04/13/2017 $53,280 $0 $53,280 F

03 - Arlington

Kerens 004621 Kerens Care Center

09/15/2016 $0 $8,705 -$8,705 F

03 - Arlington

Lake Worth 005038 Lake Worth Nursing Home

02/27/2017 $66,000 $0 $66,000 F

03 - Arlington

Lancaster 005115 Lancaster Nursing & Rehabilitation

$10,810 $0 $7,027 F


ID Facility

Visit Exit Date


Center

03 - Arlington

Lancaster 005115 Lancaster Nursing & Rehabilitation

Center

06/21/2017 $3,030 $0 $0 F

03 - Arlington

Lewisville 005103 Lake Village Nursing and


10/14/2016 $68,931 $44,805 $0 F

03 - Arlington

Lewisville 005103 Lake Village Nursing and Rehabilitation Center

11/02/2016 $35,435 $23,033 $0 F

03 - Arlington

Mineral Wells 004938 Mineral Wells Nursing & Rehabilitation

07/05/2017 $10,000 $0 $6,500 F

03 - Arlington

Plano 103427 The Legacy at Willow Bend

$7,405 $0 $0 F

03 - Arlington

Richardson 005152 The Village at Richardson

06/16/2016 $300 $195 $0 F

03 - Arlington

Richland Hills 004660 Lexington Place Nursing

& Rehabilitation

12/02/2016 $137,792 $89,565 $0 F

03 - Arlington

Terrell 004183 Windsor Rehabilitation & Health Care

Center

$20,964 $0 $13,627 F

03 - Arlington

Weatherford 004865 Weatherford Health Care

Center

$24,000 $15,600 $0 F

03 - Weatherford 004865 Weatherford $2,550 $1,658 $0 F


ID Facility

Visit Exit Date


Arlington Health Care

Center

03 -

Arlington

Weatherford 004865 Weatherford

Health Care Center

$40,950 $26,618 $0 F

03 - Arlington

White Settlement

005204 West Side Campus of Care

$26,355 $0 $26,355 F

03 - Arlington

White Settlement


10/18/2016 $140,810 $77,446 $77,446 $0 F

03 - Arlington

White Settlement


04/26/2017 $321,882 $0 $321,882 F

04 - Tyler Athens 004634 Park Highlands Nursing & Rehabilitation

Center

07/01/2016 $87,783 $87,783 $0 F

04 - Tyler Athens 004634 Park Highlands Nursing &


10/04/2016 $43,299 $43,299 $0 F

04 - Tyler Athens 005237 South Place Nursing Center

08/25/2016 $291,003 $0 $291,003 F

04 - Tyler Canton 104845 Canton Oaks 11/01/2016 $119,513 $0 $119,513 F

04 - Tyler Chandler 005223 Chandler

Nursing Center

05/25/2016 $1,300 $2,730 -$1,430 F

04 - Tyler Cooper 004873 Birchwood Nursing and

Rehabilitation LP

09/23/2016 $66,764 $43,397 $0 F

04 - Tyler Emory 005184 Senior Suite 11/28/2016 $42,619 $0 $42,619 F


ID Facility

Visit Exit Date


Care & Rehab

LLC

04 - Tyler Emory 005184 Senior Suite

Care & Rehab LLC

05/01/2017 $426,580 $426,580 $0 $450,336 F

04 - Tyler Gilmer 005293 Focused Care of Gilmer

$79,920 $0 $79,920 F

04 - Tyler Henderson 004499 Autumn Leaves

Nursing and Rehab Inc

02/16/2017 $3,907 $2,540 $0 $2,540 F

04 - Tyler Jacksonville 004803 Twin Oaks Health and Rehabilitation Center

04/07/2016 $73,933 $73,932 $1 F

04 - Tyler Jacksonville 004986 Gardendale Rehabilitation

and Nursing Center

$147,338 $0 $95,770 F

04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and Nursing Center

10/27/2016 $1,900 $0 $0 F

04 - Tyler Jacksonville 102529 Senior Care of Jacksonville

12/12/2016 $3,063 $0 $1,991 F

04 - Tyler Kilgore 101801 Willow Rehab & Nursing

09/01/2016 $114,725 $0 $114,725 F

04 - Tyler Longview 004989 Pine Tree Lodge Nursing

Center

09/30/2016 $113,238 $0 $75,766 F

04 - Tyler Longview 005015 Havencare Nursing and

11/18/2016 $299,991 $10,257 $10,257 $0 F


ID Facility

Visit Exit Date


Rehabilitation

Center LLC

04 - Tyler Longview 005129 Heritage at

Longview Healthcare Center

07/19/2016 $44,700 $29,055 $0 F

04 - Tyler Longview 005217 Summer Meadows

$3,063 $1,991 $0 F

04 - Tyler Longview 005218 Clairmont Longview

12/29/2016 $39,550 $39,550 $0 F

04 - Tyler Longview 005374 Whispering Pines Lodge

$5,812 $2,941 $0 $4,221 F


09/14/2016 $4,063 $2,060 $0 $3,342 F

04 - Tyler Longview 005374 Whispering

Pines Lodge

10/21/2016 $126,410 $64,016 $0 $65,296 F


11/30/2016 $48,825 $0 $33,481 F

04 - Tyler Marshall 004730 Marshall Manor West

11/18/2016 $22,000 $39,368 -$17,368 F

04 - Tyler Marshall 103421 Heritage House of

Marshall Health &


$7,250 $0 $7,250 F

