hhsc long-term care regulatory annual report for fiscal
TRANSCRIPT
Long-term Care
Regulatory
Annual Report for
Fiscal Year 2018
As Required by
Texas Human Services Code
§242.005
Texas Human Resources Code
§21.011
Texas Government Code
§321.013(c)
Texas Health and Human Services Commission
January 2019
ii
Table of Contents
Executive Summary ............................................................................... 1
1. Introduction ...................................................................................... 2
2. Background ....................................................................................... 4
3. Trends in Long-term Care .................................................................. 6 Facility Capacity and Occupancy .............................................................. 6
Enforcement ......................................................................................... 6 Complaints and Incidents ....................................................................... 7
Visits and Contacts ................................................................................ 7
4. Projects, Initiatives, and Accomplishments ....................................... 9 Joint Trainings with Providers .................................................................. 9
Paperless Referral Process ...................................................................... 9 Resource Allocation................................................................................ 9
Immediate Jeopardy Reviews ................................................................ 10 Investigation Process Redesign ............................................................. 10 Texas Unified Licensure Information Portal (TULIP) .................................. 10
5. Statutory Policy Recommendations ................................................. 11 Fingerprint Checks for Certified Nurse Aides and Medication Aides ............. 11
6. Conclusion ....................................................................................... 12
List of Acronyms .................................................................................. 13
Appendix A. Assisted Living Facility (ALF) and Unlicensed Facility..... A-1
Assisted Living Facility and Unlicensed Facility Actions............................ A-1 Assisted Living and Unlicensed Facility Complaint and Incident Intakes ... A-15
Appendix B. Credentialing Programs ................................................... B-1 Credentialing Program Activity ............................................................ B-1
Appendix C. Day Activity and Health Services (DAHS) Facility ........... C-1
Day Activity and Health Services Facility Actions ................................... C-1 Day Activity and Health Services Facility Complaint and Incident Intakes.. C-8
Appendix D. Home and Community Support Services Agency (HCSSA)D-1 Home and Community Support Services Agency Actions ......................... D-1 Home and Community Support Services Agency Complaint and Incident
Intakes ...................................................................................... D-59
Appendix E. Intermediate Care Facility for Individuals with an Intellectual
Disability or Related Conditions (ICF/IID) ..................................... E-1
iii
Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions Actions .............................................................. E-1
Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions Complaint and Incident Intakes ............................. 10
Appendix F. Nursing Facility (NF) ....................................................... F-1 Nursing Facility Actions ....................................................................... F-1 Nursing Facility Complaint and Incident Intakes ................................... F-43
Appendix G. Trends ............................................................................. G-1 Trends in Long-Term Care Facilities, Home and Community Support Services
Agencies, and Waiver Programs ...................................................... G-1 Top 10 Rankings ............................................................................. G-32
Appendix H. Waiver Programs - Home and Community-based Services
(HCS) and Texas Home Living (TxHmL) .......................................... H-1 Home and Community-based Services and Texas Home Living Contracts.. H-1
Home and Community-based Services and Texas Home Living Complaints and Referrals ...................................................................................... H-3
1
Executive Summary
The Health and Human Services Commission’s (HHSC) Long-term Care Regulatory
(LTCR) program regulates facilities, agencies, programs, and individual providers of
long-term care services in Texas. LTCR is required by statute to prepare this annual
report on the operation and administration of the department’s responsibilities. The
Texas Health and Safety Code (§242.005) requires that the Legislative Budget
Board and the state auditor jointly prescribe the form and content of the report,
subject to the Texas Government Code (§321.013 (c)) for the state auditor. This
report also fulfills the LTCR portion of the annual report required in Texas Human
Resources Code (§21.011).
This report provides data on the number of providers licensed and/or certified,
LTCR visits and contacts with these providers, and any ensuing enforcement actions
taken against providers for failing to meet their regulatory obligations. As the
number of long-term care providers in Texas continues to increase, LTCR must
inspect, license, and investigate a higher number of complaints and incidents.
LTCR continually strives to increase its quality, consistency, efficiency, and
accountability as it carries out its regulatory responsibilities. LTCR includes a policy,
rules, and training section to assist the department in meeting these goals. Multiple
projects and initiatives have been accomplished or are in progress, including:
joint trainings with providers;
a paperless referral process;
a strategic reallocation of resources;
quality reviews of “immediate jeopardy” violations;
a redesigned investigation process; and
implementation of an online licensure portal.
During the 2019 legislative session, LTCR looks forward to working with lawmakers
on any statutory initiatives they identify to strengthen the state’s oversight of long-
term care settings to further protect public health and safety.
2
1. Introduction
The Regulatory Services LTCR program’s mission is 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. 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,
including requesting additional front-line staff positions.
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
● enforcement actions
● 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 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
3
contract enrollment, contract renewals, contract amendments, changes of
ownership, and facility relocations.
The LTCR program is also 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
4
2. 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. According to a demographer with the U.S. Census Bureau, “The aging of
baby boomers means that within just a couple decades, older people are projected
to outnumber children for the first time in U.S. history”. 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 state population. Rates of disability and
serious chronic illness tend to increase with age. This rapid increase in the number
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of the oldest people is expected to increase the need for long-term services and
supports. (Source: Texas State Plan on Aging 2015-2017)
6
3. Trends in Long-term Care
Facility Capacity and Occupancy
Along with the aging population, Texas has seen a steady or increasing need for NF
and ALF beds. The number of ALFs and NFs has increased by 11 percent and 2
percent since 2014, respectively. ICFs/IID and DAHS facilities decreased during this
same period. HHSC also licensed its first PPECC facility in 2018.
ALFs continue to be the fastest-growing segment of long-term care in Texas. From
2011 to 2018, the number of these facilities grew faster than any other provider
type. In 2011, Texas had 33,182 ALF residents; in 2018, it had 45,546. This trend
reflects the fact that more consumers are choosing ALFs as an alternative to NF
care, in part because residents might need assistance with activities of daily living
but do not necessarily need the medical care provided by a NF.
Occupancy rates for some facility types continue to be low, ranging from 51.1
percent for DAHS to 69.8 percent in ICFs/IID in 2018. When the occupancy data for
ICFs/IID are broken down between the state operated state supported living
centers versus private and community-based facilities, state operated facilities have
a much lower occupancy rate (49.7 percent compared to 92.5 percent). As
advocates encouraged these individuals to transition from institutional to
community-based settings, the Texas Legislature in the early 1990s imposed a
moratorium on new ICFs/IID. With an occupancy rate of 92.5 percent in private and
community operated facilities, some stakeholders have expressed interest in
increasing ICF/IID capacity.
Enforcement
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. In 2018, 416 CMPs were imposed on Texas
facilities, compared to 292 in 2017. The total state amount received from CMPs was
$8,218,224.
7
For NFs, the number of imposed and assessed administrative penalties also
increased from 2017 to 2018. HHSC imposed 64 administrative penalties
(compared to 56 in 2017) and assessed 17 administrative penalties (compared to
six in 2017).
Complaints and Incidents
To protect the health and safety of individuals receiving long-term care services,
Regulatory Services’ Complaint and Incident Intake staff fields and triages
complaints about providers as well as incidents self-reported by providers.
Complaints and incidents are then sent to the Survey Operations team to
investigate within prescribed timeframes based on the severity of the situation. The
workload of LTCR survey staff for comprehensive licensure surveys is predictable.
However, the number of complaints and incidents is highly variable and has a
tremendous impact on workloads.
For ALFs, the number of both complaints and incidents increased since fiscal year
2013 by 11 percent, with a five-year high in complaints (1,956 to 2,580, a 32
percent increase since fiscal year 2013) and a five-year increasing trend in
incidents (1,096 to 2,370, a 116 percent increase since fiscal year 2013).
LTCR also investigated a substantially higher number complaints and incidents
regarding NFs, with a five-year increasing trend in both. The number of complaints
increased 36.8 percent since 2013 (8,157 to 11,160) and the number of incidents
increased 52.3 percent in the same period (10,741 to 16,363).
Visits and Contacts
The number of visits and contacts that LTCR has with facilities, agencies, and other
LTC providers is affected by the number of providers, the number of complaints and
incidents, and the availability of staff to complete the task. Staffing challenges,
including the loss of positions in fiscal year 2018, hindered the program’s ability to
complete visits and contracts in prescribed timeframes.
The total number of facility contacts and visits decreased by 14 percent (3,075
visits) in fiscal year 2018 compared to fiscal year 2017. Most of this decrease was
for state licensed-only providers – ALFs saw a 24 percent decrease; DAHS saw a 21
percent decrease. However, the total number of HCSSA contacts and visits
increased in fiscal year 2018 compared to fiscal year 2017 by 16.8 percent to its
highest level in five years (4,500 visits/contacts).
8
The number of reviews of waiver programs (reviews completed at the contract
level) decreased by 8.5 percent in fiscal year 2018 (1,287 reviews) compared to
fiscal year 2017 (1,407 reviews). The decrease can be seen in both Home and
Community-based Services reviews (951 reviews in fiscal year 2018 compared to
994 reviews in fiscal year 2017) and Texas Home Living reviews (336 reviews in
fiscal year 2018 compared to 413 reviews in fiscal year 2017). However, the
number of Home and Community-based Services residential reviews (reviews
completed in every home with a residential component) increased by 23.4 percent
(15,120 reviews in fiscal year 2018 compared to 12,248 reviews in fiscal year
2017). The majority of these reviews were completed on the residential component
in foster care (81.5 percent).
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4. Projects, Initiatives, and Accomplishments
The LTCR program strives to continuously improve on measures of quality,
consistency, efficiency, and accountability and has undertaken a variety of
initiatives to improve the services it provides to consumers, providers, and other
stakeholders. Many of these efforts focus on improving the consistency of the
survey process so that regulated entities are surveyed or investigated similarly
across the state.
Joint Trainings with Providers
HHSC will continue conducting joint trainings for both regulatory surveyors and
providers as part of its effort to improve its own consistency as well as the LTC
services provided to individuals. These well-attended joint trainings have generated
positive reviews from providers and survey staff alike. Courses are available for
NFs, ICFs/IID, ALFs and home health providers, and all are listed on the HHSC
website.
Paperless Referral Process
A streamlined, paperless process was implemented in 2018 for survey staff to refer
nursing facility administrators, medication aides, and certified nurse aides to
enforcement staff to assess appropriate penalties on these professionals for
violating certain regulations. This new process has significantly increased the
efficiency and consistency in how these referrals are conducted internally.
Resource Allocation
During the 2017 legislative session, 74 vacant full-time equivalent (FTE) positions
in LTCR were eliminated during the appropriations process for the 2018-19
biennium. In 2018, HHSC leadership received approval to transfer funding for 81
FTEs from other HHSC budget strategies to Regulatory Services, many of which
were for LTCR surveyor positions. This reinstatement of positions significantly
increased LTCR’s ability to meet federal and state requirements.
10
Immediate Jeopardy Reviews
To improve consistency, the LTCR leadership team has continued to expand the
immediate jeopardy (IJ) call project statewide in 2018. During these calls, 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 process has
improved consistency statewide in determining what constitutes an IJ and has
helped surveyors gain the skills to better assess IJ situations.
Investigation Process Redesign
LTCR is redesigning the complaint and incident investigation process to ensure
more consistent, thorough investigations. This effort emphasizes investigator off-
site preparation before going on-site to investigate, as well as a streamlining of the
reports they write detailing the results of their investigations. This effort has made
it easier for providers to identify the salient aspects of the investigation and better
understand the determinations made by LTCR surveyors. The process has already
been implemented in the NF program; other programs will adopt the process in the
coming year.
Texas Unified Licensure Information Portal (TULIP)
In early September, LTCR launched a web-based licensure system for licensed long-
term care providers. TULIP allows long-term care providers to conduct all state
licensure activities online, and HHSC will be phasing out paper licensure
applications. This system is expected to create numerous efficiencies and
conveniences for providers and LTCR staff alike. More specifically, providers are
now able to apply online for initial licenses, request license renewals online, and
pay any licensing fees online. They also now have immediate, anytime access to
the status of their license applications. LTCR will continue coordinating closely with
providers, HHSC Information Technology staff, and the TULIP vendor to improve
the system.
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5. Statutory Policy Recommendations
Fingerprint Checks for Certified Nurse Aides and
Medication Aides
The criminal background checks currently required for nurse aides and medication
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. Requiring
the use of FBI fingerprint checks with a “rap back” service would allow HHSC to
receive ongoing notifications of any criminal history nationwide, including arrests,
prosecutions, and convictions, and would eliminate the need for a facility to conduct
name-based background checks on a nurse aide or another employee before hiring.
HHSC has requested an exceptional item on background checks as part of the
agency’s Legislative Appropriations Request for 2020-2021. 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. Providers would see greater protection from hiring or
continuing to employ unqualified aides, which reduces their risk of receiving
regulatory citations.
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6. Conclusion
HHSC leadership remains committed to ongoing focus 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.
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 with other areas of the agency 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 nursing facilities, and HHSC
believes it is 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.
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List of Acronyms
Acronym Full Name
ADL Assistance with daily living
ALF Assisted living facility
AP Administrative penalty
CA/DA County Attorney/District Attorney
CFC Consumer First Choice
CFR Code of Federal Regulations
CMP Civil money penalty
CMS Centers for Medicare and Medicaid Services
CNA Certified Nurse Aide
DADS Department of Aging and Disability Services
DAHS Day activity and health services
DFPS Department of Family and Protective Services
DPS Department of Public Safety
FY Fiscal year
HAB Habilitation
HB House Bill
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Acronym Full Name
HCS Home and Community-based Services
HCSSA Home and community support services agencies
HHSC Health and Human Services Commission
HRC Human Resources Code
HSC Health and Safety Code
ICF/IID Intermediate care facility for individuals with an intellectual
disability or related condition
IJ Immediate jeopardy
IR Informal reconsideration
LAR Legally Authorized Representative
LSC Life Safety Code
NF Nursing facility
NFA Nursing facility administrator
NFPA National Fire Protection Association
OAG Office of the Attorney General
OASIS Outcome and Assessment Information Set
OSC Opportunity to show compliance
PAS Personal attendant services
15
Acronym Full Name
PDP Personal development plan
PPECC Prescribed pediatric extended care center
RN Registered Nurse
S&C Survey and certification
Sec Section
SB Senate Bill
SSLC State supported living center
TAC Texas Administrative Code
TGC Texas Government Code
THRC Texas Human Resources Code
THSC Texas Human Services Code
TOC Texas Occupations Code
TULIP Texas Unified Licensure Information Portal
TxHmL Texas Home Living
UTI Urinary tract infection
WS&C Waiver survey and certification
A-1
Appendix A. Assisted Living Facility
(ALF) and Unlicensed Facility
Assisted Living Facility and Unlicensed Facility
Actions
The tables on pages A-5 and A-6 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) 2018.
Administrative Penalties
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:
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 department 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 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.
A-2
Imposed
An action can be recommended by:
● The regional survey or investigation team and supported during enforcement
review.
● The regional or state office regulatory staff, considering the survey or
investigation findings or evaluating the facility’s 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 OAG 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 OAG.
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.
A-3
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 OAG, 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 or
● 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 HHSC. 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.
A-4
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.
A-5
Assisted Living Facility Actions by Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Total
Administrative Penalties Imposed 0 1 14 4 0 12 3 1 1 2 4 42
Administrative Penalties (1) Assessed 0 0 0 0 0 2 0 0 0 0 1 3
OAG injunctive/ other relief
and civil penalties (2)
Referred 0 0 0 0 0 0 0 0 0 0 0 0
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
Amelioration of violations Denied 0 0 0 0 0 1 0 0 0 0 0 1
Trusteeships Ordered 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 13 2 0 14 6 2 0 1 0 38
Denials of license (3) Denied 0 0 3 0 0 5 1 0 0 0 0 9
Revocations of license (4) Proposed 0 0 0 0 0 0 0 0 0 0 0 0
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. 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.