04 - Tyler Marshall 103421 Heritage House of Marshall

Health & Rehabilitation Center

05/25/2017 $113,175 $0 $113,175 F


ID Facility

Visit Exit Date


04 - Tyler Mineola 005037 Mineola

Healthcare Residence

12/13/2016 $3,063 $0 $1,991 F


104115 Greenhill Villas 07/20/2016 $60,500 $46,181 $0 $46,181 F


104115 Greenhill Villas 05/10/2017 $208,335 $133,865 $0 $141,320 F

04 - Tyler Mount Vernon

004659 Mission Manor Healthcare Residence

10/13/2016 $42,350 $27,528 $0 F


06/29/2016 $20,569 $20,569 $0 F


01/05/2017 $74,455 $0 $74,455 F


04/17/2017 $4,407 $151,604 $0 $176,427 F

04 - Tyler Overton 004996 Overton Healthcare Center

04/20/2017 $18,734 $0 $12,177 F

04 - Tyler Paris 004586 Paris Healthcare

Center

10/26/2016 $165,248 $107,411 $0 F

04 - Tyler Pittsburg 004749 Pittsburg Nursing Center

10/05/2016 $291,711 $0 $189,612 F

04 - Tyler Sulphur Springs

103979 Rock Creek Health and Rehabilitation

LLC

07/07/2016 $59,400 $38,610 $38,610 $0 F

04 - Tyler Texarkana 005346 Reunion Plaza 11/22/2016 $27,036 $0 $17,573 F


ID Facility

Visit Exit Date


Senior Care

and Rehabilitation

Center

04 - Tyler Tyler 004633 Colonial Tyler Care Center

03/12/2017 $16,590 $10,784 $0 F

04 - Tyler Tyler 005081 Greenbrier Nursing & Rehabilitation

Center of Tyler

$125,741 $0 $125,741 F

04 - Tyler Tyler 005081 Greenbrier Nursing &

Rehabilitation Center of Tyler

05/05/2017 $6,957 $0 $0 F

04 - Tyler Tyler 005181 Pinecrest Nursing & Rehabilitation

Center

10/16/2016 $3,063 $1,991 $0 F

04 - Tyler Tyler 103323 The Waterton Healthcare &

Rehabilitation

04/13/2017 $3,807 $0 $0 F

04 - Tyler Wills Point 004777 Free State Crestwood

$52,080 $0 $52,080 F

04 - Tyler Wills Point 004777 Free State Crestwood

06/24/2016 $35,400 $23,010 $0 F

05 - Beaumont

Beaumont 103739 Jefferson Nursing and Rehabilitation Center

11/29/2016 $520,187 $313,400 $0 $313,400 F

05 - Beaumont

Carthage 004927 Carthage Healthcare

Center

07/01/2016 $1,900 $1,258 $0 F


ID Facility

Visit Exit Date


05 -

Beaumont

Carthage 005329 Briarcliff

Skilled Nursing Facility

07/18/2017 $12,005 $0 $12,005 F

05 - Beaumont

Center 004320 Holiday Nursing Center

06/29/2016 $3,000 $1,736 $1,265 F

05 - Beaumont

Liberty 005067 Liberty Health Care Center

05/17/2017 $20,965 $20,965 $0 $22,133 F

05 - Beaumont

Livingston 005245 Timberwood Nursing and Rehabilitation

Center

02/21/2017 $3,302 $0 $2,146 F

05 - Beaumont

Lufkin 101371 Castle Pines Health and

Rehabilitation

04/26/2017 $3,812 $0 $0 F

05 - Beaumont

Nacogdoches 005225 Willowbrook Nursing Center

$15,214 $0 $15,214 F

05 - Beaumont


$79,275 $0 $79,275 F

05 - Beaumont


03/03/2017 $3,500 $0 $0 F

05 - Beaumont

Newton 004452 Shady Acres Health and


$456,128 $0 $456,128 F

05 - Beaumont

Newton 004452 Shady Acres Health and Rehabilitation

Center

$42,340 $0 $42,340 F

05 - Beaumont

Port Arthur 004630 Senior Rehabilitation

& Skilled Nursing Center

03/22/2017 $37,887 $0 $37,887 F


ID Facility

Visit Exit Date


05 -

Beaumont

Rusk 004304 Cherokee

Trails Nursing Home

08/11/2016 $1,850 $1,874 $0 F

05 - Beaumont

Rusk 004304 Cherokee Trails Nursing Home

11/15/2016 $254,763 $0 $262,824 F

06 - Houston

Baytown 100001 Baytown Nursing & Rehab Center

01/19/2017 $3,900 $0 $0 F

06 - Houston

Brookshire 004501 Brookshire Residence and Rehabilitation

Center

10/13/2016 $12,759 $12,759 $0 F

06 - Houston

Columbus 004430 Columbus Oaks

Healthcare Community

03/15/2017 $10,204 $0 $10,204 F

06 - Houston

Columbus 004430 Columbus Oaks Healthcare Community

04/27/2017 $49,875 $0 $49,875 F

06 - Houston

Columbus 103831 Trucare Living Centers-Columbus

09/29/2016 $1,600 $2,316 -$1,276 F

06 - Houston

Friendswood 004134 Friendswood Health Care

Center

11/03/2016 $88,487 $57,517 $0 F

06 - Houston

Houston 000120 Clarewood House

Extended Care Center

06/08/2017 $4,097 $0 $4,097 F

06 - Houston 000217 The Forum at 10/28/2015 $1,700 $0 $1,760 F


ID Facility

Visit Exit Date


Houston Memorial