A-6
Unlicensed Facility Actions by Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Total
OAG injunctive/ other relief
and civil penalties
Referred 0 0 1 0 0 1 2 0 0 2 0 6
Assisted Living Facility Administrative Penalties for FY 2018
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
02 - Abilene Jacksboro 000811 Greystone Park Retirement &
Assisted Living
06/01/2017 $1,250 $1,250 $0 N
03 - Arlington Carrollton 101033 Autumn Leaves of North Carrollton
at Castle Hills
01/19/2018 $900 $900 $0 N
03 - Arlington Carrollton 106316 Oxford Glen at Carrollton 10/20/2017 $1,000 $1,000 $0 N
03 - Arlington Dallas 000871 Agape Place Personal Care Home 06/29/2017 $350 $350 $0 N
03 - Arlington Dallas 104038 Windsor Senior Living 06/12/2017 $2,050 $2,050 $0 N
03 - Arlington Flower
Mound
103044 Autumn Leaves of Flower Mound 11/09/2017 $300 $300 $0 N
03 - Arlington Flower
Mound
105287 Rosewood Assisted Living and
Memory Care
03/24/2018 $900 $0 $900 Y
03 - Arlington Fort Worth 102977 St. John's Residential Care Home III
Inc
11/29/2017 $350 $0 $350 Y
03 - Arlington Fort Worth 104442 St John's Residential Care Home,
Inc
09/06/2017 $600 $600 $0 N
03 - Arlington Garland 104041 Springfield Senior Living 02/12/2018 $700 $700 $0 N
03 - Arlington Keller 105555 Legacy at Bear Creek 09/22/2017 $900 $900 $0 N
03 - Arlington Lewisville 106491 Beehive Assisted Living - Lewisville,
Flower Mound
01/28/2018 $500 $0 $500 N
A-7
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
03 - Arlington Southlake 105649 The Landing at Watermere 10/31/2017 $650 $650 $0 N
03 - Arlington Stephenville 030090 Good Tree Retirement 12/24/2017 $1,800 $1,800 $0 N
03 - Arlington Westworth
Village
106056 The Westmore 02/28/2018 $400 $0 $400 Y
04 - Tyler De Berry 030363 Happy Acres Personal Care 02/07/2018 $1,050 $0 $1,050 N
04 - Tyler Longview 104611 Emmanuel Homes #3 09/08/2017 $350 $350 $0 N
04 - Tyler Mount
Pleasant
106133 The Lodge Assisted Living and
Memory Care
01/31/2018 $300 $300 $0 N
04 - Tyler Tyler 000308 East Texas ALF Reunion Inn LLC 05/03/2018 $600 $0 $600 N
06 - Houston Houston 000419 Nissi Home of Texas 05/18/2017 $650 $650 $0 N
06 - Houston Houston 000710 Braeswood Personal Care Homes
Inc
02/07/2018 $500 $0 $500 N
06 - Houston Houston 000797 Brookdale Galleria 03/15/2018 $1,000 $0 $1,000 N
06 - Houston Houston 030099 Elmcroft of Cy-Fair 05/31/2018 $900 $900 $0 N
06 - Houston Houston 030099 Elmcroft of Cy-Fair 04/12/2018 $600 $600 $0 N
06 - Houston Houston 030388 Brookdale Spring Shadows 11/29/2017 $1,000 $0 $1,000 N
06 - Houston Houston 030389 Brookdale Spring Shadows 12/27/2017 $350 $0 $350 N
06 - Houston Houston 105872 Silverado - Vintage Preserve 07/18/2017 $1,800 $1,800 $0 N
06 - Houston Katy 106069 Legacy at Falcon Point 04/25/2017 $600 $600 $0 N
06 - Houston Pearland 100756 Trinity Oaks of Pearland 06/01/2018 $900 $0 $900 N
06 - Houston Richmond 103987 Agape Heritage Home 12/19/2017 $400 $0 $400 Y
06 - Houston Stafford 000474 The Hampton at Meadows Place 11/28/2017 $1,650 $0 $1,650 N
07 - Austin Austin 104789 Angels of Sunland 11/01/2017 $350 $0 $350 N
07 - Austin Georgetown 030408 Assisted Living at Tallwood 01/05/2018 $700 $0 $700 N
A-8
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
07 - Austin Pflugerville 105497 Serenity Senior Living 02/16/2018 $200 $200 $0 N
08 - San Antonio San Antonio 100822 Boarding with Tender Care Inc 02/20/2018 $1,350 $1,350 $0 N
09 - Abilene San Angelo 000387 Brookdale South San Angelo 02/16/2018 $350 $350 $0 N
10 - El Paso El Paso 030084 Royal Estates of El Paso 03/23/2018 $500 $0 $500 N
10 - El Paso El Paso 106042 Rosedale Adult Foster Home 09/19/2017 $450 $450 $0 N
11 - Corpus
Christi
Harlingen 100341 Angelcare Acres 08/15/2017 $1,900 $1,900 $0 N
11 - Corpus
Christi
Harlingen 101249 Angelcare Haven 04/11/2017 $550 $0 $550 N
11 - Corpus
Christi
McAllen 030409 Biltmore Assisted Living 08/17/2017 $350 $350 $350 $0 Y
11 - Corpus
Christi
Mission 100787 The Bridges at Mission 10/18/2017 $700 $700 $0 N
Totals $32,700 $350 $21,000
42 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 HHSC.
A-9
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.
A-10
Assisted Living Facility Injunctive/Other Relief and Civil Penalty
Referrals to the Office of the Attorney General for FY 2018
HHSC did not refer any assisted living facilities to the office of the attorney general
for injunctive/other relief and civil penalties in FY 2018.
Assisted Living Facility Injunctive/Other Relief and Civil Penalty
Referrals to the County or District Attorney for FY 2018
HHSC did not refer any assisted living facilities to the county or district attorney for
injunctive/other relief and civil penalties in FY 2018.
Unlicensed Facility Injunctive/Other Relief and Civil Penalty
Referrals to the Office of the Attorney General for FY 2018
Region City Facility
ID Facility
Date
Referred
03 - Arlington Burleson 106776 Mustang Creek Estates Burleson House C &
D
11/15/2017
06 - Houston Houston 010383 Brookhavens Residential Care Center 02/16/2018
07 - Austin Austin 107175 1915 Santa Clara 03/15/2018
07 - Austin Austin 106065 6805 Hardy Dr 03/15/2018
10 - El Paso El Paso 106998 6717 Mariposa 12/21/2017
10 - El Paso El Paso 102395 6616 Paseo Redondo 12/21/2017
6 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 2018
HHSC did not refer any unlicensed facilities to the county or district attorney for
injunctive/other relief and civil penalties in FY 2018.
Assisted Living Facility Amelioration of Violations for FY 2018
Region City Facility
ID Facility Decision
Decision
Date
Amount
Ameliorated
06 - Houston Houston 000332 Limbe House Denied 09/15/2017 $0
1 Total assisted living facility amelioration processed.
A-11
Assisted Living Facility Trusteeships Ordered for FY 2018
HHSC did not order any trustees placed in assisted living facilities in FY 2018.
Assisted Living Facility Emergency Suspension and Closing Orders
for FY 2018
HHSC did not issue any emergency suspension and closing orders related to
assisted living facilities in FY 2018.
A-12
Assisted Living Facility License Denials and Revocations Proposed for FY 2018
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
03 - Arlington Dallas 103088 Evergreen Assisted Living LLC Deny Rescinded
03 - Arlington Dallas 105832 Total Joy Living Deny IR Letter
03 - Arlington Dallas 106968 Faith Cares for You Deny 04/17/2018 License
Denied
03 - Arlington Desoto 103317 Autumn Sun Assisted Living Homes, LLC Deny Hearing
03 - Arlington Fort Worth 102977 St. John's Residential Care Home III Inc Deny Hearing
03 - Arlington Fort Worth 106954 St. John's Residential Care Homes Inc Deny Rescinded
03 - Arlington Fort Worth 107102 CNS South 400 Deny Rescinded
03 - Arlington Fort Worth 107103 CNS South 400 Deny Rescinded
03 - Arlington Frisco 105901 Kingsgate Homecare Services LLC Deny Rescinded
03 - Arlington Grand Prairie 105663 Accessible Living Deny Rescinded
03 - Arlington Lancaster 050536 Professional Care Facility I I Deny Hearing
03 - Arlington Lancaster 103420 Brixton Village Assisted Living Deny Rescinded
03 - Arlington Sherman 106749 Grayson Senior Living Deny Formal
Hearing
Letter
04 - Tyler Athens 106949 Athens Assisted Living and Memory Care Deny Hearing
04 - Tyler Longview 106800 Parkview on Hollybrook Deny Rescinded
06 - Houston Brookshire 000867 Willow River Farms Deny OSC Letter
06 - Houston Brookshire 104811 32303 Pintail Street Deny Hearing
06 - Houston Houston 000609 The Roc Personal Care Deny Hearing
06 - Houston Houston 000710 Braeswood Personal Care Homes Inc Deny Rescinded
A-13
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
06 - Houston Houston 000809 Liberty Island Personal Care Homes Inc Deny Action
Propose
06 - Houston Houston 000987 Liberty Island Personal Care Homes Inc Deny Action
Propose
06 - Houston Houston 030093 Goodness and Mercy Health Care Deny 11/10/2017 License
Denied
06 - Houston Houston 030371 Best Personal Care Facility Deny 05/08/2018 License
Denied
06 - Houston Houston 050507 Lakewood 24 Hour P C 2 Deny Rescinded
06 - Houston Houston 105658 Komfort Keepers Residential Home Deny Formal
Hearing
Letter
06 - Houston Houston 106497 Lavender Place Assisted Living Deny 04/06/2018 License
Denied
06 - Houston La Marque 030166 Laurel House Deny Rescinded
06 - Houston Sharpstown 106258 Tender Care Assisted Living Deny 01/26/2018 License
Denied
06 - Houston Tomball 100721 TCG Tomball Campus LLC Deny Rescinded
07 - Austin Dessau 107005 Tech Ridge Oaks Assisted Living and Memory
Care
Deny Rescinded
07 - Austin Pflugerville 107157 Clarecreek Senior Living Deny Formal
Hearing
Letter
07 - Austin Round Rock 030119 The Cottages at Chandler Creek II Deny Rescinded
07 - Austin Round Rock 107007 Double Creek Assisted Living and Memory Care Deny Rescinded
07 - Austin Type 106790 Gabriel House at Down Home Ranch Deny Formal
Hearing
Letter
A-14
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
07 - Austin Waco 107021 Waco Life Care Center Deny 03/02/2018 License
Denied
08 - San Antonio San Antonio 030098 McDaniels Personal Care Home Deny IR Letter
08 - San Antonio San Antonio 106920 Resilience Assisted Living Facility, LLC Deny Rescinded
10 - El Paso El Paso 106475 Maximus Matthew Loving Care Home Deny Formal
Hearing
Letter
38 Total assisted living facility license denials and revocations proposed.
Notes:
Status column values:
1. Action Propose - HHSC has proposed to deny this license.
2. Formal Hearing Letter - a letter has been sent to the facility offering the opportunity to appeal the action.
3. Hearing - the facility has requested a hearing.
4. IR Letter - a letter has been sent to the facility offering informal review.
5. License Denied - the application for a license was denied.
6. OSC Letter - a letter has been sent to the facility offering the opportunity to show compliance.
7. Rescinded - HHSC rescinded the proposed action.
A-15
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
● On or before 30 calendar days
● On or before 45 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
A-16
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 the regulatory program 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.
On or Before 30 Calendar Days
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.
On or Before 45 Calendar Days
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,
A-17
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.HHSC.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
2018
Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
6 4 46 6 4 38 26 22 0 5 4 161
On or before 14
days
54 10 424 82 25 315 166 195 15 23 34 1,343
On or before 30
days
43 26 582 111 18 340 174 254 25 35 39 1,647
On or before 45
days
39 20 486 108 13 265 159 156 17 11 35 1,309
Professional
review
14 9 150 42 4 76 70 44 9 4 14 436
Withdrawn 1 0 10 2 0 0 3 3 2 0 2 23
Not required 1 0 9 5 1 8 5 2 0 0 0 31
Total 158 69 1,707 356 65 1,042 603 676 68 78 128 4,950
A-18
Assisted Living Facility Complaints by Priority and Region for FY
2018
Complaint
Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
5 3 44 6 4 38 25 22 0 5 2 154
On or before 14
days
25 6 244 58 13 173 94 138 6 17 16 790
On or before 30
days
32 20 382 67 13 208 105 187 11 30 26 1,081
On or before 45
days
13 9 189 43 3 114 51 76 4 5 14 521
Withdrawn 0 0 1 1 0 0 1 0 0 0 0 3
Not required 1 0 9 5 1 8 5 2 0 0 0 31
Total 76 38 869 180 34 541 281 425 21 57 58 2,580
Assisted Living Facility Incidents by Priority and Region for FY 2018
Incident
Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
1 1 2 0 0 0 1 0 0 0 2 7
On or before 14
days
29 4 180 24 12 142 72 57 9 6 18 553
On or before 30
days
11 6 200 44 5 132 69 67 14 5 13 566
On or before 45
days
26 11 297 65 10 151 108 80 13 6 21 788
Professional
review
14 9 150 42 4 76 70 44 9 4 14 436
Not required 1 0 9 1 0 0 2 3 2 0 2 20
Total 82 31 838 176 31 501 322 251 47 21 70 2,370
A-19
Unlicensed Facility Complaint Intakes by Priority and Region for FY
2018
Intake priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
0 0 1 0 0 3 1 0 0 0 0 5
On or before 14
days
0 0 6 0 0 13 4 2 0 1 0 26
On or before 30
days
0 0 14 1 2 19 2 3 0 1 2 44
On or before 45
days
2 0 25 1 5 53 17 9 0 2 3 117
Withdrawn 0 0 1 0 0 1 0 0 0 0 0 2
Not required 0 0 3 0 0 0 0 0 0 0 0 3
Total 2 0 50 2 7 89 24 14 0 4 5 197
B-1
Appendix B. Credentialing Programs
Credentialing Program Activity
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
● Employee Misconduct Registry
Credentialing Program Counts by Fiscal Year
Credentialing Program FY 2016 FY 2017 FY 2018
Licensed nursing facility administrators 2,210 2,112 2,174
Active medication aides 9,941 10,593 9,746
Approved Nurse Aide Training and Competency
Evaluation Programs (facility-based)
310 310 302
Approved Nurse Aide Training and Competency
Evaluation Programs (non facility-based)
602 615 595
Active certified nurse aides listed on the Nurse
Aide Registry
114,397 115,427 114,920
Nursing Facility Administrator Program
Activity Action FY 2016 FY 2017 FY 2018
New licenses Issued 167 166 159
License renewals (1) Renewed 1,030 916 1,015
Provisional licenses Issued 41 61 33
Referrals (2) Received 217 255 161
Complaints against nursing
facility administrators (3)
Received 0 2 1
New sanctions against
administrator license
Imposed 61 41 69
Nursing facility administrators
required sanctions
Fulfilled 45 35 89
Administrative penalties Assessed 2 3 1
B-2
Activity Action FY 2016 FY 2017 FY 2018
National Association of Boards
of Examiners of Long-term Care
Administrators exams
Administered 211 155 139
State exams Administered 211 171 156
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 public.
Medication Aide Program
Activity Action FY 2016 FY 2017 FY 2018
New medication aide permits Issued 1,272 1,124 1,197
Testing dates at schools Scheduled 170 156 163
Initial exams Administered 1,387 1,263 1,441
Retest dates Scheduled 345 212 292
Permits Renewed 9,425 9,469 9,222
Complaints Received 10 14 2
Sanctions Imposed 15 8 7
Nurse Aide Training and Competency Evaluation Program (NATCEP)
Activity Action FY 2016 FY 2017 FY 2018
New NATCEPs Approved 175 152 134
NATCEPs Renewed 221 311 177
NATCEPs withdrawn from
participation
Withdrew 104 142 132
Competency Evaluation
Programs
Approved 227 236 238
B-3
Nurse Aide Registry
Activity Action FY 2016 FY 2017 FY 2018
New nurse aides to program Added 15,944 20,679 16,412
Nurse aides removed from
active status
Removed 32,849 26,798 26,694
Nurse aides from expired status
to active status
Returned 76,689 67,542 62,993
New misconduct referrals
received/ processed
Processed 75 99 51
Employee misconduct cases Dismissed 18 11 11
Employee misconduct cases Revoked 81 74 47
Client contacts made by mail Contacted 47,066 43,632 48,387
Public inquiries Received 0 0 0
Client contacts made by
telephone
Contacted 130,156 103,980 102,291
Employee Misconduct Registry
Activity Action FY 2016 FY 2017 FY 2018
New employee misconduct
referrals
Processed 60 65 39
New unlicensed facility
employees to the registry
Added 59 110 47
New unlicensed HCSSA, HCS or
ICF/ IID employees to the
registry
Added 229 261 180
C-1
Appendix C. Day Activity and Health
Services (DAHS) Facility
Day Activity and Health Services Facility Actions
The table on page C-4 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) 2018.
Administrative Penalties
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.
● Makes a false statement, that the person knows or should know is false, of a
material fact:
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
An action can be recommended by:
C-2
● 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.
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 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.
C-3
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.
Revocation 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.
C-4
Day Activity and Health Services Facility Action by Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Total
Administrative Penalties Imposed 0 0 0 0 0 0 0 1 0 0 5 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 1 1 1 4 0 1 0 0 2 10
Denials of license (3) Denied 0 0 1 0 1 1 0 1 0 0 1 5
Revocations of license (4) Proposed 0 0 0 0 0 0 0 0 0 0 0 0
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 2018
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
08 - San Antonio Pearsall 101422 Frio Adult Day Care 03/16/2018 $41,200 $0 $41,200 N
11 - Corpus Christi Brownsville 104672 Grace Center 05/10/2017 $900 $0 $900 N
C-5
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
11 - Corpus Christi Donna 104592 Fuente De Juventud Adult Day
Care #2
05/02/2018 $500 $500 $0 N
11 - Corpus Christi Donna 105043 Nuestra Familia Adult Day Care
Inc
05/01/2018 $500 $500 $0 N
11 - Corpus Christi Mission 103144 Emmanuel Adult Day Care 03/10/2017 $138,000 $0 $138,000 Y
11 - Corpus Christi Palmview 050703 Del Pueblo Adult Day Care 04/06/2018 $1,500 $1,500 $0 N
Totals $182,600 $2,500
6 Total day activity and health services 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 HHSC.
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.
C-6
Day Activity and Health Services Facility Injunctive or Other Relief
Referrals to the Office of the Attorney General for FY 2018
HHSC did not refer any day activity and health services facilities to the Office of the
Attorney General for injunctive/other relief in FY 2018.
Day Activity and Health Services Facility Emergency Closing
Orders for FY 2018
HHSC did not issue any emergency closing orders for day activity and health
services facilities in FY 2018.
C-7
Day Activity and Health Services Facility License Denial and Revocation Proposals for FY 2018
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
03 - Arlington Dallas 106628 A.A Adult Daycare and Day Activity and
Health Services
Deny Rescinded
04 - Tyler Mount Vernon 106899 Franklin County Family Health Center Deny Formal Hearing
Letter
05 - Beaumont Coldspring 106270 A & S Adult Day Care Deny 11/14/2017 License Denied
06 - Houston Houston 003098 Liberty Island Adult Day Care Inc Deny Action Propose
06 - Houston Houston 106643 Best Adult Day Health Service Center Deny Withdrawn
06 - Houston Houston 106772 Care II Assist You Deny Formal Hearing
Letter
06 - Houston Houston 107027 Martha St. Adult Day Care Deny 08/08/2018 License Denied
08 - San Antonio San Antonio 107118 Bright & Early Adult Day Activity Deny 08/03/2018 License Denied
11 - Corpus Christi Edinburg 106620 El Centro Deny Hearing
11 - Corpus Christi Harlingen 106849 La Estrellita Adult Day Care Deny 12/22/2017 License Denied
10 Total day activity and health services facility licensure denials and revocations proposed.
Notes:
Status column values:
1. Action Propose - HHSC has proposed to deny this license.
2. Formal Hearing Letter - a letter has been sent to the facility offering the opportunity to appeal the action.
3. Hearing - the facility has requested a hearing.
4. License Denied - the application for a license was denied.
5. Rescinded - HHSC rescinded the proposed action.
6. Withdrawn - HHSC withdrew the proposed action.
C-8
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
● On or before 14 calendar days
● On or before 30 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
C-9
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.
On or Before 14 Calendar Days
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 investigators 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.
On or Before 30 Calendar Days
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.
C-10
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.HHSC.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.
Day Activity and Health Services Facility All Intakes by Priority and
Region for FY 2018
Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 1 0 0 0 0 3 0 8 0 0 5 17
On or before 14 days 5 0 3 0 1 16 0 28 0 4 55 112
On or before 30 days 7 0 20 5 1 36 4 62 0 19 229 383
Professional review 2 0 3 0 0 4 1 6 0 12 20 48
Withdrawn 0 0 0 0 0 0 0 0 0 0 0 0
Not required 1 0 0 0 0 2 0 1 0 2 5 11
Total 16 0 26 5 2 61 5 105 0 37 314 571
Day Activity and Health Services Facility Complaints by Priority and
Region for FY 2018
Complaint Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 1 0 0 0 0 3 0 7 0 0 5 16
On or before 14 days 5 0 3 0 0 14 0 24 0 4 46 96
On or before 30 days 5 0 15 5 1 31 3 51 0 15 185 311
Withdrawn 0 0 0 0 0 0 0 0 0 0 0 0
Not required 0 0 0 0 0 0 0 0 0 1 1 2
Total 11 0 18 5 1 48 3 82 0 20 237 425
C-11
Day Activity and Health Services Facility Incidents by Priority and
Region for FY 2018
Incident Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 0 0 0 0 0 0 0 1 0 0 0 1
On or before 14 days 0 0 0 0 1 2 0 4 0 0 9 16
On or before 30 days 2 0 5 0 0 5 1 11 0 4 44 72
Professional review 2 0 3 0 0 4 1 6 0 12 20 48
Not required 1 0 0 0 0 2 0 1 0 1 4 9
Total 5 0 8 0 1 13 2 23 0 17 77 146
D-1
Appendix D. Home and Community Support
Services Agency (HCSSA)
Home and Community Support Services Agency
Actions
The table on pages D-4 and D-5 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) 2018.
Administrative Penalties
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
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 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.
D-2
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.
D-3
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.
D-4
Home Health Agency Actions by Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Totals
Administrative penalties Imposed 20 22 110 9 6 269 95 73 11 14 70 699
Administrative penalties (1) Assessed 2 2 5 0 0 10 2 1 0 0 2 24
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 1 7 0 0 15 3 1 1 2 4 34
Denials of initial license
application (3)
Denied 0 0 2 0 0 4 2 0 1 0 1 10
Denials of license renewal (4) Proposed 0 1 5 0 1 8 2 3 0 0 2 22
Denials of license renewal (4) Denied 0 0 1 0 0 3 0 3 0 0 1 8
Expirations of license (5) Completed 0 0 1 0 0 10 0 2 0 0 3 16
Immediate suspensions Suspended 0 0 0 0 0 0 0 0 0 0 0 0
Surrenders of license (6) Completed 0 0 9 2 1 7 4 0 0 0 4 27
Revocations of license (7) Proposed 0 1 75 6 2 76 10 13 0 6 25 214
Revocations of license (7) Revoked 0 0 10 1 1 14 4 5 0 1 10 46
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.
D-5
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 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Totals
Administrative penalties (1) Imposed 5 4 25 3 0 27 17 18 2 2 10 113
Administrative penalties (1) Assessed 0 0 0 0 0 0 1 1 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 0 3 0 1 0 0 1 8
Denials of initial license
application (3)
Denied 0 0 1 0 0 1 0 0 0 0 1 3
Denials of license renewal (4) Proposed 0 0 3 0 0 0 0 0 0 0 0 3
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 2 0 0 0 0 0 0 0 0 2
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 2 0 0 0 0 2 5
Revocations of license (7) Proposed 2 0 22 0 0 21 1 5 0 1 7 59
Revocations of license (7) Revoked 0 0 3 0 0 5 0 1 1 0 1 11
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.
D-6
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 2018
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
01 - Lubbock Amarillo 008662 Accolade Home Care 01/05/2018 $1,500 $1,200 $1,200 $0
01 - Lubbock Amarillo 012959 Amarillos Best Homehealth Care
Inc
01/11/2018 $750 $750 $0
01 - Lubbock Amarillo 002118 Caprock Home Health Services Inc 11/07/2017 $750 $750 $0
01 - Lubbock Amarillo 002118 Caprock Home Health Services Inc 04/26/2018 $750 $750 $0
01 - Lubbock Amarillo 009669 Children's Home Healthcare 12/14/2017 $1,000 $1,000 $0
01 - Lubbock Amarillo 009484 Encompass Health Home Health 03/12/2018 $750 $750 $0
01 - Lubbock Amarillo 014910 Epic Pediatric Therapy 03/15/2018 $750 $750 $0
01 - Lubbock Amarillo 015882 High Plains Senior Care 05/10/2018 $750 $750 $750 $0
01 - Lubbock Amarillo 015882 High Plains Senior Care 05/10/2018 $750 $750 $0 $750
01 - Lubbock Amarillo 017959 Pro Case of Texas LLC 11/07/2017 $1,500 $1,500 $0
01 - Lubbock Borger 011621 Golden Plains Home Care 05/01/2018 $1,500 $0 $1,500
01 - Lubbock Brownfield 002205 BRMC Home Care 10/13/2017 $750 $750 $0
01 - Lubbock Levelland 001599 Community Action Home Health 11/20/2017 $750 $0 $0 $0
01 - Lubbock Lubbock 001401 Caprock Home Health Services Inc 01/12/2018 $1,500 $1,500 $0
01 - Lubbock Lubbock 001401 Caprock Home Health Services Inc 11/08/2017 $750 $750 $0
01 - Lubbock Lubbock 001401 Caprock Home Health Services Inc 09/13/2017 $750 $750 $0
01 - Lubbock Lubbock 001401 Caprock Home Health Services Inc 02/23/2018 $1,500 $1,500 $0
D-7
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
01 - Lubbock Lubbock 001401 Caprock Home Health Services Inc 04/25/2018 $1,500 $1,500 $0
01 - Lubbock Lubbock 007781 Interim Healthcare of West Texas
LLC
03/23/2018 $1,500 $1,500 $0
01 - Lubbock Lubbock 017836 Thrive Skilled Pediatric Care 08/17/2017 $850 $850 $0
02 - Abilene Abilene 002242 Caprock Home Health Services Inc 12/07/2017 $750 $750 $0
02 - Abilene Abilene 002242 Caprock Home Health Services Inc 07/21/2017 $750 $750 $0
02 - Abilene Abilene 002242 Caprock Home Health Services Inc 05/08/2018 $1,500 $1,500 $0
02 - Abilene Abilene 002242 Caprock Home Health Services Inc 11/07/2017 $750 $750 $0
02 - Abilene Abilene 002242 Caprock Home Health Services Inc 03/06/2018 $1,500 $1,500 $0
02 - Abilene Abilene 001638 Hendrick Housecalls 03/01/2018 $750 $750 $0
02 - Abilene Abilene 012710 Kindred at Home 09/07/2017 $3,250 $3,250 $0
02 - Abilene Abilene 011817 Visiting Angels 01/24/2018 $750 $750 $0
02 - Abilene Brownwood 011726 Girling Community Care Texas by
Harden Healthcare
11/03/2017 $750 $750 $0
02 - Abilene Brownwood 011726 Girling Community Care Texas by
Harden Healthcare
01/23/2018 $750 $750 $0
02 - Abilene Brownwood 011726 Girling Community Care Texas by
Harden Healthcare
03/21/2018 $750 $750 $0
02 - Abilene Cisco 015686 Tri Star Home Care Inc 11/03/2017 $750 $750 $0
02 - Abilene Knox City 003586 Knox County Hospital Home Care 10/19/2017 $3,000 $2,000 $0 $2,000
02 - Abilene Seymour 012305 Kindred at Home 04/04/2018 $750 $750 $0
02 - Abilene Seymour 007336 Outreach Home Care 12/06/2017 $750 $750 $0
02 - Abilene Wichita Falls 005429 Angels Care Home Health 11/17/2017 $3,750 $3,750 $0
02 - Abilene Wichita Falls 015831 Encompass Health Home Health 03/21/2018 $750 $750 $0
02 - Abilene Wichita Falls 015831 Encompass Health Home Health 12/05/2017 $1,500 $1,500 $0
D-8
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
02 - Abilene Wichita Falls 006260 Healthpro Primary Home Care 05/10/2018 $1,500 $1,500 $0
02 - Abilene Wichita Falls 012938 Kindred at Home 10/06/2017 $2,250 $2,250 $0
02 - Abilene Wichita Falls 012545 New Life Home Healthcare
Services
04/30/2018 $0 $0 $0
02 - Abilene Winters 003174 North Runnels Home Health
Agency
11/08/2017 $750 $750 $0
03 - Arlington Addison 014770 Theracare Home Health 04/11/2018 $1,000 $1,000 $0
03 - Arlington Allen 017694 Crystal Comfort Home Care LLC 12/07/2017 $6,750 $0 $6,750
03 - Arlington Arlington 006576 A&T Moore Health Care
Corporation
04/26/2018 $500 $500 $0
03 - Arlington Arlington 011849 Available Home Care Inc 09/01/2017 $1,250 $1,250 $0
03 - Arlington Arlington 013583 Caretrends Health Service 07/24/2017 $750 $750 $0
03 - Arlington Arlington 012699 Excellent Home Health Services 08/02/2017 $1,250 $1,250 $0
03 - Arlington Arlington 016570 Familias Primary Care Services 04/17/2018 $1,000 $1,000 $0
03 - Arlington Arlington 007235 HCI Services 12/14/2017 $1,750 $0 $1,750
03 - Arlington Arlington 016957 Midas Healthcare Services Inc 09/21/2017 $1,250 $0 $1,250
03 - Arlington Arlington 015947 St Jude's Home Health Agency 11/01/2017 $500 $500 $0
03 - Arlington Arlington 018163 Ut Home Healthcare Inc 01/24/2018 $1,000 $0 $1,000
03 - Arlington Arlington 018163 Ut Home Healthcare Inc 03/22/2018 $2,000 $0 $2,000
03 - Arlington Balch
Springs
016917 Americana Care-Casa Luz LLC 09/27/2017 $1,250 $1,250 $0
03 - Arlington Balch
Springs
016917 Americana Care-Casa Luz LLC 11/09/2017 $2,500 $2,500 $0
03 - Arlington Benbrook 015436 Lifespring Home Care 06/16/2017 $2,000 $2,000 $0
03 - Arlington Burleson 007484 Colony Health Care 08/17/2017 $2,250 $2,250 $0
D-9
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Carrollton 016629 Solid Care Home Health Agency
Inc
03/20/2018 $1,000 $1,000 $0
03 - Arlington Cedar Hill 017600 True Providence Healthcare
Services
04/12/2018 $1,250 $0 $1,250
03 - Arlington Coppell 012624 E Comfort Home Health Care LLC 08/18/2017 $750 $750 $0
03 - Arlington Coppell 012795 Omega Home Healthcare Agency 07/25/2017 $1,000 $0 $1,000
03 - Arlington Coppell 012795 Omega Home Healthcare Agency 08/14/2017 $1,250 $0 $1,250
03 - Arlington Dallas 015943 Abasi Home Healthcare Inc 04/13/2018 $1,000 $1,000 $0
03 - Arlington Dallas 008770 Allied Home Health Agency 04/17/2018 $2,000 $0 $2,000
03 - Arlington Dallas 016583 Amada Senior Care 08/11/2017 $4,250 $4,250 $0
03 - Arlington Dallas 015807 Amaris Health Care Inc. 04/10/2018 $500 $0 $500
03 - Arlington Dallas 017759 Careone Caregiving Home Health
Agency
12/21/2017 $6,000 $0 $6,000
03 - Arlington Dallas 004402 Coram CVS Specialty Infusion
Services
03/26/2018 $1,250 $0 $1,250
03 - Arlington Dallas 014337 County Home Health 11/27/2017 $2,750 $0 $2,750
03 - Arlington Dallas 010825 Credence Home Health Services
Inc
04/23/2018 $5,000 $0 $5,000
03 - Arlington Dallas 013623 Daniella Home Health Services Inc 10/12/2017 $3,000 $3,000 $0
03 - Arlington Dallas 017765 Elvis Home Health Care LLC 04/11/2018 $500 $500 $0
03 - Arlington Dallas 015029 Epic Pediatric Therapy 04/20/2018 $1,500 $1,500 $0
03 - Arlington Dallas 015993 Ever Dynamic Home Health
Services LLC
03/02/2018 $3,750 $0 $3,750
03 - Arlington Dallas 011756 Girling Community Care Texas by
Harden Healthcare
08/11/2017 $750 $0 $750
03 - Arlington Dallas 017558 Golden Heart Senior Care of Dallas 02/08/2018 $3,250 $3,251 -$1
D-10
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Dallas 013832 Grace Compassion Home Health
Agency
01/18/2018 $500 $500 $0
03 - Arlington Dallas 007404 Human Touch Home Health Inc 04/03/2018 $3,750 $0 $3,750
03 - Arlington Dallas 007404 Human Touch Home Health Inc 09/13/2017 $3,750 $2,438 $2,031 $406
03 - Arlington Dallas 012649 J-Jireh Healthcare Services LLC 09/21/2017 $1,750 $1,500 $1,500 $0
03 - Arlington Dallas 011755 Kindred at Home 09/21/2017 $1,250 $1,250 $0
03 - Arlington Dallas 017985 Monarch Home Health Services
LLC
10/13/2017 $750 $750 $0
03 - Arlington Dallas 016730 National Nursing & Rehab Dallas
LLC
08/31/2017 $2,000 $2,000 $0
03 - Arlington Dallas 012184 Paloma Home Health Agency Inc 08/30/2017 $2,000 $2,000 $0
03 - Arlington Dallas 010082 Passionate Care Home Health
Services Inc
09/28/2017 $2,750 $2,292 $458
03 - Arlington Dallas 011074 Promise Homehealth Inc 11/20/2017 $3,000 $3,000 $0
03 - Arlington Dallas 013826 Sana Healthcare Inc 03/21/2018 $1,750 $0 $1,750
03 - Arlington Dallas 017169 Texas Care One Home Health
Agency
10/26/2017 $500 $500 $0
03 - Arlington Dallas 011748 United Royalcare Healthservices
Inc
11/21/2017 $500 $500 $0
03 - Arlington Dallas 011748 United Royalcare Healthservices
Inc
12/11/2017 $2,500 $500 $2,000
03 - Arlington Denton 017164 Socorro Home Health Care Inc 03/08/2018 $6,500 $0 $6,500
03 - Arlington Duncanville 006886 A One Plus Home Health Care
Agency LLC
02/23/2018 $1,500 $1,500 $0
03 - Arlington Euless 007581 Professional Home Health Care Inc 01/31/2018 $2,250 $2,250 $0
03 - Arlington Euless 012623 Right at Home 03/22/2018 $2,500 $0 $2,500
D-11
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Forney 017209 Love Abundantly Home Care
Agency LLC
01/30/2018 $1,000 $1,000 $0
03 - Arlington Fort Worth 016794 1st Choice Home Health Agency 09/06/2017 $4,000 $3,000 $3,000 $0
03 - Arlington Fort Worth 017083 Best Sunshine Home Care LLC 10/31/2017 $2,750 $0 $2,750
03 - Arlington Garland 015989 1advocate Home Health 09/28/2017 $500 $500 $0
03 - Arlington Garland 016895 Acredable Healthcare Services LLC 10/12/2017 $3,000 $2,500 $500
03 - Arlington Garland 013791 Alive Home Health Care Inc 01/19/2018 $1,750 $1,750 $0
03 - Arlington Garland 009861 Bethel Home Care 07/14/2017 $500 $0 $500
03 - Arlington Garland 009861 Bethel Home Care 08/07/2017 $750 $0 $750
03 - Arlington Garland 012254 Better Options Homecare Services
Inc
04/11/2018 $1,500 $1,500 $0
03 - Arlington Garland 010902 Everest Home Health Agency 11/09/2017 $2,000 $0 $2,000
03 - Arlington Garland 011588 Homeland Home Health Agency
Inc
07/11/2017 $3,750 $1,250 $2,500
03 - Arlington Garland 009658 JCP & P Home Healthcare Agency 08/11/2017 $1,100 $1,100 $0
03 - Arlington Garland 009658 JCP & P Home Healthcare Agency 07/14/2017 $1,250 $1,250 $0
03 - Arlington Garland 011143 Leone Homehealth Care Agency
Inc
02/28/2018 $2,750 $2,750 $0
03 - Arlington Garland 012049 Praise Home Health Agency 04/11/2018 $1,000 $1,000 $0
03 - Arlington Garland 017419 Premier Home Care Agency 04/10/2018 $4,750 $0 $4,750
03 - Arlington Garland 014341 Rock of Ages Home Health Care
Inc
09/14/2017 $2,250 $2,250 $0
03 - Arlington Grand
Prairie
016376 Angels at Work Tina Sample LLC 09/01/2017 $4,500 $4,000 $500
03 - Arlington Grand
Prairie
011521 Classic Home Health Care Services
Inc
11/06/2017 $1,500 $1,500 $0
D-12
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Grand
Prairie
015612 De Lovely Home Care Inc. 04/03/2018 $2,250 $375 $1,875
03 - Arlington Grand
Prairie
013584 Prime World Home Care Service
Inc
10/27/2017 $3,500 $0 $3,500
03 - Arlington Grand
Prairie
017109 Reliantcare Hospice 07/17/2017 $1,000 $0 $1,000
03 - Arlington Grand
Prairie
012771 Safeway Healthcare Services Inc 10/03/2017 $2,050 $2,050 $0
03 - Arlington Grapevine 017337 Firstlight Homecare of Southlake 11/14/2017 $1,750 $0 $1,750
03 - Arlington Grapevine 017337 Firstlight Homecare of Southlake 12/28/2017 $2,500 $0 $2,500
03 - Arlington Irving 017871 Frontview Home Health 03/08/2018 $500 $500 $0
03 - Arlington Irving 006779 Jessnic Home Health Agency Inc 02/26/2018 $2,250 $0 $2,250