Woods Healthcare

Center

06 - Houston

Houston 000272 University Place Nursing

Center

06/07/2017 $80,314 $0 $80,314 F

06 - Houston

Houston 004000 Seven Acres Jewish Senior

Care Services Inc

12/07/2016 $2,700 $0 $0 F

06 - Houston

Houston 004301 Mission Care Centers-all Seasons

01/14/2017 $32,841 $21,347 $0 F

06 - Houston

Houston 004355 West Janisch Health Care Center

01/12/2017 $3,650 $0 $3,650 F

06 - Houston

Houston 004823 Jacinto City Healthcare Center

10/21/2016 $19,650 $0 $19,650 F

06 - Houston

Houston 005005 Courtyard Residence and Rehabilitation

Center

05/16/2017 $3,702 $0 $3,702 F

06 - Houston

Houston 005056 Westchase Health and


06/20/2017 $8,406 $0 $8,406 F

06 - Houston

Houston 005149 Woodwind Lakes Health and


11/15/2016 $60,135 $0 $39,088 F


ID Facility

Visit Exit Date


06 -

Houston

Houston 005174 St Dominic

Village Rehabilitation and Nursing

Center

$116,850 $75,953 $0 F

06 - Houston

Houston 005174 St Dominic Village

Rehabilitation and Nursing

Center

07/15/2016 $3,900 $0 $0 F

06 - Houston

Houston 100082 The Concierge 10/29/2016 $41,127 $0 $41,127 F

06 - Houston

Houston 102294 Park Manor of Westchase

11/08/2016 $7,113 $4,623 $0 F

06 -

Houston

Houston 103626 Grace Care

Center of Cypress

$7,412 $4,818 $0 F

06 - Houston

Houston 103626 Grace Care Center of Cypress

10/07/2016 $3,900 $0 $0 F

06 - Houston

Houston 103815 Brookdale Willowbrook Place

12/13/2016 $78,600 $51,090 $0 F

06 - Houston

Houston 104200 Legend Oaks Healthcare and Rehabilitation

- North/Willowbrook

08/24/2016 $3,263 $3,263 $0 F

06 - Houston


-

09/26/2016 $207,269 $207,269 $0 F


ID Facility

Visit Exit Date


North/Willowbr

ook

06 -

Houston

Houston 104200 Legend Oaks

Healthcare and Rehabilitation -

North/Willowbrook

01/12/2017 $5,063 $3,291 $0 F

06 - Houston


- North/Willowbrook

02/03/2017 $305,159 $198,353 $0 F

06 - Houston

Houston 104360 Grace Care Center at Veterans

Memorial

09/22/2016 $12,045 $12,045 $0 F

06 -

Houston

Houston 105089 La Hacienda

Nursing & Rehab Center

07/12/2016 $1,800 $1,170 $0 F

06 -

Houston

Houston 105089 La Hacienda

Nursing & Rehab Center

05/05/2017 $8,414 $0 $8,414 F

06 - Houston

Houston 106098 West Houston Rehabilitation and Healthcare Center

$63,108 $43,863 $0 F

06 - Houston

Houston 106098 West Houston Rehabilitation and Healthcare

Center

$206,820 $131,590 $0 F

06 - Houston 106098 West Houston 08/23/2016 $1,600 $0 $0 F


ID Facility

Visit Exit Date


Houston Rehabilitation

and Healthcare Center

06 - Houston

Humble 005208 Oakmont Healthcare and Rehabilitation

Center of Humble

06/15/2017 $131,588 $0 $131,588 F

06 - Houston

Katy 103471 Legend Oaks Health and Rehabilitation

- Katy

08/25/2016 $73,160 $47,554 $0 F

06 - Houston

Lake Jackson 005369 Oak Village Healthcare

$17,505 $0 $17,505 F

06 - Houston

Missouri City 005226 First Colony Health and Rehabilitation

Center

09/11/2016 $207,247 $134,711 $0 F

06 - Houston

Missouri City 005226 First Colony Health and


09/22/2016 $6,969 $4,530 $0 F

06 - Houston

Pasadena 005120 Vista Continuing Care Center

$20,526 $13,342 $0 F

06 - Houston

Pearland 103557 The Colonnades at Reflection Bay

11/19/2016 $48,018 $31,212 $0 F

06 - Houston

Pearland 103557 The Colonnades at Reflection Bay

02/10/2017 $6,712 $4,363 $0 F

06 - Houston

Sugar Land 105314 The Crescent 12/04/2015 $1,500 $1,601 -$101 F


ID Facility

Visit Exit Date


06 -

Houston

Texas City 004549 The Lakes at

Texas City

04/28/2017 $117,180 $0 $117,180 F

06 - Houston

Texas City 005368 Oceanview Healthcare and

Rehabilitation

03/23/2016 $1,950 $0 $0 F

06 - Houston

Texas City 105868 The Rio at Mainland

Center

$30,300 $0 $0 F

06 - Houston


Center

$64,650 $0 $0 F

06 - Houston


Center

08/18/2016 $92,367 $0 $92,367 F

06 - Houston

The Woodlands

104661 Park Manor of The

Woodlands

07/15/2016 $12,318 $12,318 $0 F

06 - Houston

The Woodlands

104661 Park Manor of The

Woodlands

07/20/2017 $9,905 $0 $4,812 F