03 - Arlington Irving 013673 Rosyray Home Care Services Inc 03/29/2018 $2,250 $750 $1,500
03 - Arlington Lancaster 013071 Inspired To Care Home Health
Agency
03/19/2018 $4,500 $0 $4,500
03 - Arlington Lewisville 017670 Imparting Knowledge Home
Health Inc
05/16/2018 $500 $0 $500
03 - Arlington Little Elm 017490 Elements of Love Pediatrics Home
Healthcare LLC
01/29/2018 $6,750 $1,125 $5,625
03 - Arlington McKinney 016769 Amira Cares Home Aide Services
LLC
10/17/2017 $5,250 $0 $5,250
03 - Arlington Mesquite 004681 Agape Home Healthcare 06/29/2017 $500 $500 $0
03 - Arlington Mesquite 012652 SAS Home Health Services Inc 03/13/2018 $3,500 $0 $3,500
03 - Arlington Pantego 012666 Bliss Home Health Care Inc 10/18/2017 $1,750 $1,750 $0
03 - Arlington Pantego 012357 Comfort Hands Health Care
Services LLC
02/12/2018 $2,000 $2,000 $0
D-13
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Plano 016565 Ameristars Best Care Inc 11/21/2017 $2,000 $1,200 $800
03 - Arlington Plano 008284 Grace Home Health Inc 01/11/2018 $500 $500 $0
03 - Arlington Plano 018410 Home Care Assistance 04/04/2018 $1,750 $1,750 $0
03 - Arlington Plano 009311 Lifeline Healthcare Services Inc 11/28/2017 $750 $750 $0
03 - Arlington Richardson 017231 A Friendly Home Health Care 10/16/2017 $750 $750 $0
03 - Arlington Richardson 004704 Abicare Home Health LLC 08/04/2017 $1,250 $0 $1,250
03 - Arlington Richardson 012014 Morning Rose Home Health Care
LLC
11/10/2017 $5,000 $0 $5,000
03 - Arlington Richardson 007339 Outreach Home Care 01/04/2018 $1,500 $1,500 $0
03 - Arlington Richardson 011719 Quality Based Home Health LLC 09/05/2017 $750 $750 $0
03 - Arlington Richardson 013158 Smartcare Health Services Inc 02/14/2018 $1,250 $1,250 $0
03 - Arlington Richardson 012429 Viva Pediatrics 04/04/2018 $6,900 $0 $6,900
03 - Arlington Rockwall 011332 Chilex Home Care Services 01/03/2018 $2,000 $1,000 $1,000
03 - Arlington Rowlett 016056 Auxiegoldie Home Health Services
Inc
05/01/2018 $4,250 $4,250 $0 $4,250
03 - Arlington Rowlett 016056 Auxiegoldie Home Health Services
Inc
05/01/2018 $4,250 $4,250 $0 $4,250
03 - Arlington Rowlett 017756 Remedy Home Health Agency Inc 10/27/2017 $4,000 $0 $4,000
03 - Arlington Sherman 007272 Advantx Home Care Inc 10/17/2017 $3,000 $3,000 $0
03 - Arlington Sherman 007940 Sher Den Home Health Inc 04/05/2018 $750 $750 $0
03 - Arlington Weatherford 000993 Home Health Professionals Inc 01/09/2018 $0 $1,500 -$1,500
03 - Arlington Wylie 016700 ABC Caring Health Services Inc 10/17/2017 $1,000 $700 $100 $600
03 - Arlington Wylie 017547 Dove Height Home Care 03/14/2018 $1,500 $1,500 $0
03 - Arlington Wylie 016331 Stelina Companion and Personal
Care Services LLC
09/26/2017 $500 $500 $0
D-14
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
04 - Tyler Henderson 007040 Acea Home Health 08/11/2017 $650 $650 $0
04 - Tyler Hughes
Springs
015636 Advantagecare Home Health Inc 09/21/2017 $750 $750 $0
04 - Tyler Longview 007586 Texas Home Health of America 07/13/2017 $1,500 $1,500 $0
04 - Tyler Longview 016855 Then Theres Cheerful Givers HHA
Inc
09/06/2017 $1,500 $1,500 $0
04 - Tyler New Boston 017469 Helping Hands Home Health 07/26/2017 $2,750 $900 $1,850
04 - Tyler Sulphur
Springs
017040 Hopewell Home Healthcare LLC 10/12/2017 $5,250 $5,250 $0
04 - Tyler Tyler 017818 Bridgeway Health Services 09/27/2017 $750 $750 $0
04 - Tyler Tyler 012611 Right at Home of Northeast Texas 10/19/2017 $750 $650 $0 $650
04 - Tyler Tyler 012611 Right at Home of Northeast Texas 03/19/2018 $1,500 $0 $1,500
05 - Beaumont Anahuac 016431 Innovative Health Services Inc 07/27/2017 $2,250 $2,250 $0
05 - Beaumont Beaumont 011901 Amazing Angels Home Health 09/20/2017 $750 $750 $0
05 - Beaumont Beaumont 013338 Caring Hearts Home Care 08/23/2017 $1,500 $1,500 $0
05 - Beaumont Beaumont 008921 Texas Home Health of America 08/02/2017 $750 $750 $0
05 - Beaumont Cleveland 017191 Solace Home Health Care Services 07/21/2017 $2,250 $2,150 $100
05 - Beaumont Woodville 012677 Care Plus Home Health 07/28/2017 $750 $750 $0
06 - Houston Bay City 016603 Shining Nightingale Health Care 04/12/2018 $3,100 $0 $3,100
06 - Houston Bellaire 008310 A-Care Home Health Services 02/15/2018 $500 $0 $500
06 - Houston Bellaire 011753 Girling Community Care Texas by
Harden Healthcare
12/29/2017 $1,500 $1,500 $0
06 - Houston Bellaire 011753 Girling Community Care Texas by
Harden Healthcare
09/11/2017 $750 $750 $0
06 - Houston Bellaire 012038 Guardian Healthcare 04/13/2018 $1,500 $0 $1,500
D-15
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Brookshire 016364 Anointed Hands Home Healthcare 12/28/2017 $2,250 $1,868 $382
06 - Houston Conroe 012264 St Agnes Caregivers Inc 01/26/2018 $2,750 $2,750 $0
06 - Houston Conroe 011013 Synergy Homecare 03/01/2018 $1,500 $1,500 $0
06 - Houston Cypress 017717 Cyfair Healthcare LLC 01/25/2018 $1,500 $1,500 $0
06 - Houston Cypress 017018 Helping Hands Personal Care
Services LLC
08/16/2017 $1,300 $0 $1,300
06 - Houston Friendswood 017597 Silver Linings Home Care LLC 03/23/2018 $1,500 $1,500 $0
06 - Houston Friendswood 017597 Silver Linings Home Care LLC 02/22/2018 $500 $500 $0
06 - Houston Galveston 006270 Sigma Health Care Inc 10/20/2017 $1,550 $1,550 $0
06 - Houston Houston 016793 1 Stop Health Care Services LLC 11/30/2017 $1,500 $1,500 $0
06 - Houston Houston 017077 1st Traditions Homecare LLC 07/20/2017 $3,550 $0 $3,550
06 - Houston Houston 003568 A & A Home Health Services Inc 04/17/2018 $750 $0 $750
06 - Houston Houston 012085 A & T Multi-healthcare Services
LLC
10/30/2017 $1,500 $0 $1,500
06 - Houston Houston 011356 A Better Homecare 03/14/2018 $750 $750 $0
06 - Houston Houston 009242 A C Health Services Inc 01/12/2018 $1,500 $1,500 $0
06 - Houston Houston 012948 Abba Gentle Healthcare LLC 05/04/2018 $1,250 $0 $1,250
06 - Houston Houston 008842 Ace Healthcare Services Inc 03/20/2017 $2,150 $2,150 $0
06 - Houston Houston 017055 Age in Place 07/24/2017 $2,500 $0 $2,500
06 - Houston Houston 016248 All Day Healthcare Inc. 04/26/2018 $1,500 $0 $1,500
06 - Houston Houston 010069 All Nations Home Health Services
Inc
07/03/2017 $1,500 $1,500 $0
06 - Houston Houston 010069 All Nations Home Health Services
Inc
12/07/2017 $700 $700 $0
06 - Houston Houston 011358 Allbright Health Care Services Inc 07/20/2017 $2,250 $2,250 $0
D-16
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 008001 Alpha Healthcare Network Inc 03/08/2018 $1,750 $0 $1,750
06 - Houston Houston 008001 Alpha Healthcare Network Inc 06/30/2017 $2,250 $0 $2,250
06 - Houston Houston 011783 Alpha Home Health Services 06/27/2017 $2,250 $0 $2,250
06 - Houston Houston 017770 Always Best Care Senior Services 03/28/2018 $2,000 $0 $2,000
06 - Houston Houston 017770 Always Best Care Senior Services 03/30/2018 $4,250 $4,250 $0 $4,250
06 - Houston Houston 013617 Apex Homehealth Services Inc 10/04/2016 $3,450 $2,800 $2,800 $0
06 - Houston Houston 007603 Assist- Med Inc 10/20/2017 $600 $0 $600
06 - Houston Houston 013884 AssuranceJ Homecare Services Inc 11/08/2017 $1,400 $1,400 $0
06 - Houston Houston 015159 Astro Medical Services LLC 03/14/2018 $750 $0 $750
06 - Houston Houston 017693 Atma Home Care 01/23/2018 $1,000 $0 $1,000
06 - Houston Houston 017693 Atma Home Care 01/25/2018 $2,000 $0 $2,000
06 - Houston Houston 009115 Avida Care Services LLC 08/25/2017 $3,000 $0 $3,000
06 - Houston Houston 009115 Avida Care Services LLC 11/01/2017 $1,500 $0 $1,500
06 - Houston Houston 017514 Bathfol Health Services Inc 10/27/2017 $4,600 $4,600 $0
06 - Houston Houston 012342 Bellaire Home Health Care LLC 04/11/2018 $750 $750 $0
06 - Houston Houston 013719 Blakes Blessing Health Care Inc 08/21/2017 $2,250 $2,250 $0
06 - Houston Houston 016845 Bless It Hands Home Health Care 08/24/2017 $1,450 $1,450 $0
06 - Houston Houston 012069 Care and Comfort Home Health 04/11/2018 $750 $750 $0
06 - Houston Houston 010311 Care Options Health Services Inc 08/04/2017 $750 $750 $0
06 - Houston Houston 017655 Caregivers Health Care 01/10/2018 $4,000 $4,000 $0
06 - Houston Houston 010117 Careworks 12/20/2017 $750 $750 $0
06 - Houston Houston 017525 Caring Health Services 04/20/2018 $3,000 $3,000 $0
D-17
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 007827 Caring Professional Health
Services Inc
05/09/2018 $750 $750 $0
06 - Houston Houston 017629 Christian Companions 01/12/2018 $4,250 $0 $4,250
06 - Houston Houston 017386 Christmas Charity Inc 11/02/2017 $2,250 $2,250 $0
06 - Houston Houston 016210 Clinical View Home Health 10/12/2017 $2,250 $0 $2,250
06 - Houston Houston 016210 Clinical View Home Health 09/26/2017 $3,250 $3,250 $0
06 - Houston Houston 005445 Coastal Medical Services Inc 09/15/2017 $1,500 $500 $1,000
06 - Houston Houston 015961 Cobarm Healthcare Services Inc 11/28/2017 $3,950 $0 $3,950
06 - Houston Houston 017680 Comfortcare Homehealth Services
LLC
01/11/2018 $2,000 $333 $1,667
06 - Houston Houston 015935 Cristos Health Care Services Inc 02/22/2018 $750 $750 $0
06 - Houston Houston 017283 Cy-creek Healthcare Services Inc. 10/19/2017 $700 $0 $700
06 - Houston Houston 010018 Decency Home Health Care
Services Inc
12/14/2017 $4,500 $4,500 $0
06 - Houston Houston 017707 Designed with Loving Care Home
Health
01/23/2018 $3,500 $0 $3,500
06 - Houston Houston 017505 Devoted Loving Care Inc 11/22/2017 $3,000 $3,000 $0
06 - Houston Houston 016460 Dolrac Healthcare Services Inc. 07/25/2017 $3,250 $0 $3,250
06 - Houston Houston 013860 Dynamic Home Health Services 03/06/2018 $750 $0 $750
06 - Houston Houston 013860 Dynamic Home Health Services 02/06/2018 $750 $750 $0
06 - Houston Houston 016770 Eden Healthcare LLC 08/04/2017 $1,500 $1,500 $0
06 - Houston Houston 017373 Elite Vintage Health Care LLC 07/12/2017 $1,450 $0 $0 $0
06 - Houston Houston 008175 Emmaco Home Health Services
Inc
04/13/2018 $1,500 $0 $1,500
06 - Houston Houston 012553 Encore Caregivers 02/28/2018 $750 $750 $0
D-18
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 014986 Epic Pediatric Therapy 08/11/2017 $2,400 $2,500 -$100
06 - Houston Houston 014986 Epic Pediatric Therapy 01/18/2018 $1,500 $1,500 $0
06 - Houston Houston 014985 Epic Pediatric Therapy 03/28/2018 $750 $750 $0
06 - Houston Houston 014985 Epic Pediatric Therapy 01/05/2018 $750 $750 $0
06 - Houston Houston 005283 Eternal Healthcare Center Inc 03/28/2018 $1,250 $1,250 $0
06 - Houston Houston 008533 Evangel Home Care Services 01/12/2018 $3,000 $0 $3,000
06 - Houston Houston 012997 Evangel Pediatric Services 05/10/2018 $750 $0 $750
06 - Houston Houston 016349 Evergreen Healthcare Services Inc 10/25/2017 $1,400 $0 $1,400
06 - Houston Houston 012502 Excellence Home Healthcare 11/09/2017 $700 $700 $0
06 - Houston Houston 009965 Extended Hand Home Health Care
Inc
01/11/2018 $3,000 $500 $2,500
06 - Houston Houston 012705 Famcare Home Health Services
Inc
10/27/2017 $2,250 $0 $2,250
06 - Houston Houston 010335 Flagstar Healthcare Services 01/05/2018 $6,500 $0 $6,500
06 - Houston Houston 008744 Fountain Home Health 04/11/2018 $1,250 $1,250 $0
06 - Houston Houston 017005 Golden Years Home Health Care 09/26/2017 $1,250 $1,250 $0
06 - Houston Houston 013191 Guiding Home Care Inc 10/11/2017 $600 $600 $0
06 - Houston Houston 006529 Gulf Coast Community Health
Services Inc
09/15/2017 $750 $750 $0
06 - Houston Houston 017638 Happy Keepers Homecare and
Assistance
12/07/2017 $3,000 $0 $3,000
06 - Houston Houston 017081 Harmony Senior Livinghome Inc 10/02/2017 $3,000 $520 $2,480
06 - Houston Houston 017749 Healing Through Caring Homecare 01/24/2018 $750 $750 $0
06 - Houston Houston 013619 Healthcare Providers of America
Inc
01/12/2018 $1,000 $1,000 $0
D-19
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 009005 Healthcare Solutions 05/10/2018 $1,500 $0 $1,500
06 - Houston Houston 007443 Healthsource Home Care Inc 12/27/2017 $4,000 $833 $3,167
06 - Houston Houston 014258 Heavenly Providers Health Care
Inc
01/05/2018 $5,000 $0 $5,000
06 - Houston Houston 017502 Heuristic Home Health Care LLC 11/30/2017 $1,950 $1,950 $0
06 - Houston Houston 009817 His Caring Arms Health Services 08/11/2017 $3,700 $2,500 $2,500 $0
06 - Houston Houston 007403 Home Care Plus 12/05/2017 $1,400 $1,400 $0
06 - Houston Houston 015631 Home for Texas 08/25/2017 $1,500 $1,500 $0
06 - Houston Houston 017340 Home Helpers 03/01/2018 $3,000 $3,000 $0
06 - Houston Houston 017087 Home Sweet Home Provider
Services
08/16/2017 $1,500 $1,500 $0
06 - Houston Houston 016625 Homecare Horizons Inc 03/23/2018 $750 $0 $750
06 - Houston Houston 007865 Horizon Home Health Care 01/23/2018 $2,250 $0 $2,250
06 - Houston Houston 016674 Houston Therapy Consult PLLC 07/27/2017 $1,500 $1,500 $0
06 - Houston Houston 017344 Hummingbird Care Group 10/11/2017 $700 $0 $700
06 - Houston Houston 017454 Infinity Healthcare Services Inc 11/10/2017 $2,100 $0 $2,100
06 - Houston Houston 016543 Innovision Home Health Care Inc 10/27/2017 $1,200 $1,200 $0
06 - Houston Houston 016543 Innovision Home Health Care Inc 07/28/2017 $4,150 $7,608 -$3,458
06 - Houston Houston 003376 Inter Active Health Care Inc 07/28/2017 $700 $700 $0
06 - Houston Houston 017115 Intra Home Health Care Agency
LLC
09/20/2017 $3,000 $3,000 $0
06 - Houston Houston 017115 Intra Home Health Care Agency
LLC
10/05/2017 $3,600 $3,600 $0
06 - Houston Houston 016113 Ivory Healthcare Agency 06/22/2017 $1,250 $833 $417
06 - Houston Houston 012039 Jaimel Health Care Services LLC 10/19/2017 $650 $650 $0
D-20
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 017292 Jewel Home Healthcare 10/11/2017 $2,000 $0 $2,000
06 - Houston Houston 009823 Jovic Healthcare Services Inc 01/10/2018 $1,500 $975 $0 $975
06 - Houston Houston 017074 Kindred at Home-Personal Home
Care Assistance-Houston
03/09/2018 $750 $750 $0
06 - Houston Houston 017074 Kindred at Home-Personal Home
Care Assistance-Houston
08/02/2017 $3,000 $3,000 $0
06 - Houston Houston 017776 Loved Ones 02/28/2018 $3,000 $3,500 -$500
06 - Houston Houston 010275 Maxwell Providers Inc 01/04/2018 $4,500 $0 $4,500
06 - Houston Houston 010275 Maxwell Providers Inc 03/21/2018 $750 $750 $0
06 - Houston Houston 015202 Med Force Medical Services Inc 01/05/2018 $1,500 $0 $1,500
06 - Houston Houston 008138 Med-health Inc 01/12/2018 $4,500 $0 $4,500
06 - Houston Houston 015307 Medistar Provider Services Inc 02/14/2018 $2,750 $0 $2,750