06 - Houston

The Woodlands

105818 The Broadmoor at

Creekside Park

09/22/2015 $10,000 $1,625 $8,375 F

06 -

Houston

The

Woodlands

105818 The

Broadmoor at Creekside Park

10/12/2016 $1,600 $2,673 -$1,073 F

06 - Houston

Tomball 004890 Tomball Rehab & Nursing

03/02/2017 $64,938 $0 $42,210 F

06 - Houston

Tomball 005135 Lawrence Street Health

Care Center

01/25/2017 $6,113 $3,973 $0 F

06 - Tomball 105652 The Heights of 01/04/2017 $58,146 $0 $58,146 F


ID Facility

Visit Exit Date


Houston Tomball

06 - Houston

Webster 004940 Webster Residence and Rehabilitation

Center

$23,845 $0 $23,845 F

06 - Houston

Webster 004940 Webster Residence and


06/09/2017 $57,770 $0 $57,770 F

07 - Austin

Austin 000213 Brookdale Westlake Hills

10/12/2016 $3,063 $0 $1,991 F

07 - Austin

Austin 000213 Brookdale Westlake Hills

03/31/2017 $2,097 $0 $1,170 F

07 - Austin

Bastrop 004874 Bastrop Nursing Center

$25,696 $16,702 $0 F

07 -

Austin

Bastrop 004874 Bastrop

Nursing Center

11/10/2016 $2,000 $0 $0 F

07 - Austin

Bastrop 005247 Silver Pines Nursing and

Rehabilitation LP

05/12/2017 $8,571 $0 $8,571 F

07 - Austin

Bremond 005161 Bremond Nursing and Rehabilitation Center

02/08/2017 $43,799 $0 $28,469 F

07 - Austin

Bryan 004431 Sherwood Health Care

Inc

03/02/2015 $3,750 $0 $0 F

07 - Austin

Caldwell 103889 Copperas Hollow Nursing

& Rehabilitation

02/03/2017 $347,669 $0 $225,985 F


ID Facility

Visit Exit Date


Center

07 - Austin

Cameron 004140 Cameron Nursing and Rehab

09/19/2016 $96,675 $0 $96,675 F

07 - Austin

Centerville 004907 Centerville Healthcare Center

09/29/2016 $108,144 $70,294 $0 F

07 - Austin

Centerville 004907 Centerville Healthcare Center

02/01/2017 $77,231 $0 $50,200 F

07 - Austin

Copperas Cove

005154 Copperas Cove LTC Partners Inc

10/16/2016 $73,930 $0 $73,930 F

07 - Austin

Fairfield 102704 Fairfield Nursing & Rehabilitation

Center

01/26/2017 $6,812 $0 $6,812 F

07 - Austin

Hutto 106146 Falcon Ridge Rehabilitation

09/09/2016 $38,411 $38,411 $0 F

07 - Austin

Navasota 102540 Golden Creek Healthcare and Rehabilitation

Center

02/18/2017 $46,348 $0 $46,348 F

07 - Austin

Navasota 102540 Golden Creek Healthcare and


06/13/2017 $19,350 $0 $19,350 F

07 - Austin

Rockdale 004184 Renaissance Villa

08/26/2016 $121,692 $32,032 $96,097 F

07 -

Austin

San Saba 004476 Pecan Valley


07/29/2016 $171,765 $171,765 $0 F


ID Facility

Visit Exit Date


07 -

Austin

Waco 004025 Crestview


$20,628 $0 $13,862 F

07 - Austin

Waco 004025 Crestview Healthcare Residence

01/25/2017 $11,313 $0 $11,313 F

07 - Austin

Waco 004390 Lake Shore Village Healthcare Center

12/30/2016 $20,376 $13,244 $0 F

07 - Austin

Waco 101740 Wesley Woods Health &

Rehabilitation

01/27/2017 $3,663 $0 $1,300 F

07 - Austin

Waco 101740 Wesley Woods Health &

Rehabilitation

04/11/2017 $10,521 $0 $10,521 F

08 - San Antonio

Bandera 103936 Bandera Nursing &

Rehab Center

$4,957 $0 $3,222 F

08 - San Antonio

Boerne 004736 Town and Country Manor

$15,263 $9,921 $0 F

08 - San Antonio

Boerne 004736 Town and Country Manor

11/10/2016 $20,706 $20,706 $0 F

08 - San

Antonio

Castroville 005311 Medina Valley

Health & Rehabilitation Center

03/07/2017 $131,087 $0 $131,087 F

08 - San Antonio

Cotulla 104666 Las Palmas 08/09/2016 $259,300 $105,625 $105,625 $0 F

08 - San Antonio

Fredericksburg

004518 Knopp Healthcare and Rehab Center

05/19/2017 $31,815 $0 $31,815 F


ID Facility

Visit Exit Date


Inc

08 - San Antonio

Gonzales 004455 Texan Nursing & Rehab of Gonzales

01/05/2017 $65,387 $65,387 $0 F

08 - San Antonio

Kerrville 004772 Edgewater Care Center

05/18/2016 $93,633 $93,633 $0 F

08 - San Antonio

La Vernia 005299 Country Care Manor

10/19/2016 $104,725 $104,725 $0 F

08 - San Antonio

San Antonio 004107 Normandy Terrace Nursing &


05/13/2017 $242,343 $0 $242,343 F

08 - San Antonio

San Antonio 004159 Highland Nursing Center

01/21/2017 $67,950 $0 $67,950 S

08 - San

Antonio

San Antonio 005124 The Chandler

Estate in Laurel Heights

$25,000 $0 $25,000 F

08 - San Antonio

San Antonio 005124 The Chandler Estate in Laurel Heights

$2,310 $0 $2,310 F

08 - San Antonio

San Antonio 005124 The Chandler Estate in Laurel Heights

06/16/2017 $10,000 $0 $0 F

08 - San Antonio

San Antonio 005233 Sunrise Nursing and Rehabilitation

Center

07/27/2016 $87,627 $87,627 $0 F

08 - San Antonio

San Antonio 104747 SCC at Westover Hills

Rehabilitation and Healthcare

08/03/2016 $103,600 $67,340 $0 F


ID Facility

Visit Exit Date


Center

08 - San Antonio

San Antonio 106546 Windemere at Westover Hills

05/30/2017 $17,807 $0 $0 F

08 - San Antonio

Schertz 004796 Autumn Winds Living &

Rehabilitation

08/30/2016 $60,846 $38,732 $0 $38,732 F

08 - San Antonio

Schertz 004796 Autumn Winds Living &

Rehabilitation

10/17/2016 $58,328 $38,732 $0 $38,732 F

08 - San Antonio

Seguin 004572 Windsor Nursing and

Rehabilitation Center of

Seguin

06/05/2017 $6,152 $0 $3,999 F

08 - San Antonio

Seguin 005280 Guadalupe Valley Nursing

Center

05/15/2017 $51,036 $0 $51,036 F

08 - San Antonio

Seguin 104646 Remarkable Healthcare of

Seguin

$7,235 $0 $7,235 F

09 - Abilene

Big Spring 005294 Parkview Nursing and


04/06/2017 $2,000 $0 $2,000 F

09 - Abilene

Big Spring 100429 Lamun-Lusk-Sanchez Texas State Veterans

Home

$16,315 $1,075 $0 $1,075 F

09 - Abilene

Big Spring 100429 Lamun-Lusk-Sanchez Texas

State Veterans Home

01/27/2017 $135,104 $89,225 $0 $89,225 F


ID Facility

Visit Exit Date


09 -

Abilene

Big Spring 106046 Big Spring

Center for Skilled Care

12/19/2016 $3,063 $0 $1,170 F

09 - Abilene

Lamesa 004672 Sage Healthcare Center

09/01/2016 $169,120 $0 $169,120 F

09 - Abilene

Midland 004982 Rockwood Manor

$8,750 $0 $8,750 F

09 - Abilene


12/02/2016 $436,987 $327,740 $0 $327,740 F

09 - Abilene


03/20/2017 $4,600 $0 $4,600 F

09 - Abilene

Midland 005136 Terrace West Nursing and Rehabilitation LP

10/24/2016 $1,850 $0 $0 F

09 - Abilene

Odessa 004164 Deerings Nursing and Rehabilitation

LP

09/20/2016 $66,402 $43,161 $0 F

09 - Abilene

San Angelo 000170 Senior Care of Meadow Creek

02/03/2017 $24,780 $0 $16,107 F

09 - Abilene

San Angelo 009022 Shannon Medical Center

07/11/2017 $10,000 $0 $4,097 F

09 - Abilene

San Angelo 102530 Senior Care of San Angelo

$7,157 $0 $0 F

09 - Abilene

San Angelo 102530 Senior Care of San Angelo

06/09/2017 $7,157 $0 $0 F

10 - El Paso

El Paso 004791 Mountain View Health & Rehabilitation

06/08/2016 $2,650 $2,650 $0 F

10 - El El Paso 004791 Mountain View 03/09/2017 $19,185 $0 $12,470 F


ID Facility

Visit Exit Date


Paso Health &

Rehabilitation

10 - El

Paso

El Paso 004791 Mountain View

Health & Rehabilitation

06/01/2017 $3,220 $0 $2,093 F

10 - El Paso

El Paso 004994 Mesa Hills Healthcare Residence

$91,000 $0 $91,000 F

10 - El Paso

El Paso 004994 Mesa Hills Healthcare Residence

05/08/2017 $4,207 $0 $0 F

10 - El Paso

El Paso 005239 Pebble Creek Nursing Center

$63,210 $0 $63,210 F

10 - El Paso

El Paso 005239 Pebble Creek Nursing Center

05/05/2017 $222,642 $0 $222,642 F

10 - El Paso

El Paso 005380 Mountain Villa Nursing Center

08/26/2016 $63,919 $0 $41,547 F

10 - El Paso

El Paso 005404 Regent Care Center of El Paso

07/29/2016 $9,450 $9,450 $0 F

10 - El Paso

El Paso 105607 St. Teresa Nursing and Rehabilitation Center

$19,763 $12,846 $12,846 $0 F

10 - El Paso

El Paso 105607 St. Teresa Nursing and


02/09/2017 $4,457 $421 $4,095 F

10 - El

Paso

El Paso 106109 St Giles


$2,801 $0 $0 F


ID Facility

Visit Exit Date


10 - El

Paso

Socorro 106362 Las Ventanas

de Socorro

09/26/2016 $15,863 $15,863 -$9,688 F

11 - Corpus

Christi

Brownsville 106540 The Rio at Fox Hollow

12/21/2016 $2,000 $2,641 -$641 F

11 - Corpus

Christi

Corpus Christi

004567 Retama Manor Nursing Center

08/25/2016 $107,460 $69,849 $0 F

11 - Corpus

Christi

Corpus Christi

004894 The Palms Nursing and

Rehabilitation LP

$24,200 $0 $0 F

11 - Corpus Christi

Corpus Christi