06 - Houston Houston 010103 Medsol Home Healthcare & Case
Management Services LLC
12/21/2017 $1,500 $1,500 $0
06 - Houston Houston 008935 Mercy Healthcare Services Inc 03/22/2018 $750 $750 $0
06 - Houston Houston 017543 Millennial Personal Care Service
LLC
03/28/2018 $3,000 $0 $3,000
06 - Houston Houston 016882 Modern Homecare Solutions 08/24/2017 $1,800 $1,800 $0
06 - Houston Houston 015316 Mother Love Health Care Services 10/27/2017 $5,200 $1,733 $3,467
06 - Houston Houston 017019 Motsoo Home Health 07/25/2017 $2,250 $0 $2,250
06 - Houston Houston 016978 Multi-service Healthcare Inc 08/01/2017 $1,617 $975 $1,138 -$163
06 - Houston Houston 017002 Mzee Home Care Services LLC 07/19/2017 $1,500 $975 $525
06 - Houston Houston 017345 ND Healthcare Services Inc 09/20/2017 $5,800 $4,200 $4,200 $0
06 - Houston Houston 009755 New Life Home Services 02/01/2018 $1,500 $1,500 $0
06 - Houston Houston 017050 Newstart Home Care Services Inc 07/21/2017 $1,450 $718 $732
D-21
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 001793 Nurses Night and Day Inc 04/20/2018 $500 $0 $500
06 - Houston Houston 013287 Nutrend Healthcare Inc 02/07/2018 $500 $500 $0
06 - Houston Houston 009228 Optimal Community Support
Services
08/18/2017 $1,450 $1,000 $1,000 $0
06 - Houston Houston 018135 Optimum Care Home Health
Agency
01/12/2018 $2,250 $2,250 $0
06 - Houston Houston 004685 Option Care 03/09/2018 $1,500 $1,500 $0
06 - Houston Houston 010153 Pacific Care Home Health Services
LLC
11/10/2017 $750 $750 $0
06 - Houston Houston 007083 Pacific Home Health Care Inc 02/08/2018 $1,000 $1,000 $0
06 - Houston Houston 013372 Paradigm Home Health Solutions
PLLC
08/23/2017 $800 $0 $800
06 - Houston Houston 017495 Passion for Caring Home Health
Inc
11/16/2017 $2,400 $0 $2,400
06 - Houston Houston 016173 Pediatric Home Healthcare LLC 09/20/2017 $1,500 $1,500 $0
06 - Houston Houston 015456 Perpetual Health Home Care Inc 01/11/2018 $2,750 $0 $2,750
06 - Houston Houston 015083 Pin Oak Caregivers LLC 09/18/2017 $750 $750 $0
06 - Houston Houston 016983 Pinnacle Quality Care Services LLC 07/26/2017 $2,850 $2,850 $0
06 - Houston Houston 013227 Prihomehealth Inc 10/26/2017 $600 $600 $0
06 - Houston Houston 018121 Priority Methodist Home
Healthcare LLC
03/08/2018 $5,250 $0 $5,250
06 - Houston Houston 015319 Providian Health Care 08/24/2017 $600 $600 $0
06 - Houston Houston 002306 PSA Healthcare Inc 09/15/2017 $750 $750 $0
06 - Houston Houston 017420 Rapha Home Health Care Inc 11/17/2017 $3,000 $1,950 $1,950 $0
06 - Houston Houston 009621 Resource Care Corporation 07/21/2017 $4,500 $3,000 $1,500
D-22
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 009621 Resource Care Corporation 12/29/2017 $2,850 $2,850 $0
06 - Houston Houston 007241 Resource Home Health Services 02/06/2018 $500 $0 $500
06 - Houston Houston 009741 Restore Health Care Services Inc 04/11/2018 $500 $0 $500
06 - Houston Houston 004088 Rose Home Health Services Inc 04/13/2018 $500 $500 $0
06 - Houston Houston 017240 Satellite Wellbound of Houston 10/23/2017 $1,200 $0 $1,200
06 - Houston Houston 012801 Senior Allegiance 02/28/2018 $750 $750 $0
06 - Houston Houston 015815 SeniorBridge 03/01/2018 $750 $750 $0
06 - Houston Houston 014235 Seniority Homecare Inc 10/20/2017 $1,400 $1,400 $0
06 - Houston Houston 008005 Special Kids Care 10/10/2017 $750 $750 $0
06 - Houston Houston 008577 St Francis Health Care Services
Inc
02/02/2018 $2,250 $2,250 $0
06 - Houston Houston 016630 St Marys Healthcare Inc 08/24/2017 $1,750 $0 $1,750
06 - Houston Houston 009600 Star Home Health Inc 09/18/2017 $750 $0 $750
06 - Houston Houston 017704 Starching Home Health Services
Inc
11/13/2017 $750 $0 $750
06 - Houston Houston 008686 States Health Inc 03/29/2018 $1,500 $1,500 $0
06 - Houston Houston 017529 Stay at Home with Our Help 11/30/2017 $15,600 $0 $15,600
06 - Houston Houston 010333 STI Health Care Services Inc 01/31/2018 $500 $500 $0
06 - Houston Houston 017457 Strength Within LLC 11/15/2017 $1,500 $975 $975 $0
06 - Houston Houston 015950 Superior Integrated Home Health
Care Inc
07/31/2017 $3,250 $0 $3,250
06 - Houston Houston 016884 Supreme Health Care Inc 08/24/2017 $3,350 $3,350 $0
06 - Houston Houston 008353 Teamcare Home Health Services
Inc
02/08/2018 $2,500 $1,625 $700 $925
06 - Houston Houston 008776 Texas Home Health of America 12/06/2017 $2,000 $2,000 $0
D-23
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 008776 Texas Home Health of America 09/18/2017 $1,500 $1,500 $0
06 - Houston Houston 007607 Texas Home Health of America 09/21/2017 $1,500 $1,500 $0
06 - Houston Houston 007607 Texas Home Health of America 03/02/2018 $1,500 $1,500 $0
06 - Houston Houston 008776 Texas Home Health of America 09/15/2017 $750 $750 $0
06 - Houston Houston 007607 Texas Home Health of America 12/27/2017 $1,500 $1,500 $0
06 - Houston Houston 007607 Texas Home Health of America 02/21/2018 $750 $750 $0
06 - Houston Houston 011752 Texas Premier Care Services Inc 04/23/2018 $500 $500 $0
06 - Houston Houston 017698 Three B's Home Health Care Inc 01/24/2018 $3,000 $3,000 $0
06 - Houston Houston 013317 Topical Healthcare Services Inc 08/17/2017 $750 $750 $0
06 - Houston Houston 009281 Touch of Class 09/18/2017 $1,500 $1,500 $0
06 - Houston Houston 009281 Touch of Class 04/17/2018 $750 $750 $0
06 - Houston Houston 012364 Trustus Home Health Services Inc 10/19/2017 $5,200 $0 $5,200
06 - Houston Houston 017812 Uni Star Personal Care LLC 04/25/2018 $1,750 $0 $1,750
06 - Houston Houston 014109 Unified Medical Group Inc 12/19/2017 $7,500 $0 $7,500
06 - Houston Houston 003259 Unlimited Home Care Inc 03/07/2018 $750 $0 $750
06 - Houston Houston 016913 Visiting Angels 07/06/2017 $1,950 $1,950 $0
06 - Houston Houston 017415 World Health Services Inc 10/20/2017 $3,000 $300 $2,700
06 - Houston Houston 017685 YA's Healthcare Provider Agency 01/24/2018 $2,000 $0 $2,000
06 - Houston Katy 017071 Fusion One Healthcare 08/03/2017 $6,500 $4,550 $3,032 $1,518
06 - Houston Katy 017431 Healthcare Resources of Texas 11/15/2017 $1,500 $1,500 $0
06 - Houston Katy 011091 Memorial Home Healthcare
Incorporated
11/27/2017 $1,700 $0 $1,700
06 - Houston Katy 011091 Memorial Home Healthcare
Incorporated
03/08/2018 $1,500 $0 $1,500
D-24
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Katy 011091 Memorial Home Healthcare
Incorporated
10/24/2017 $1,700 $0 $1,700
06 - Houston Katy 013343 Miracle Nurses Healthcare
Services Inc
11/02/2017 $1,500 $1,500 $0
06 - Houston Katy 016147 Pathfinder Home Health 03/22/2018 $500 $500 $0
06 - Houston Katy 017328 Seds Kids Care 11/09/2017 $1,500 $975 $525
06 - Houston Kingwood 016944 Encompass Health Home Health 04/20/2018 $1,500 $1,500 $0
06 - Houston Kingwood 011929 Health Solutions Home Health 12/27/2017 $1,500 $0 $1,500
06 - Houston Lake
Jackson
016203 Caring Senior Service of Brazoria
County
07/27/2017 $750 $750 $0
06 - Houston Lake
Jackson
017968 CHI St. Luke's Health - Brazosport
Home Health
10/20/2017 $700 $0 $700
06 - Houston League City 015295 Carebuilders at Home Houston 1 09/19/2017 $1,500 $1,100 $1,100 $0
06 - Houston League City 015295 Carebuilders at Home Houston 1 08/02/2017 $1,500 $1,100 $1,100 $0
06 - Houston League City 009291 Jeby Health Care Services Inc 09/20/2017 $1,500 $1,500 $0
06 - Houston Magnolia 017699 Majestic Consulting 01/29/2018 $1,750 $0 $1,750
06 - Houston Missouri
City
017764 Assist Private Care LLC 02/08/2018 $2,000 $0 $2,000
06 - Houston Missouri
City
017682 Family Affair Health Care 01/10/2018 $2,000 $2,000 $0
06 - Houston Missouri
City
013173 Jestco Health Care Inc 03/29/2018 $3,000 $0 $3,000
06 - Houston Pasadena 017241 Elite Health Providers of Houston
LLC
02/01/2018 $5,250 $5,250 $0
06 - Houston Pasadena 011267 Jordan Health Services 03/14/2018 $750 $750 $0
06 - Houston Pearland 017623 Benevolence Home Care 12/07/2017 $750 $750 $0
D-25
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Pearland 014899 Friendly Faces Senior Care 04/20/2018 $750 $0 $750
06 - Houston Pearland 016206 YesToHomeCare 04/09/2018 $750 $750 $0
06 - Houston Richmond 009181 Blessed Healthcare Inc 07/18/2017 $750 $750 $0
06 - Houston Richmond 010642 Chezin Health Care Services 02/01/2018 $2,250 $750 $1,500
06 - Houston Richmond 017711 Dakus Ventures Inc 01/23/2018 $1,750 $700 $1,050
06 - Houston Richmond 017711 Dakus Ventures Inc 02/27/2018 $1,500 $0 $1,500
06 - Houston Richmond 017630 Firstlight Home Care of Sugar
Land and Richmond Texas
01/10/2018 $6,750 $0 $6,750
06 - Houston Richmond 017736 Forward Health Care LLC 01/24/2018 $1,000 $1,000 $0
06 - Houston Richmond 017684 Genesis Healthcare Services 01/25/2018 $1,000 $650 $0 $650
06 - Houston Richmond 017313 JD Homecare Inc 10/10/2017 $2,600 $0 $2,600
06 - Houston Richmond 009839 Maritona Health Services Inc. 12/14/2017 $800 $800 $0
06 - Houston Richmond 016718 Stamd Health Care Incorporated 09/29/2017 $600 $600 $0
06 - Houston Rosenberg 009816 Logic Homehealth Services Inc 03/16/2018 $3,750 $3,750 $0
06 - Houston Rosenberg 009816 Logic Homehealth Services Inc 01/18/2018 $750 $750 $0
06 - Houston Rosenberg 010105 Siercam Healthcare Services LLC 02/21/2018 $750 $750 $0
06 - Houston Sealy 017100 JSE Healthcare Inc 08/08/2017 $3,250 $3,250 $0
06 - Houston Sealy 017010 Oak River Healthcare Services Inc 11/09/2017 $2,950 $2,950 $0
06 - Houston Spring 017278 Always Best Care Spring Tomball 10/06/2017 $1,500 $1,500 $0
06 - Houston Spring 017696 Gracesprings Healthcare Services 01/09/2018 $1,500 $0 $1,500
06 - Houston Spring 015274 Magnet Health Care Services Inc 03/19/2018 $2,000 $0 $2,000
06 - Houston Spring 014182 Maxim Healthcare Services Inc 12/01/2017 $875 $875 $0
06 - Houston Spring 012397 Pathfinder Pediatric Home Care
Inc
03/29/2018 $1,500 $1,500 $0
D-26
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Stafford 010027 A&l Health Care Services LLC 08/24/2017 $1,500 $0 $1,500
06 - Houston Stafford 012300 Ace-ellent Healthcare Services Inc 10/26/2017 $1,400 $1,400 $0
06 - Houston Stafford 009929 Caring Angel Healthcare Services
Inc
03/14/2018 $1,500 $0 $1,500
06 - Houston Stafford 008719 Caring Professional Home Health
Services Inc
04/19/2018 $750 $750 $0
06 - Houston Stafford 011239 Chase Healthcare Service Inc 04/05/2018 $3,750 $0 $3,750
06 - Houston Stafford 016545 Ebra Home Health Services Inc 04/13/2018 $2,250 $0 $2,250
06 - Houston Stafford 012747 Embassy Home Healthcare 03/06/2018 $750 $750 $0
06 - Houston Stafford 011090 Estan Healthcare Services Inc 10/20/2017 $1,400 $1,400 $0
06 - Houston Stafford 013934 Maria Regina Home Health Agency
Inc
03/15/2018 $3,000 $0 $3,000
06 - Houston Stafford 012912 Maxim Healthcare Services Inc 02/08/2018 $1,500 $1,500 $0
06 - Houston Stafford 012216 North Home Healthcare LLC 03/22/2018 $2,250 $2,250 $0
06 - Houston Stafford 009635 Rapid Home Health Care 08/17/2017 $700 $700 $0
06 - Houston Stafford 008433 Sto Nino Home Health Inc 02/23/2018 $750 $750 $0
06 - Houston Stafford 008626 Vitalcare Health Services 03/14/2018 $750 $0 $750
06 - Houston Sugar Land 015630 Acute Healthcare Services Inc 08/04/2017 $700 $700 $0
06 - Houston Sugar Land 016130 Alpha Links Healthcare Services 10/19/2017 $1,400 $0 $1,400
06 - Houston Sugar Land 016906 Altus Home Healthcare of Houston
LP
08/17/2017 $600 $600 $0
06 - Houston Sugar Land 017410 Amada Senior Care-Sugar Land 10/20/2017 $6,700 $4,355 $1,452 $2,903
06 - Houston Sugar Land 010997 Anis Healthcare Services Inc 10/31/2017 $750 $750 $0
06 - Houston Sugar Land 008482 Axis Care Group Home Health
Services Inc
04/05/2018 $1,500 $1,500 $0
D-27
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Sugar Land 008482 Axis Care Group Home Health
Services Inc
12/22/2017 $2,100 $2,100 $0
06 - Houston Sugar Land 011142 CCC Health Care Inc 11/29/2017 $700 $700 $0
06 - Houston Sugar Land 017832 Comcare Health Services LLC 11/03/2017 $5,200 $5,200 $0
06 - Houston Sugar Land 009497 Healthpoint Home Health and
Infusion Services
06/15/2017 $1,500 $1,500 $0
06 - Houston Sugar Land 015938 Kappa Home Health Services Inc 01/09/2018 $1,500 $1,500 $0
06 - Houston Sugar Land 015938 Kappa Home Health Services Inc 10/27/2017 $2,300 $2,300 $0
06 - Houston Sugar Land 015938 Kappa Home Health Services Inc 07/24/2017 $750 $750 $0
06 - Houston Sugar Land 017028 Mabel Livinghome Inc 08/15/2017 $2,500 $0 $2,500
06 - Houston Sugar Land 017790 Sugar Land Supportive Healthcare
Services LLC
04/06/2018 $1,000 $0 $1,000
06 - Houston The
Woodlands
018165 At Your Side Home Care The
Woodlands
04/05/2018 $500 $500 $0
06 - Houston The
Woodlands
017118 LT Home Healthcare 02/01/2018 $2,000 $2,000 $0
06 - Houston The
Woodlands
013350 Windsong Home Health Agency 08/24/2017 $750 $750 $0
06 - Houston Tomball 017626 Home Helpers and Direct Link 01/03/2018 $3,250 $0 $3,250
06 - Houston Tomball 013291 Silver-Spring Healthcare Services 02/21/2018 $500 $500 $0
06 - Houston Waller 013948 EPS Healthcare Services Inc 01/30/2018 $0 $0 $0
06 - Houston Waller 013948 EPS Healthcare Services Inc 01/30/2018 $750 $0 $750
06 - Houston Webster 007134 Denson Home Health Inc 02/26/2018 $2,250 $2,250 $0
07 - Austin Austin 018092 A J Prestige Home Health Care LLC 03/26/2018 $2,500 $0 $2,500
07 - Austin Austin 017891 Accession Home Health Services 08/17/2017 $1,250 $1,250 $0
D-28
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Austin 012567 Brookdale at Home Austin 07/14/2017 $750 $750 $0
07 - Austin Austin 015575 Coastal Home Health Care Inc 07/07/2017 $2,750 $0 $2,750
07 - Austin Austin 007556 Disability Services of The
Southwest Inc
10/05/2017 $1,500 $1,500 $0
07 - Austin Austin 015057 Edward's Home Health & Hospice 11/30/2017 $500 $0 $500
07 - Austin Austin 015057 Edward's Home Health & Hospice 11/07/2017 $500 $0 $500
07 - Austin Austin 017032 Expectations Unshackled 02/02/2018 $4,500 $0 $4,500
07 - Austin Austin 017032 Expectations Unshackled 01/17/2018 $500 $500 $0
07 - Austin Austin 017168 Fresenius Medical Care Staff Assist
Austin North
08/11/2017 $7,250 $7,250 $0
07 - Austin Austin 017689 Friends and Family Healthcare
PLLC
07/06/2017 $2,250 $2,250 $0
07 - Austin Austin 011732 Girling Community Care Texas by
Harden Healthcare
07/10/2017 $1,000 $1,000 $0
07 - Austin Austin 018067 Golden Years Homecare 03/13/2018 $500 $0 $500
07 - Austin Austin 014207 Gucci Healthcare Services Inc 01/26/2018 $500 $500 $0
07 - Austin Austin 009777 Hill Country Care Providers 10/10/2017 $750 $750 $0