004894 The Palms Nursing and Rehabilitation

LP

11/10/2016 $20,604 $13,393 $0 F

11 - Corpus

Christi

Corpus Christi

005006 Trisun Care Center-

Westwood

12/21/2016 $141,592 $0 $92,035 F

11 - Corpus

Christi

Corpus Christi

005114 Harbor View Care Center

05/10/2016 $194,550 $50,000 $0 $50,626 F

11 - Corpus

Christi

Corpus Christi

005114 Vista del Mar Health &

Rehabilitation

08/25/2016 $109,530 $117,553 $0 $117,553 F

11 - Corpus

Christi

Corpus Christi

005351 Trisun Care Center-River

Ridge

07/21/2017 $7,457 $0 $0 F

11 - Corpus

Christi

Corpus Christi

102639 Corpus Christi Nursing and


12/17/2016 $37,380 $0 $37,380 F


ID Facility

Visit Exit Date


11 -

Corpus Christi

Harlingen 005358 Harlingen


01/05/2017 $8,113 $5,273 $0 F

11 - Corpus Christi

Kingsville 004571 Kleberg County Nursing and

Rehabilitation LP

04/13/2017 $78,900 $0 $51,285 F

11 - Corpus Christi

Kingsville 004571 Kleberg County Nursing and

Rehabilitation LP

05/26/2017 $111,520 $0 $72,488 F

11 - Corpus Christi

Laredo 005303 Regent Care Center of Laredo

09/01/2016 $3,700 $6,113 -$2,413 F

11 - Corpus Christi

Rio Grande City

102773 Rio Grande City Nursing and


12/14/2016 $6,113 $3,973 $0 F

11 - Corpus Christi

Rockport 005295 Oak Crest Nursing Center

04/18/2017 $206,299 $0 $134,094 F

11 - Corpus Christi

San Juan 004540 San Juan Nursing Home Inc

10/12/2016 $2,000 $2,316 -$1,016 F

11 - Corpus Christi

Weslaco 004636 Valley Grande Manor

$6,152 $0 $6,152 F

Totals $17,749,205 $2,521,138 $4,101,899

294 Total nursing facility civil money penalties imposed.

Notes:

1. The imposed column is the total amount of penalty after the review and confirmation of the civil money penalty citation and amount. This is the amount due and payable if no alternative amount results from an appeal held or if

no settlement agreement reached.

2. The assessed column is the amount due after the appeal process has been completed (or an agreement to settle

has been reached) and a final amount has been decided, or the facility consents to the administrative penalty, fails to respond to the department’s notice letter in a timely manner, or fails to correct the violation to the department’s satisfaction.

3. The Y/N Waiver column has a “Y” if the facility requested to waive appeal rights in order to receive a 35 percent reduction in the amount of the civil money penalty. An “N” indicates the facility did not request to waive its

appeal rights.

4. The waiver 35% amount is the total amount of the penalty due if the facility chose to waive its appeal rights in order to receive a 35 percent reduction.

5. The collected column is the amount of money the facility has paid.

6. The balance column is the amount of penalty the facility owes. The amount in this column does not necessarily reflect the final amount the facility may owe. The amounts can change based on a hearing or negotiated

settlement. Since these amounts may change, there is no total for this column.

7. The “IA” column indicates the imposing authority. An “F” (federal) appears for Centers for Medicare and Medicaid Services-imposed penalties and an “S” (state) appears for state-imposed penalties. The state imposes civil money

penalties on Medicaid-only facilities.

Nursing Facility Complaint and Incident Intakes

Complaints

A complaint is any allegation received by the state regulatory agency other than an

incident reported by the facility. Such allegations include, but are not limited to, abuse, neglect, exploitation, or violation of state or federal standards and can be reported by

residents, family members or others.

Incidents

An incident is an official notification to the state survey agency from a nursing facility

provider that the physical or mental health or welfare of a resident has been or might be adversely affected by mistreatment, neglect, or abuse. These reports also include injuries

of unknown source and exploitation or misappropriation of resident property.

Priority Assignment

The regulatory agency’s intake unit evaluates each complaint or incident based on its

unique circumstances and assigns priorities accordingly. When timeliness is crucial to the health and safety of a resident(s), such as in a situation of heating or air conditioner

equipment failure, alleged staff walkout, etc., an investigation can be initiated immediately by telephone, regardless of the priority code assignment. After the initial telephone contact, an on- site visit is conducted according to the timeframe specified by

the priority assignment. The priorities available for a nursing facility are:

On or before 24 hours




Professional review

Financial (Medicaid facilities only)

Withdrawn

Not required


Immediate response by the state agency is warranted because a provider allegedly

created or allowed a present and ongoing situation in which the provider’s noncompliance with one or more requirements of licensure or certification has failed to protect residents

from abuse, neglect, or mistreatment or has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.


The present or ongoing threat of continued abuse, neglect, or mistreatment has been

removed. The resident is no longer in imminent danger; however, the provider’s alleged noncompliance with one or more requirements of licensure or certification may have or has a high potential to cause harm that impacts a resident’s mental, physical, or

psychosocial status and is of such consequence that a rapid response by the state is indicated. There is evidence or suspicion that system(s) failure contributed to or brought

on the threat. Usually, specific rather than general information (e.g., descriptive identifiers, individual names, date, time, location of occurrence, description of harm) will factor into the assignment of this level of priority.


A provider’s alleged noncompliance with one or more requirements of licensure or

certification has caused or may cause harm that is of limited consequence and does not significantly impair the resident’s mental, physical, or psychosocial status.


A provider’s alleged noncompliance with one or more requirements of licensure or

certification has a low potential for more than minimal harm or resulted in physical, mental, or psychosocial harm that did not directly affect consumer or resident health and

safety and functional status. This priority also can be assigned for alleged violations of regulations that do not directly impact resident health and safety.

Professional Review

A provider who has cause to believe that the physical or mental health or welfare of a

resident has been or may be adversely affected by mistreatment, neglect, or abuse must self-report to the state survey agency immediately upon learning of the alleged conduct or conditions. This notice could include injuries of unknown source and exploitation/

misappropriation of resident property.

Complaint and incident intake unit staff assign a professional review priority when a

provider self- reports an incident and indicates that the provider’s immediate corrective action is reasonably likely to ensure that abuse, neglect, mistreatment, or injury to the resident will not occur again, or at least not while the provider conducts its investigation

and an intake specialist reviews the provider’s written investigation report.

Based on review of the facility investigation report, if further investigation is warranted to

assess whether the provider’s abuse prohibition policies ensure compliance with regulatory requirements, the intake unit will send notification to regulatory regional staff to schedule an on-site investigation.

Financial (Medicaid Facilities Only)

These investigations involve complaint allegations related to a Medicaid-certified nursing facility’s failure to appropriately manage resident trust funds or applied income, or failure to reimburse prorated refunds due to a resident when the resident is admitted to a

Medicaid bed or has been discharged.

Withdrawn

A complaint report filed with the state is withdrawn at the request of the complainant, except when abuse, neglect, or exploitation is alleged. Please refer to Survey and

Certification Clarification 15-01 (https://www.dads.state.tx.us/providers/communications/2015/scc/SCC2015-01.pdf).

Not Required

The state determines it has no jurisdiction to investigate a complaint or a referral, or a

report to another agency, board, or entity is required.


Nursing Facility All Intakes by Priority and Region for FY 2017

Intake Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 337 284 1,690 572 370 1,131 838 953 209 137 379 6,900

On or before 30 days 263 233 1,849 607 354 1,049 753 844 167 105 346 6,570

On or before 45 days 282 248 1,925 603 332 779 720 773 145 95 295 6,197

Professional review 210 186 1,646 552 277 535 508 519 113 93 246 4,885

Financial 24 12 158 41 26 94 86 99 11 19 29 599

Withdrawn 8 6 25 8 8 4 8 12 1 1 2 83

Not required 5 6 16 8 2 15 9 15 5 2 5 88

Total 1,168 1,011 7,573 2,468 1,414 3,792 3,021 3,347 672 470 1,357 26,293

Nursing Facility Complaints by Priority and Region for FY 2017

Complaint Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 143 145 985 299 174 766 485 528 84 72 174 3,855