07 - Austin Austin 016857 Homewatch Caregivers of South
West Austin
07/27/2017 $2,000 $2,000 $0
07 - Austin Austin 017966 Jordan Health Services 11/21/2017 $500 $0 $500
07 - Austin Austin 017045 Jordan Health Services 10/27/2017 $3,250 $3,250 $0
07 - Austin Austin 017966 Jordan Health Services 09/27/2017 $2,000 $2,000 $0
07 - Austin Austin 015311 Living at Home 09/06/2017 $500 $500 $0
07 - Austin Austin 012913 Maxim Healthcare Services Inc 10/04/2017 $1,500 $1,500 $0
D-29
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Austin 003605 Meals On Wheels Central Texas
In-home Care
01/26/2018 $750 $750 $0
07 - Austin Austin 016600 MGA Pediatric Homecare 07/25/2017 $750 $750 $0
07 - Austin Austin 003114 New Hope Health Care Inc 10/05/2017 $1,250 $800 $800 $0
07 - Austin Austin 016942 Nurses Unlimited Inc 10/04/2017 $3,500 $3,500 $0
07 - Austin Austin 017099 Our Family Home Care 01/04/2018 $1,250 $1,250 $0
07 - Austin Austin 007810 Outreach Home Care 12/05/2017 $1,250 $1,250 $0
07 - Austin Austin 017255 Patient's Premier Choice LLC 02/23/2018 $2,500 $0 $2,500
07 - Austin Austin 015185 Redbud Homecare Services LLC 11/01/2017 $500 $0 $500
07 - Austin Austin 015185 Redbud Homecare Services LLC 08/22/2017 $1,500 $1,500 $0
07 - Austin Austin 012568 Right at Home 1202 12/20/2017 $500 $500 $0
07 - Austin Austin 008065 Rosy In Home Services Inc 08/16/2017 $1,750 $0 $1,750
07 - Austin Austin 017925 Season of Peace LLC 09/06/2017 $500 $500 $0
07 - Austin Austin 017923 Silverheart Home Care LLC 09/06/2017 $2,500 $1,650 $850
07 - Austin Austin 017261 Soal Home Health Services LLC 03/13/2018 $500 $500 $0
07 - Austin Austin 012904 Texas Home Care Partners LLC 10/11/2017 $2,000 $2,000 $0
07 - Austin Austin 007742 Texas Home Health Skilled
Services
03/09/2018 $1,000 $1,000 $0
07 - Austin Austin 017864 Thrive Skilled Pediatric Care 06/14/2017 $500 $500 $0
07 - Austin Austin 016424 Total Care Provider LLC 11/21/2017 $1,750 $1,750 $0
07 - Austin Austin 016424 Total Care Provider LLC 01/04/2018 $500 $500 $0
07 - Austin Austin 015235 Viva Pediatrics 09/20/2017 $1,500 $1,500 $0
07 - Austin Bastrop 005899 Bluebonnet Home Health Care of
Texas Inc
01/17/2018 $500 $500 $0
D-30
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Brenham 012119 Golden Years Homecare
Specialists II
04/11/2018 $1,500 $1,500 $0
07 - Austin Bryan 011573 Guardian Healthcare 03/28/2018 $500 $0 $500
07 - Austin Bryan 017806 Homespark LLC 10/20/2017 $1,750 $1,750 $0
07 - Austin Bryan 017824 Right at Home 10/18/2017 $1,000 $700 $700 $0
07 - Austin Bryan 016278 Signature Select Services 10/26/2017 $500 $500 $0
07 - Austin Buda 016868 Nellie's Heart Caregiving
Incorporated
09/06/2017 $750 $750 $0
07 - Austin Burnet 016739 Seton Home Care 03/28/2018 $3,250 $0 $3,250
07 - Austin College
Station
018330 Texas Home Health Group of
College Station LLC
01/12/2018 $750 $750 $0
07 - Austin College
Station
016581 Texas Home Health of America 12/18/2017 $750 $0 $750
07 - Austin College
Station
015187 Visiting Angels 03/28/2018 $3,000 $0 $3,000
07 - Austin Elgin 017058 Nurse Next Door 01/19/2018 $2,000 $2,000 $0
07 - Austin Georgetown 016937 Encompass Health Home Health 07/13/2017 $750 $750 $0
07 - Austin Georgetown 016574 Health at Home 07/26/2017 $750 $750 $0
07 - Austin Harker
Heights
018096 Bellah Therapies LLC 12/07/2017 $4,750 $792 $3,958
07 - Austin Harker
Heights
014748 Family Care Home Health 09/29/2017 $1,500 $1,100 $0 $1,100
07 - Austin Harker
Heights
009082 Heights Home Health 10/31/2017 $1,000 $1,000 $0
07 - Austin Harker
Heights
009082 Heights Home Health 06/23/2017 $250 $250 $0
D-31
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Killeen 017590 Compassionate Companions LLC 09/12/2017 $4,250 $709 $3,541
07 - Austin Killeen 017590 Compassionate Companions LLC 08/07/2017 $500 $500 $0
07 - Austin Killeen 017795 Quality Personal Care Inc 08/08/2017 $1,500 $1,500 $0
07 - Austin Lakeway 016423 Comforcare 04/30/2018 $500 $500 $0
07 - Austin Lakeway 017945 Muve Home Health LLC 12/12/2017 $6,150 $0 $6,150
07 - Austin Leander 008795 Central Texas Caregivers Inc 09/06/2017 $1,000 $0 $0 $0
07 - Austin Manor 016658 A-prime Medical Home Health Inc 11/10/2017 $1,000 $1,000 $0
07 - Austin Marble Falls 014453 Visiting Angels 07/26/2017 $3,000 $0 $3,000
07 - Austin Pflugerville 008716 Interim Healthcare of Austin 03/01/2018 $2,500 $2,500 $0
07 - Austin Pflugerville 017825 Paradise Personal Assistance
Services LLC
08/22/2017 $500 $500 $0
07 - Austin Pflugerville 018340 Propedia Health Services Inc 04/04/2018 $3,000 $0 $3,000
07 - Austin Round Rock 017349 Amada Senior Care Austin 03/15/2018 $10,000 $0 $10,000
07 - Austin Round Rock 007626 Apicon Home Health Agency Inc 01/04/2018 $1,000 $0 $1,000
07 - Austin Round Rock 017282 CHM Adult Care Center Co 09/19/2017 $14,000 $0 $14,000
07 - Austin Round Rock 017185 Christy Grace Health Center Inc 03/22/2018 $4,000 $4,000 $0
07 - Austin Round Rock 017185 Christy Grace Health Center Inc 08/24/2017 $1,500 $1,500 $0
07 - Austin Round Rock 015047 Homeslice Caregivers 08/16/2017 $750 $0 $750
07 - Austin Round Rock 018188 Jordan Health Services 08/31/2017 $750 $750 $0
07 - Austin Round Rock 010220 New Era Homecare Solutions Inc 12/13/2017 $2,250 $0 $2,250
07 - Austin Round Rock 017801 Nica Home Care 07/06/2017 $750 $750 $0
07 - Austin Round Rock 018339 Rehabcare 04/24/2018 $1,250 $1,250 $0
07 - Austin Round Rock 015885 Theracare Home Health 01/25/2018 $1,500 $1,500 $0
D-32
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Round Rock 015475 Total Care Home Health Inc 01/24/2018 $2,750 $0 $2,750
07 - Austin Round Rock 014569 Unic Home Healthcare Inc 08/15/2016 $2,250 $2,250 $0
07 - Austin San Marcos 002191 Central Texas Medical Center
Home Health
12/07/2017 $1,500 $1,500 $0
07 - Austin San Marcos 014462 Kindred at Home 03/15/2018 $2,000 $2,000 $0
07 - Austin Taylor 018337 Texas Home Health Group of
Taylor LLC
02/07/2018 $750 $750 $0
07 - Austin Temple 016946 Brookdale Meridian Temple 05/04/2018 $750 $750 $0
07 - Austin Temple 017075 Disability Services of the
Southwest Inc
02/15/2018 $750 $750 $0
07 - Austin Temple 013943 Epic Health Services 09/13/2017 $1,750 $1,750 $0
07 - Austin Temple 018252 Texas Home Health Group of
Temple LLC
11/16/2017 $750 $750 $0
07 - Austin Waco 017576 A Mile of Comfort LLC 09/28/2017 $4,250 $0 $4,250
07 - Austin Waco 015980 Bluebonnet Health Services of
Waco
02/08/2018 $500 $500 $0
07 - Austin Waco 011951 Guardian Healthcare 03/01/2018 $500 $500 $0
07 - Austin Waco 008089 Visiting Angels 05/02/2018 $2,000 $2,000 $0
07 - Austin Whitney 014837 Divine Living Assistance Services 09/27/2017 $3,500 $3,500 $0
08 - San
Antonio
Boerne 014370 Texas Kids Home Therapy and
Nursing PLLC
12/08/2017 $1,700 $1,700 $0
08 - San
Antonio
Converse 018107 Everlasting Home Health Care Inc 12/11/2017 $7,100 $1,183 $5,917
08 - San
Antonio
Crystal City 003516 Lopez Health Systems Inc 08/02/2017 $1,450 $1,450 $0
D-33
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
Del Rio 017639 Del Rio Grande Home Healthcare 10/11/2017 $2,050 $2,050 $0
08 - San
Antonio
Eagle Pass 010971 National Medical Homecare Inc 08/15/2017 $1,400 $1,400 $0
08 - San
Antonio
Eagle Pass 013889 Superior Home Health of Eagle
Pass LLC
03/23/2018 $2,750 $2,100 $650
08 - San
Antonio
Leon Valley 017875 Lone Star Provider Care LLC 01/11/2018 $1,100 $1,100 $0
08 - San
Antonio
New
Braunfels
016590 Equality Homecare Inc 10/12/2017 $3,300 $0 $3,300
08 - San
Antonio
San Antonio 009636 A Plus Family Care LLC 02/15/2018 $500 $500 $0
08 - San
Antonio
San Antonio 016197 A1 Ultra Homecare 03/06/2018 $500 $0 $500
08 - San
Antonio
San Antonio 013050 Ability Pediatric Therapy and
Nursing
09/25/2017 $1,850 $1,850 $0
08 - San
Antonio
San Antonio 016687 ACP Primary Home Care Inc 08/04/2017 $2,150 $2,150 $0
08 - San
Antonio
San Antonio 018034 Ageless Living Home Health LLC 02/02/2018 $2,300 $2,300 $0
08 - San
Antonio
San Antonio 011343 All Your Home Health Incorporated 01/12/2018 $4,550 $0 $4,550
08 - San
Antonio
San Antonio 017064 Amazing Grace Primary Home
Care
09/11/2017 $550 $550 $0
08 - San
Antonio
San Antonio 014728 AQTS Home Health 08/30/2017 $1,100 $1,100 $0
08 - San
Antonio
San Antonio 016527 Aramis Health Services 11/30/2017 $4,000 $4,000 $0
D-34
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
San Antonio 011379 Axis Home Health 03/08/2018 $700 $700 $0
08 - San
Antonio
San Antonio 015675 Brightstar Care 04/04/2018 $1,450 $0 $1,450
08 - San
Antonio
San Antonio 015675 Brightstar Care 12/22/2017 $2,450 $2,450 $0
08 - San
Antonio
San Antonio 017165 Brit-Tex Nursing Services Inc 08/11/2017 $1,450 $1,450 $0
08 - San
Antonio
San Antonio 017894 By Design Homecare Inc 11/09/2017 $1,400 $1,400 $0
08 - San
Antonio
San Antonio 002798 Caprock Home Health Services Inc 04/13/2018 $500 $500 $0
08 - San
Antonio
San Antonio 002798 Caprock Home Health Services Inc 09/01/2017 $500 $500 $0
08 - San
Antonio
San Antonio 018438 Christus VNA Homecare San
Antonio
05/07/2018 $2,200 $2,200 $0 $2,200
08 - San
Antonio
San Antonio 018437 Christus VNA Homecare San
Antonio
05/07/2018 $2,200 $2,200 $0 $2,200
08 - San
Antonio
San Antonio 017683 Comforcare Home Care - San
Antonio
11/15/2017 $650 $650 $0
08 - San
Antonio
San Antonio 017522 Dalasi's House 11/02/2017 $4,150 $0 $4,150
08 - San
Antonio
San Antonio 009747 Eagle Healthcare Services 10/26/2017 $2,500 $2,500 $0
08 - San
Antonio
San Antonio 009908 En Su Casa Caregivers 09/01/2017 $500 $500 $0
08 - San
Antonio
San Antonio 009490 Encompass Health Home Health 01/25/2018 $700 $700 $0
D-35
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
San Antonio 009490 Encompass Health Home Health 08/21/2017 $250 $250 $0
08 - San
Antonio
San Antonio 009490 Encompass Health Home Health 09/01/2017 $500 $500 $0
08 - San
Antonio
San Antonio 013878 Epic Health Services 04/18/2018 $650 $650 $0
08 - San
Antonio
San Antonio 013878 Epic Health Services 01/04/2018 $600 $600 $0
08 - San
Antonio
San Antonio 013878 Epic Health Services 01/10/2018 $1,100 $1,100 $0
08 - San
Antonio
San Antonio 013878 Epic Health Services 04/04/2018 $750 $750 $0
08 - San
Antonio
San Antonio 010344 Esteem Home Health Care 08/24/2017 $2,800 $1,850 $617 $1,233
08 - San
Antonio
San Antonio 017546 Executive Care 10/18/2017 $3,000 $0 $3,000
08 - San
Antonio
San Antonio 017519 F.L.A.R.E Your In Home Care
Provider
06/28/2017 $3,100 $2,300 $2,299 $1
08 - San
Antonio
San Antonio 018104 First Steps Therapy Services PLLC 05/10/2018 $650 $0 $650
08 - San
Antonio
San Antonio 013250 Helping Hands of San Antonio
Home Care
11/08/2017 $500 $2,650 -$2,150
08 - San
Antonio
San Antonio 007822 Home Instead Senior Care 04/18/2018 $500 $500 $0
08 - San
Antonio
San Antonio 010115 Home Nursing & Therapy Services 01/12/2018 $1,800 $1,800 $0
08 - San
Antonio
San Antonio 011260 Jordan Health Services 05/11/2018 $550 $0 $550
D-36
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
San Antonio 011737 Kindred at Home 02/20/2018 $3,550 $3,550 $0
08 - San
Antonio
San Antonio 007638 La Estrella Home Care 12/05/2017 $500 $500 $0
08 - San
Antonio
San Antonio 007638 La Estrella Home Care 11/16/2017 $550 $550 $0
08 - San
Antonio
San Antonio 009943 Lifespan Home Health 10/18/2017 $550 $550 $0
08 - San
Antonio
San Antonio 011059 Little Engine Homecare Inc 12/18/2017 $1,350 $1,350 $0
08 - San
Antonio
San Antonio 009962 Living Tree of Life 04/06/2018 $1,250 $1,250 $0
08 - San
Antonio
San Antonio 004137 Med Team Inc 01/25/2018 $1,300 $1,300 $0
08 - San
Antonio
San Antonio 004137 Med Team Inc 09/01/2017 $600 $1,600 -$1,000
08 - San
Antonio
San Antonio 017293 Mission Road Developmental
Center
04/05/2018 $750 $750 $0
08 - San
Antonio
San Antonio 017995 MMCare 02/14/2018 $700 $700 $0
08 - San
Antonio
San Antonio 016564 Ohana Pediatric Home Health LLC 10/13/2017 $3,200 $0 $3,200
08 - San
Antonio
San Antonio 017269 Pediatric Home Healthcare LLC 03/15/2018 $500 $500 $0
08 - San
Antonio
San Antonio 007102 Pride PHC Services Inc 09/01/2017 $500 $500 $0
08 - San
Antonio
San Antonio 008669 Quality Home Health Care
Services
02/01/2018 $2,300 $975 $1,150 -$175
D-37
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
San Antonio 016403 Resilient Home Health Care Inc 11/17/2017 $1,650 $1,650 $0
08 - San
Antonio
San Antonio 016403 Resilient Home Health Care Inc 04/17/2018 $500 $500 $0
08 - San
Antonio
San Antonio 016403 Resilient Home Health Care Inc 03/08/2018 $550 $550 $0
08 - San
Antonio
San Antonio 017648 Senior Helpers of Greater San
Antonio
03/16/2018 $4,100 $0 $4,100
08 - San
Antonio
San Antonio 017425 St. Michael Provider LLC 08/22/2017 $1,400 $1,399 $1
08 - San
Antonio
San Antonio 013689 Superior Home Health of San
Antonio LLC
03/22/2018 $1,400 $1,400 $0
08 - San
Antonio
San Antonio 013689 Superior Home Health of San
Antonio LLC
03/14/2018 $2,000 $0 $2,000
08 - San
Antonio
San Antonio 015902 Sweet Pea's Pedi Care Inc 07/28/2017 $1,500 $1,500 $0
08 - San
Antonio
San Antonio 017757 Texas United Rehab Unlimited Inc 01/09/2018 $1,850 $1,850 $0
08 - San
Antonio
San Antonio 016749 Touching Hearts at Home 03/01/2018 $7,750 $0 $7,750
08 - San
Antonio
Victoria 017714 Arisco Home Healthcare Services
Inc
04/06/2018 $1,950 $0 $1,950
08 - San
Antonio
Victoria 015535 Home Instead 01/29/2018 $1,100 $1,100 $0
08 - San
Antonio
Victoria 016780 Texas Home Health of America 02/14/2018 $750 $0 $750
08 - San
Antonio
Victoria 010635 Victorian Healthcare Services Inc 07/31/2017 $1,300 $0 $1,300
D-38
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
09 - Abilene Big Spring 010706 Encompass Health Home Health 03/14/2018 $750 $750 $0
09 - Abilene Big Spring 015634 Kindred at Home 11/09/2017 $2,250 $2,250 $0
09 - Abilene Midland 007641 Inhome Care 08/03/2017 $3,000 $3,000 $0
09 - Abilene Midland 009842 St Josephs Home Health Inc 12/07/2017 $750 $0 $750
09 - Abilene Odessa 003467 Nurses Unlimited Inc 10/23/2017 $750 $750 $0
09 - Abilene Odessa 003467 Nurses Unlimited Inc 05/02/2018 $750 $750 $0
09 - Abilene Odessa 003467 Nurses Unlimited Inc 01/22/2018 $750 $750 $0
09 - Abilene Odessa 004878 Star Care Home Health Inc 03/23/2018 $3,850 $3,850 $0
09 - Abilene San Angelo 009732 Angels Care Home Health of San
Angelo
03/15/2018 $1,500 $1,500 $0
09 - Abilene San Angelo 008619 Concho Valley Home Health Care 11/03/2017 $2,250 $2,250 $0