On or before 30 days 118 119 1,019 281 172 671 437 482 77 56 166 3,598

On or before

45 days 81 81 491 114 92 265 209 263 36 22 96 1,750

Financial 24 12 156 41 26 93 85 99 11 19 29 595

Complaint

Priority 01 02 03 04 05 06 07 08 09 10 11 Total

Withdrawn 8 6 25 8 8 4 8 12 1 1 2 83

Not required 1 1 1 1 0 2 0 4 1 0 1 12

Total 410 397 2,930 819 516 1,979 1,318 1,510 231 188 519 10,817

Nursing Facility Incidents by Priority and Region for FY 2017

Incident Priority

01 02 03 04 05 06 07 08 09 10 11 Total


On or before 14 days 194 139 705 273 196 365 353 425 125 65 205 3,045

On or before 30 days 145 114 830 326 182 378 316 362 90 49 180 2,972

On or before 45 days 201 167 1,434 489 240 514 511 510 109 73 199 4,447

Professional review 210 186 1,646 552 277 535 508 519 113 93 246 4,885

Financial 0 0 2 0 0 1 1 0 0 0 0 4

Not required 4 5 15 7 2 13 9 11 4 2 4 76

Total 758 614 4,643 1,649 898 1,813 1,703 1,837 441 282 838 15,476

Nursing Facility Actions Compared Over Multiple Fiscal Years

Nursing Facility Administrative Penalties Imposed and Assessed for FY 2013–2017

75

39 40

5156

59

10 86

0

10

20

30

40

50

60

70

80


Imposed Assessed

Nursing Facility Denial of Payment for New Admissions for FY 2013–2017

Nursing Facility Civil Money Penalties Imposed for FY 2013–2017

88 90

83

39

61

0

10

20

30

40

50

60

70

80

90

100


236

287267 259

292

4 7 4 3 20

50

100

150

200

250

300

350


Federal State

Nursing Facility Complaint and Incident Intakes for FY 2013–2017

8,157

8,999

9,80110,159

10,81710,741

11,348

12,620

13,456

15,476

8,000

10,000

12,000

14,000

16,000



Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Section

Home and Community-based Services (HCS) and Texas Home Living (TxHmL)

Contracts

The tables below contain information relating to the Home and Community-based

Services and Texas Home Living waiver programs, by category, for fiscal year (FY) 2017.

Vendor Hold

If the state regulatory agency determines that the program provider is not in compliance

at the end of the follow-up review, it places a vendor hold on payments due to the program provider. The state conducts a second on-site follow-up review between 30 and

45 calendar days after the effective date of the vendor hold.

Denial of Certification

If the state determines that the program provider is not in compliance at the end of the

follow-up review to vendor hold, it denies certification of the program provider and recommends termination of its waiver program provider agreement.

The state can deny certification of a program provider’s contract if there is a hazard to the health, safety, or welfare of residents and the hazard is not eliminated before the end of any review, or based on a program provider’s serious or pervasive noncompliance with

one or more of the program principles.

Home and Community-based Services Actions by Contract Area for FY 2017

Type of Remedy 01 02 03 04 05 06 07 08 09 Totals

Vendor hold 0 0 0 0 1 2 1 0 0 4

Denial of certification 0 0 0 0 1 0 0 0 1 2

Texas Home Living Actions by Contract Area for FY 2017

Type of Remedy 01 02 03 04 05 06 07 08 09 Totals

Vendor hold 0 0 0 0 0 0 0 0 0 0

Denial of certification 0 0 0 0 0 0 0 0 0 0

Home and Community-based Services Vendor Holds for FY 2017

Waiver Contract

Area

Waiver Contract City

Contract Number

Contract Visit Exit Date

5 Houston 1009563 Adonai Health Care Services

09/12/2016

6 Austin 1008961 All for One Services, LLC

06/02/2017

6 Austin 1008611 Brandon Trimone Modkins

06/02/2017

7 San Antonio 1021650 Andrew M. Contreras III / Miracles Happen

07/07/2017

4 Total Home and Community-based Services vendor holds.

Texas Home Living Vendor Holds for FY 2017

DADS did not recommend vendor hold for any Texas Home Living in FY 2017.

Home and Community-based Services Denials of Certification for FY 2017

Waiver

Contract Area

Waiver

Contract City

Contract

Number Contract Visit Exit Date

5 Houston 1009134 Meridian Living Center, Inc

07/17/2017

9 Corpus Christi 1007518

Educare

Community Living Corporation - Texas

01/27/2017

2 Total Home and Community-based Services denials of certification.

Note:

These are recommendations for Denial of Certification as a result of certification

reviews conducted by Waiver Survey and Certification staff.

Texas Home Living Denial of Certifications for FY 2017

DADS did not recommend denial of certification for any Texas Home Living in FY 2017.

Home and Community-based Services and Texas Home Living Complaints and Referrals

Complaints

Complaints are received by the regulatory complaint and incident intake unit. If it determines regulatory action is required, the complaint is referred to regulatory staff,

which reviews the complaint to determine follow-up actions.

The actions are determined by:

The severity of the complaint

The number and severity of other complaints received about that program provider

The pattern and trends of any reported abuse, neglect, or exploitation associated with the program provider

The performance of the program provider on certification reviews

Desk Review

The state regulatory agency completes a desk review of the complaint if it is determined

that there is low risk to those served by that program provider. The determination of low risk is made if the complaint did not involve issues that relate to the health or safety of

those served and if contact with the program provider indicates the situation has been satisfactorily resolved.

On-Site Visit

The state conducts an on-site visit if there is significant risk to the clients involved in the complaint. If the program provider is found to be out of compliance with one or more

program principles, the results are recorded in a certification review.

Home and Community-based Services and Texas Home Living Complaints for FY 2017

Waiver Program Received by CRS

Referred to WS&C

On-site

Review Conducted


5,467 42 25

Texas Home Living 47 1 0

Total 5,514 43 25

Waiver Contract Actions Compared Over Multiple Fiscal Years

Waiver Contract Vendor Holds for FY 2013–2017

Waiver Contract Denial of Certifications for FY 2013–2017

6

14

11

7

4

2 2

0

2

00

5

10

15


HCS TxHmL

1213

6

9

2

01

2

0 00

5

10

15


HCS TxHmL

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