09 - Abilene San Angelo 008619 Concho Valley Home Health Care 03/08/2018 $750 $750 $0
10 - El Paso Clint 016508 Lone Star Home Health Care Inc 10/24/2017 $500 $0 $500
10 - El Paso El Paso 017568 Amistad Personal Assistance
Services
09/29/2017 $750 $750 $0
10 - El Paso El Paso 018094 Bella Providers LLC 01/24/2018 $500 $500 $0
10 - El Paso El Paso 016456 Celestial Personal Assistance
Services LLC
11/10/2017 $750 $0 $750
10 - El Paso El Paso 007904 Inhome Care 08/03/2017 $2,000 $200 $1,800
10 - El Paso El Paso 016959 Merida Healthcare Group 02/16/2018 $1,500 $0 $1,500
10 - El Paso El Paso 016443 Noble Personal Home Care LLC 04/10/2018 $2,000 $2,000 $0
10 - El Paso El Paso 017918 Nuevo Hogar Home Care Providers 10/20/2017 $500 $500 $0
10 - El Paso El Paso 018491 Quantum Home Care LLC 04/18/2018 $2,000 $0 $2,000
10 - El Paso El Paso 009990 Revive Home Care Inc 08/03/2017 $1,000 $1,000 $0
D-39
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
10 - El Paso El Paso 016432 Shield of Grace Home Healthcare
LLC
03/01/2018 $1,500 $0 $1,500
10 - El Paso El Paso 010357 Tender Care Home Health 02/23/2018 $1,250 $1,250 $0
10 - El Paso El Paso 016897 Visiting Angels 10/12/2017 $500 $500 $0
10 - El Paso Fabens 016908 Our Family Home Health Care
Agency
04/12/2018 $1,250 $1,250 $0
11 - Corpus
Christi
Alice 007114 Saldivar Primary Home Care 04/20/2018 $1,900 $1,900 $0
11 - Corpus
Christi
Alton 015762 Sincere Health Care LLC 08/08/2017 $2,500 $0 $2,500
11 - Corpus
Christi
Beeville 017654 La Amistad Provider Services 02/23/2018 $11,250 $0 $11,250
11 - Corpus
Christi
Brownsville 017716 A Better Choice Home Health
Services Inc
03/19/2018 $1,250 $1,250 $0
11 - Corpus
Christi
Brownsville 016165 Dream Care LLC 02/06/2018 $1,350 $1,350 $0
11 - Corpus
Christi
Brownsville 009456 Infinity Care Providers Inc 02/02/2018 $7,000 $0 $7,000
11 - Corpus
Christi
Brownsville 002897 Interim Healthcare 05/11/2018 $500 $0 $500
11 - Corpus
Christi
Brownsville 016862 My Safe Heaven Corporation 11/03/2017 $1,500 $1,500 $0
11 - Corpus
Christi
Brownsville 004014 San Martin Home Health Inc 06/29/2017 $1,850 $1,850 $0
11 - Corpus
Christi
Brownsville 010693 Valley Care Home Health Services
LLC
03/07/2018 $2,200 $0 $2,200
11 - Corpus
Christi
Brownsville 010693 Valley Care Home Health Services
LLC
10/06/2017 $1,000 $1,000 $0
D-40
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
Brownsville 014661 Von'd Kids 11/07/2017 $2,050 $2,050 $0
11 - Corpus
Christi
Corpus
Christi
003825 Carestat Provider Services 01/12/2018 $4,050 $4,050 $0
11 - Corpus
Christi
Corpus
Christi
007918 Caring Senior Service of Corpus
Christi
02/08/2018 $4,250 $0 $4,250
11 - Corpus
Christi
Corpus
Christi
015681 Educare Community Living Corp
Texas
03/21/2018 $2,200 $2,200 $0
11 - Corpus
Christi
Corpus
Christi
011265 Jordan Health Services 11/17/2017 $4,300 $4,300 $0
11 - Corpus
Christi
Corpus
Christi
007510 National Nursing & Rehab Inc 07/21/2017 $2,200 $2,200 $0
11 - Corpus
Christi
Corpus
Christi
011952 Prime Care Home Health Inc 11/03/2017 $500 $500 $0
11 - Corpus
Christi
Edinburg 011833 Allstate Primary Home Care 02/16/2018 $3,250 $3,250 $0
11 - Corpus
Christi
Edinburg 010228 Champion Health Care 03/19/2018 $700 $700 $0
11 - Corpus
Christi
Edinburg 003459 Family Home Health Services 10/05/2017 $1,000 $1,000 $0
11 - Corpus
Christi
Edinburg 013499 Reyna Health Care Inc 10/19/2017 $500 $500 $0
11 - Corpus
Christi
Harlingen 017264 A Dream Come True Home Care 12/15/2017 $3,900 $0 $3,900
11 - Corpus
Christi
Harlingen 017264 A Dream Come True Home Care 02/15/2018 $4,100 $0 $4,100
11 - Corpus
Christi
Harlingen 003014 Harlingen Acute Care Inc 11/10/2017 $3,500 $3,500 $0
D-41
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
Harlingen 002649 South Texas Nursing Care Inc 09/15/2017 $3,400 $3,400 $0
11 - Corpus
Christi
Harlingen 006515 Valley View Primary Home Care 11/13/2017 $7,750 $7,750 $0
11 - Corpus
Christi
Kingsville 011188 South Texas Home Health 11/09/2017 $3,950 $3,950 $0
11 - Corpus
Christi
Laredo 010096 Best Healthcare LLC 02/16/2018 $2,500 $2,500 $0
11 - Corpus
Christi
Laredo 017246 CMV Home Health LLC 04/06/2018 $3,100 $3,100 $0
11 - Corpus
Christi
Laredo 014576 Estrella Provider Services LLC 02/09/2018 $1,100 $1,100 $0
11 - Corpus
Christi
Laredo 010070 Excellent Nursing Care PC 09/29/2017 $13,150 $13,150 $0
11 - Corpus
Christi
Laredo 011592 Farias Home Health Care LLC 03/01/2018 $650 $650 $0
11 - Corpus
Christi
Laredo 011264 Jordan Health Services 04/13/2018 $2,850 $0 $2,850
11 - Corpus
Christi
Laredo 017076 Manna Provider Services LLC 11/08/2017 $750 $750 $0
11 - Corpus
Christi
Laredo 012679 Mi Esperanza Provider Care 12/22/2017 $2,000 $0 $2,000
11 - Corpus
Christi
Laredo 017660 Saint Bernadette's Primary Home
Care
02/13/2018 $1,950 $650 $1,300
11 - Corpus
Christi
Laredo 017498 St. Luke's Primary Home Care LLC 05/15/2018 $14,200 $0 $14,200
11 - Corpus
Christi
Laredo 017498 St. Luke's Primary Home Care LLC 05/15/2018 $0 $0 $0
D-42
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
Laredo 011405 United Home Health 09/22/2017 $2,500 $2,500 $0
11 - Corpus
Christi
Los Fresnos 015231 Amazing Grace Primary Home
Care LLC
02/07/2018 $1,650 $1,650 $0
11 - Corpus
Christi
McAllen 010285 A New Hope Health Care Inc 12/07/2017 $2,500 $2,500 $0
11 - Corpus
Christi
McAllen 010285 A New Hope Health Care Inc 04/18/2018 $3,950 $0 $3,950
11 - Corpus
Christi
McAllen 017138 BK Home Health Therapy Services 08/14/2017 $4,950 $4,950 $0
11 - Corpus
Christi
McAllen 017480 De Todo Corazon Primary Home
Care
03/01/2018 $0 $0 $0
11 - Corpus
Christi
McAllen 017480 De Todo Corazon Primary Home
Care
03/01/2018 $1,000 $1,000 $1,000 $0
11 - Corpus
Christi
McAllen 008177 First Choice Healthcare 09/14/2017 $1,100 $1,100 $0
11 - Corpus
Christi
McAllen 002164 Health Care Unlimited Inc 02/23/2018 $3,000 $3,000 $0
11 - Corpus
Christi
McAllen 002388 Nurses That Care 01/12/2018 $1,000 $1,000 $0
11 - Corpus
Christi
McAllen 012598 Paz Home Health LLC 08/02/2017 $7,250 $7,250 $0
11 - Corpus
Christi
McAllen 017317 Re-nu Home Health Inc 12/11/2017 $2,800 $2,800 $0
11 - Corpus
Christi
McAllen 017317 Re-nu Home Health Inc 03/14/2018 $5,050 $0 $5,050
11 - Corpus
Christi
McAllen 017772 Spirit Alliance Home Health
Agency
08/24/2017 $2,100 $2,100 $0
D-43
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
McAllen 017772 Spirit Alliance Home Health
Agency
04/16/2018 $4,050 $4,050 $0
11 - Corpus
Christi
McAllen 011422 Superior Home Health Services
LLC
10/11/2017 $6,000 $6,000 $0
11 - Corpus
Christi
McAllen 008926 Thank You Nurses Ltd 01/26/2018 $7,050 $7,050 $0
11 - Corpus
Christi
McAllen 017450 Therapy Squad 03/21/2018 $1,450 $1,450 $0
11 - Corpus
Christi
Mission 016284 Allegiance Health Care Inc 03/16/2018 $2,200 $2,200 $0
11 - Corpus
Christi
Mission 006460 Angelitos Primary Home Care Inc 11/10/2017 $5,450 $5,450 $0
11 - Corpus
Christi
Mission 017460 Criterion Health Care Inc 03/16/2018 $6,900 $6,900 $0
11 - Corpus
Christi
Mission 017334 Summit Renal Services LLC 03/19/2018 $8,450 $0 $8,450
11 - Corpus
Christi
Pharr 017354 Bravo Home Care 12/28/2017 $2,500 $2,500 $0
11 - Corpus
Christi
Pharr 017675 Buena Suerte Home Health 04/11/2018 $500 $500 $0
11 - Corpus
Christi
Pharr 012825 Juanitas Angels Home Healthcare
LLC
12/22/2017 $1,800 $0 $1,800
11 - Corpus
Christi
Pharr 017174 Proactive Homecare 04/03/2018 $0 $500 -$500
11 - Corpus
Christi
San Benito 014978 Lemon Tree Home Care LLC 12/21/2017 $3,600 $0 $3,600
11 - Corpus
Christi
San Benito 010603 Stay Healthy Homecare Inc 04/13/2018 $1,500 $0 $1,500
D-44
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
Weslaco 009859 Balli Home Health Inc 01/10/2018 $6,200 $2,067 $4,133
11 - Corpus
Christi
Weslaco 017201 Five Star Quality Home Health Inc 09/13/2017 $3,700 $0 $3,700
11 - Corpus
Christi
Weslaco 011051 Regional Nursing Services Inc 12/20/2017 $700 $0 $700
Totals $1,379,642 $67,618 $751,758
699 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.
D-45
Hospice Administrative Penalties for FY 2018
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
01 - Lubbock Dalhart 005693 Coon Memorial Hospital Home
Care
04/19/2018 $2,250 $2,250 $0
01 - Lubbock Hereford 017957 Samaritan Hospice 08/17/2017 $750 $750 $0
01 - Lubbock Littlefield 009857 Legacy of Love Hospice 02/14/2018 $3,750 $3,750 $0
01 - Lubbock Lockney 012529 Hospice Hands of West Texas
Inc
12/13/2017 $7,500 $0 $7,500
01 - Lubbock Lubbock 005035 Kindred Hospice 01/30/2018 $750 $750 $0
02 - Abilene Abilene 014755 Kindred Hospice 02/08/2018 $2,250 $2,250 $0
02 - Abilene Brownwood 011763 Kindred Hospice 02/15/2018 $1,500 $1,500 $0
02 - Abilene Brownwood 011763 Kindred Hospice 02/01/2018 $750 $750 $0
02 - Abilene Graham 016109 Graham Regional Hospice 04/19/2018 $750 $750 $0
03 - Arlington Arlington 007850 Hospice Healthcare Network 09/07/2017 $2,000 $2,000 $0
03 - Arlington Azle 006257 Main Street Hospice 07/27/2017 $1,500 $1,500 $0
03 - Arlington Bedford 016498 Holy Savior Hospice 06/20/2017 $750 $750 $0
03 - Arlington Carrollton 015028 Esteem Hospice 10/12/2017 $1,500 $1,500 $0
03 - Arlington Dallas 017520 Alliance United Hospice Care
LLC
02/20/2018 $500 $0 $500
03 - Arlington Dallas 017537 Dignity Hospice 02/09/2018 $5,950 $5,950 $0
03 - Arlington Dallas 017372 Rockwal Hospice Inc 03/20/2018 $2,000 $2,000 $0
03 - Arlington Fort Worth 016699 Asana Hospice 03/14/2018 $1,250 $1,250 $0
03 - Arlington Fort Worth 015841 Encompass Health Hospice 02/08/2018 $500 $500 $0
03 - Arlington Fort Worth 012440 Grace Hospice of Fort Worth LLC 01/22/2018 $2,250 $0 $2,250
D-46
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
03 - Arlington Fort Worth 014639 St Gabriels Hospice and
Palliative Care LLC
12/11/2017 $1,750 $1,750 $0
03 - Arlington Fort Worth 006982 Vitas Healthcare of Texas LP 11/08/2017 $600 $600 $0
03 - Arlington Garland 017940 LMS Hospice Inc 08/29/2017 $2,000 $2,000 $0
03 - Arlington Greenville 008082 Kindred Hospice 02/16/2018 $3,500 $3,500 $0
03 - Arlington Hurst 009222 Alpha Omega Hospice LP 02/07/2018 $750 $750 $0
03 - Arlington Hurst 016724 Heritage Hospice of Texas 09/28/2017 $800 $0 $800
03 - Arlington Irving 015147 Smart Medi Care Health
Services Inc
07/07/2017 $2,250 $2,250 $0
03 - Arlington Mesquite 017047 Bella Hospice and Healthcare
LLC
08/24/2017 $250 $250 $0
03 - Arlington Mesquite 017047 Bella Hospice and Healthcare
LLC
08/07/2017 $2,000 $2,000 $0
03 - Arlington Mesquite 018239 Quality Care Hospice Inc 08/24/2017 $500 $500 $0
03 - Arlington Plano 009334 Grace Hospice 11/20/2017 $2,250 $0 $2,250
03 - Arlington Richardson 007562 Advance Hospice Care of
America Inc
02/15/2018 $1,500 $1,500 $0
03 - Arlington Richardson 018329 Visiting Angels 10/02/2017 $7,900 $7,900 $0
03 - Arlington Sunnyvale 016823 Peace Palliative and Hospice Inc 01/04/2018 $4,500 $4,500 $0
03 - Arlington Waxahachie 008430 Kindred Hospice 02/09/2018 $750 $750 $0
04 - Tyler Longview 003475 Lifecare Health Services 08/30/2017 $750 $750 $0
04 - Tyler Tyler 015986 Heart To Heart Hospice of Tyler
Ltd
10/19/2017 $750 $0 $750
04 - Tyler Tyler 016124 Hospice Connection 12/08/2017 $1,500 $1,500 $0
06 - Houston Baytown 012378 Harbor Hospice of Baytown LP 09/18/2017 $2,250 $2,250 $0
D-47
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Houston 017331 ABIB Hospice Care Inc 09/27/2017 $1,500 $1,500 $0
06 - Houston Houston 016469 Attentive Hospice 09/28/2017 $1,500 $0 $1,500
06 - Houston Houston 014864 Circle of Care Hospice 09/29/2017 $4,350 $4,350 $0
06 - Houston Houston 016766 Del Cielo Hospice & Palliative
Care
04/11/2018 $1,500 $0 $1,500
06 - Houston Houston 016766 Del Cielo Hospice & Palliative
Care
04/02/2018 $1,500 $0 $1,500
06 - Houston Houston 016271 Featherland Hospice Inc 11/20/2017 $1,500 $1,500 $0
06 - Houston Houston 017414 Gentle Transition Hospice 11/08/2017 $2,950 $492 $2,458
06 - Houston Houston 015161 Good Shepherd Hospice of
Houston LLC
09/28/2017 $700 $700 $0
06 - Houston Houston 001994 Houston Hospice 11/17/2017 $750 $750 $0
06 - Houston Houston 017418 Nuestra Familia Hospice 11/14/2017 $1,400 $1,400 $0
06 - Houston Houston 016915 Sage Caregivers Inc 09/20/2017 $1,450 $0 $1,450
06 - Houston Humble 015585 Devinity Hospice 12/11/2017 $5,850 $0 $5,850
06 - Houston Katy 014626 Vantage Hospice 12/14/2017 $1,500 $1,500 $0
06 - Houston Kingwood 011779 Bethel Hospice of Houston Inc 06/08/2017 $1,450 $1,450 $0
06 - Houston Lake Jackson 008168 Helping Hands and Hearts
Hospice
07/12/2017 $3,650 $0 $3,650
06 - Houston Lake Jackson 009412 IPH Hospice Care Inc 12/22/2017 $1,500 $1,500 $0
06 - Houston Pasadena 015533 Excellence Hospice Care 12/07/2017 $10,350 $0 $10,350
06 - Houston Pasadena 015533 Excellence Hospice Care 10/05/2017 $5,800 $0 $5,800
06 - Houston Spring 017271 Millennium Hospice Agency LLC 03/29/2018 $750 $750 $0
06 - Houston Sugar Land 017625 Allstar Hospice 09/19/2017 $750 $750 $0
06 - Houston Sugar Land 014621 Altus Hospice 02/22/2018 $1,500 $1,500 $0
D-48
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
06 - Houston Sugar Land 011078 Gulf Coast Hospice of Houston
Ltd
02/22/2018 $1,500 $1,500 $0
06 - Houston Texas City 015315 A*Med Community Hospice 11/01/2017 $2,250 $2,250 $0
06 - Houston Texas City 001694 Hospice Care Team Inc 11/17/2017 $3,700 $3,700 $0
06 - Houston The
Woodlands
017134 Rose of Texas Hospice 10/03/2017 $750 $750 $0
06 - Houston Webster 016134 Promedic Hospice 12/01/2017 $6,000 $6,000 $0
07 - Austin Austin 014874 Brookdale Hospice Austin 11/09/2017 $750 $750 $0
07 - Austin Austin 017962 Cima Hospice 07/07/2017 $500 $500 $0
07 - Austin Austin 017023 Encompass Health Hospice 10/26/2017 $900 $900 $0
07 - Austin Austin 015952 Heart to Heart Hospice of Austin
Ltd
11/17/2017 $500 $500 $0
07 - Austin Austin 017517 New Century Hospice of Austin 03/15/2018 $1,500 $1,500 $0
07 - Austin Austin 017517 New Century Hospice of Austin 12/20/2017 $500 $500 $0
07 - Austin Austin 016740 Seton Hospice 09/27/2017 $2,000 $2,000 $0
07 - Austin Bryan 013721 Compassionate Care Hospice 12/19/2017 $750 $750 $0
07 - Austin Bryan 013721 Compassionate Care Hospice 03/29/2018 $750 $750 $0
07 - Austin College
Station
014287 Traditions Hospice 07/28/2017 $500 $500 $0
07 - Austin Dripping
Springs
017218 Blue Star Home Care 03/08/2018 $1,500 $1,500 $0
07 - Austin Georgetown 014240 Wesleyan Hospice 03/22/2018 $0 $3,500 $3,500 $0
07 - Austin Pflugerville 012962 Interim Hospice of San Antonio 09/15/2017 $550 $550 $0
07 - Austin Round Rock 016340 Altus Hospice of The Hills 03/09/2018 $500 $500 $0
07 - Austin San Marcos 004098 Kindred Hospice 04/19/2018 $750 $750 $0
D-49
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
07 - Austin Waco 014809 Interim Hospice of Granbury 01/19/2018 $500 $500 $0
07 - Austin Waco 007477 Providence Hospice 01/18/2018 $500 $500 $0
08 - San
Antonio
Eagle Pass 013706 Faith Home Hospice Care 09/22/2017 $3,700 $2,960 $0 $2,960
08 - San
Antonio
Eagle Pass 009852 Fort Duncan Home Health and
Hospice Care
06/09/2017 $4,100 $0 $4,100
08 - San
Antonio
Fredericksburg 007156 Hill Country Memorial Hospice 07/20/2017 $1,100 $1,100 $0
08 - San
Antonio
San Antonio 018098 Compassus - San Antonio 02/15/2018 $550 $550 $0
08 - San
Antonio
San Antonio 018098 Compassus - San Antonio 12/04/2017 $500 $500 $0
08 - San
Antonio
San Antonio 017178 Crossroads Hospice Inc 12/01/2017 $5,650 $5,650 $0
08 - San
Antonio
San Antonio 013573 Embrace Hospice LLC 12/12/2017 $1,500 $1,500 $0
08 - San
Antonio
San Antonio 015665 Guiding Light Hospice 09/22/2017 $2,400 $2,400 $0
08 - San
Antonio
San Antonio 015794 Harbor Hospice of Central San
Antonio LP
12/20/2017 $4,550 $4,550 $0
08 - San
Antonio
San Antonio 017259 Ikiru Hospice LLC 07/21/2017 $2,000 $0 $2,000
08 - San
Antonio
San Antonio 004072 Kindred Hospice 08/17/2017 $2,050 $2,050 $0
08 - San
Antonio
San Antonio 007712 Kindred Hospice 09/05/2017 $1,000 $1,000 $0
08 - San
Antonio
San Antonio 017528 La Diferencia Hospice LLC 08/23/2017 $2,500 $2,500 $0
D-50
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
08 - San
Antonio
San Antonio 018026 Opuscare of Texas 10/25/2017 $1,750 $1,750 $0
08 - San
Antonio
San Antonio 017562 Orenda Hospice 08/17/2017 $1,650 $1,650 $0
08 - San
Antonio
San Antonio 017211 Pietas Hospice LLC 07/26/2017 $2,050 $0 $2,050
08 - San
Antonio
San Antonio 017467 Tejas First Hospice LLC 07/19/2017 $500 $500 $0
08 - San
Antonio
San Antonio 007195 Vitas Healthcare of Texas LP 08/04/2017 $550 $550 $0
09 - Abilene Midland 002022 Hospice of Midland Inc 10/24/2017 $5,250 $0 $5,250
09 - Abilene Odessa 003840 Home Hospice 07/27/2017 $1,000 $1,000 $0
10 - El Paso El Paso 009845 Global Hospice Care Inc 11/29/2017 $500 $500 $0
10 - El Paso El Paso 007770 Kindred Hospice 07/06/2017 $2,000 $2,000 $0
11 - Corpus
Christi
Corpus Christi 008442 Legacy Home Health Agency Inc 03/05/2018 $700 $700 $0
11 - Corpus
Christi
Corpus Christi 006229 Nurses On Wheels Inc 11/03/2017 $6,950 $6,950 $0
11 - Corpus
Christi
Harlingen 012130 Kindred Hospice 08/17/2017 $2,700 $2,700 $0
11 - Corpus
Christi
Laredo 015081 Altus Hospice of South Texas LP 03/16/2018 $1,100 $0 $1,100
11 - Corpus
Christi
McAllen 017463 Eternal Serenity Hospice LLC 12/12/2017 $4,600 $4,600 $0
11 - Corpus
Christi
McAllen 012543 IPH Hospice Care Inc 03/22/2018 $3,450 $3,450 $0
D-51
Region City License
Number Agency
Visit Exit
Date Imposed Assessed Collected Balance
11 - Corpus
Christi
McAllen 014420 Superior Hospice of McAllen LLC 04/03/2018 $3,850 $0 $3,850
11 - Corpus
Christi
McAllen 014420 Superior Hospice of McAllen LLC 10/10/2017 $5,150 $5,150 $0
11 - Corpus
Christi
McAllen 014420 Superior Hospice of McAllen LLC 04/03/2018 $1,750 $1,150 $600
11 - Corpus
Christi
San Benito 002159 Heart of the Valley Hospice 08/03/2017 $1,000 $0 $1,000
Totals $232,450 $6,460 $164,192
113 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.
D-52
Home and Community Support Services Agency Injunctive/Other
Relief and Civil Penalty Referrals to the Office of the Attorney General
for FY 2018
HHSC did not refer any home and community support services agency to the Office
of the Attorney General for injunctive/other relief in FY 2018.
Home Health Agency Denials of License Application for FY 2018
Region City Agency Denial
Date
03 - Arlington Denison A Family Member Homecare 06/25/2018
03 - Arlington Plano KM Infusion Service Inc 12/20/2017
06 - Houston Houston Skyline Senior Services LLC 04/09/2018
06 - Houston Katy Bexel Worldwide 01/28/2018
06 - Houston League City BHCS Brilliant Home Community Services 09/08/2017
06 - Houston Stafford Zeebamz Health Services 09/06/2017
07 - Austin Austin BTO Healthcare & Services 03/05/2018
07 - Austin Hewitt Firstlight Homecare of Waco 11/14/2017
09 - Abilene Midland Divine Integrity Allied Healthcare Services 02/13/2018
11 - Corpus Christi Edinburg St Jude Home Health 02/23/2018
10 Total home health agency denials of license application.
Hospice Agency Denials of License Application for FY 2018
Region City Agency Denial
Date
03 - Arlington Lewisville CareRite Home Health and Hospice
Services
11/02/2017
06 - Houston Missouri
City
Amicable Palliative Care 05/25/2018
11 - Corpus Christi Port Isabel Angelito's Hospice, Inc 12/12/2017
3 Total hospice agency denials of license application.
Home Health Agency Denials of License Renewal for FY 2018
Region City License
Number Agency
Denial
Date
03 - Arlington Little Elm 016020 Zubic Home Health Services Inc 09/20/2017
D-53
Region City License
Number Agency
Denial
Date
06 - Houston Houston 016630 St Marys Healthcare Inc 01/18/2018
06 - Houston Sugar Land 013441 Healthcare Masters Inc 03/05/2018
06 - Houston Sugar Land 017028 Mabel Livinghome, Inc 12/05/2017
08 - San Antonio San Antonio 016197 A1 Ultra Homecare 07/19/2018
08 - San Antonio San Antonio 016598 Castle Homecare 4 Kids, LLC 09/05/2017
08 - San Antonio San Antonio 017501 Radiant Home Care 07/01/2018
11 - Corpus Christi Harlingen 017264 A Dream Come True Home Care 05/06/2018
8 Total home health agency denials of license renewal.
Hospice Agency Denials of License Renewal for FY 2018
HHSC did not deny renewal of any licenses for a hospice agency in FY 2018.
Home Health Agency Expirations of License (in Lieu of Further
Enforcement Action) for FY 2018
Region City License
Number Agency
Denial
Date
03 - Arlington Fort Worth 017368 BSN Home Health Care 04/20/2018
06 - Houston Houston 017077 1st Traditions Homecare LLC 12/13/2017
06 - Houston Houston 017055 Age in Place 09/30/2017
06 - Houston Houston 017053 Aide in Aid, LLC 10/20/2017
06 - Houston Houston 011783 Alpha Home Health Services 12/31/2017
06 - Houston Houston 017529 Stay at Home with Our Help 07/31/2018
06 - Houston Richmond 012441 AAA Healthcare Services Inc 01/11/2018
06 - Houston Richmond 014261 K Cn Home Care LLC 09/01/2017
06 - Houston Richmond 016909 Reke’s Healthcare Services, Inc 09/20/2017
06 - Houston Sugar Land 010043 Emex Home Health Agency Inc 11/10/2017
06 - Houston Wharton 016933 All Hope Home Health Agency
Inc
10/18/2017
08 - San Antonio San Antonio 017021 Questqual Pediatric Services 10/23/2017
08 - San Antonio San Antonio 016995 Stone Oak Home Health
Services
10/24/2017
D-54
Region City License
Number Agency
Denial
Date
11 - Corpus Christi Alton 015762 Sincere Health Care LLC 09/30/2017
11 - Corpus Christi Edinburg 008694 Ninos Home Care Inc 11/14/2017
11 - Corpus Christi Edinburg 011460 Valley Medcare Services 10/25/2017
16 Total home health agency expirations of license.
Hospice Agency Expirations of License (in Lieu of Further Enforcement
Action) for FY 2018
Region City License
Number Agency
Denial
Date
03 - Arlington Arlington 015907 Clearpath Hospice of Fort Worth
LLC
01/01/2018
06 - Houston Dallas 017395 Lifepointe Hospice Dallas
Metroplex LLC
04/16/2018
2 Total hospice agency expirations of license.
Home Health Agency Immediate Suspension Orders for FY 2018
HHSC did not issue any immediate suspension orders for a home health agency in
FY 2018.
Hospice Agency Immediate Suspension Orders for FY 2018
HHSC did not issue any immediate suspension orders for a hospice agency in FY
2018.
Home Health Agency Surrenders of License (in Lieu of Further
Enforcement Action) for FY 2018
Region City License
Number Agency
Surrender
Date
03 - Arlington Azle 017970 Dementia Specialist Home Care 01/10/2018
03 - Arlington Coppell 012795 Omega Home Healthcare
Agency
12/21/2017
03 - Arlington Dallas 012648 Texas Senior Homehealth Inc 11/30/2017
03 - Arlington Desoto 017701 In-depth Healthcare Services 09/06/2017
D-55
Region City License
Number Agency
Surrender
Date
03 - Arlington Garland 017821 Home Helpers Direct Link
#58871
09/08/2017
03 - Arlington Irving 017860 Pediatria Healthcare for Kids 09/28/2017
03 - Arlington McKinney 018305 Best Choice Senior Care 06/01/2018
03 - Arlington Murphy 015413 Bopim Healthcare Services
Limited
03/27/2018
03 - Arlington Rowlett 018095 Appraise Health Care 03/15/2018
04 – Tyler Tyler 018295 All Kidz Kan 04/17/2018
04 – Tyler White Oak 017917 Royal Caring Hands LLC 02/22/2018
05 - Beaumont Beaumont 018659 Texas Home Health of America 07/31/2018
06 – Houston Houston 016210 Clinical View Home Health 02/28/2018
06 – Houston Houston 010417 Faith in Him Health Services 05/25/2018
06 – Houston Houston 018369 Master Geriatric Care, LLC 06/29/2018
06 – Houston Houston 018492 SNG - Sohum Houston Dialysis
Center, LP
07/23/2018
06 – Houston Katy 017589 Advance Help Home Care 05/07/2018
06 – Houston Katy 017464 Covenant Premium Senior Care
LLC
01/04/2018
06 – Houston Katy 017534 Gentle Homekare LLC 03/09/2018
07 – Austin Austin 013142 MBF Agency 02/21/2018
07 – Austin College
Station
017989 Malixi Home Health Services LLC 01/04/2018
07 – Austin Killeen 017590 Compassionate Companions LLC 02/20/2018
07 – Austin Leander 008795 Central Texas Caregivers Inc 12/12/2017
11 - Corpus Christi Corpus
Christi
017388 Trio Home Health-rural Inc 05/14/2018
11 - Corpus Christi McAllen 018464 Pan De Vida Healthcare 08/14/2018
11 - Corpus Christi Rio Grande
City
009822 Perfect Choice Health Care
Services Inc
10/26/2017
11 - Corpus Christi San Benito 002790 Eldercare Home Health II 02/02/2018
27 Total home health agency surrenders of license.
D-56
Hospice Agency Surrenders of License (in Lieu of Further Enforcement
Action) for FY 2018
Region City License
Number Agency
Surrender
Date
03 - Arlington Irving 015147 Smart Medi Care Health
Services Inc
07/31/2018
06 - Houston Houston 016536 Seven Stars Hospice Inc 04/13/2018
06 - Houston Katy 018158 Pristine Healthcare Services Inc 05/13/2018
11 - Corpus Christi Rio Hondo 017586 Pride Hospice Care LLC 04/26/2018
11 - Corpus Christi San Benito 002159 Heart of The Valley Hospice 02/22/2018
5 Total hospice agency surrenders of license.
Home Health Agency Revocations of License for FY 2018
Region City License
Number Agency
Date
Revoked
03 - Arlington Cedar Hill 017982 Revitalizing Futures Healthcare
Services
01/06/2018
03 - Arlington Dallas 017759 Careone Caregiving Home
Health Agency
07/04/2018
03 - Arlington Dallas 017506 Homecareconnect 09/11/2017
03 - Arlington Dallas 018247 MDH Healthcare Agency LLC 05/02/2018
03 - Arlington Dallas 017996 Patient Consolidated Services
LLC
05/08/2018
03 - Arlington Decatur 017333 Solaris Home Health Inc 09/09/2017
03 - Arlington Glenn
Heights
017363 Residential Connection Home
Care Services LLC
09/08/2017
03 - Arlington McKinney 018101 Aviator Home Health 02/13/2018
03 - Arlington Richardson 012014 Morning Rose Home Health Care
LLC
05/19/2018
03 - Arlington Richardson 018028 Pure Happiness Home Health
LLC
01/06/2018
04 – Tyler New Boston 017469 Helping Hands Home Health 12/20/2017
05 - Beaumont Port Arthur 017953 Care Consultants of Southeast
Texas
05/21/2018
06 - Houston Houston 017936 Andtech Home Care Services
LLC
02/18/2018
06 - Houston Houston 018102 Envision for Life Healthcare 03/11/2018
06 - Houston Houston 018198 Home Care Assistance 04/08/2018
D-57
Region City License
Number Agency
Date
Revoked
06 - Houston Houston 017793 Odera Cares LLC 01/27/2018
06 - Houston Houston 018281 Presque Domicile LLC 05/11/2018
06 - Houston Houston 017661 Roluben Health Services LLC 05/13/2018
06 - Houston Houston 018396 Vigilant in Home Care LLC 07/01/2018
06 - Houston Kingwood 017728 Alliance Renal Solutions LLC 01/27/2018
06 - Houston Manvel 017827 Advancement Care LLC 12/20/2017
06 - Houston Missouri
City
018344 Best Care in Home Service LLC 06/14/2018
06 - Houston Richmond 018407 Jescan Home Care Services 07/03/2018
06 - Houston Rosharon 018014 A Mother's Blessing Senior Care
LLC
03/21/2018
06 - Houston Splendora 018318 Hands of Love Inc 06/24/2018
06 - Houston Stafford 004976 Nationsmed Healthcare 11/19/2017
07 – Austin Austin 018152 Onehope Therapy Centers LLC 04/17/2018
07 – Austin Austin 017976 Vickie's Home Care LLC 05/21/2018
07 – Austin Cedar Park 018072 Kinesis Home Care LLC 03/30/2018
07 – Austin Temple 017796 Nurturing at Home Provider
Services
03/05/2018
08 - San Antonio San Antonio 018294 Capitol Senior Care 06/06/2018
08 - San Antonio San Antonio 017781 Here To Help A Happy Home
Care Company
12/25/2017
08 - San Antonio San Antonio 018134 Pro Re Nata Home Healthcare 03/11/2018
08 - San Antonio San Antonio 017443 Questqual Healthcare LLC 11/12/2017
08 - San Antonio San Antonio 017440 Sol Home Care LLC 05/28/2018
10 - El Paso Canutillo 018011 To the Moon and Back Personal
Care LLC
01/08/2018
11 - Corpus Christi Brownsville 017662 Jada Home Health 05/16/2018
11 - Corpus Christi Brownsville 018395 Triangle Specialized Home
Health Agency
06/20/2018
11 - Corpus Christi Edcouch 018181 Amanecer Health Care Services,
LLC
05/20/2018
11 - Corpus Christi Edinburg 018040 A Friendly Heart Home Care LLC 05/20/2018
11 - Corpus Christi Edinburg 017950 Pura Vida PHC LLC 05/17/2018
11 - Corpus Christi Edinburg 018333 Televida RGV 08/01/2018
11 - Corpus Christi Elsa 017741 Nyssa's Home Health Therapy
Services
05/20/2018
D-58
Region City License
Number Agency
Date
Revoked
11 - Corpus Christi McAllen 018383 High Point Therapy Center 07/26/2018
11 - Corpus Christi McAllen 018332 RGV Vital Connections LLC 06/28/2018
11 - Corpus Christi Pharr 012825 Juanitas Angels Home
Healthcare LLC
07/09/2018
46 Total home health agency revocations of license.
Hospice Agency Revocations of License for FY 2018
Region City License
Number Agency
Date
Revoked
03 - Arlington Fort Worth 012440 Grace Hospice of Fort Worth LLC 07/14/2018
03 - Arlington Fort Worth 017691 Knights of Comfort Hospice 09/08/2017
03 - Arlington Plano 009334 Grace Hospice 07/05/2018
06 - Houston Houston 018033 Champions Serene Comfort
Care Hospice
04/17/2018
06 - Houston Houston 018345 CNN Hospice 05/23/2018
06 - Houston Houston 018475 Oakwest Hospice 08/16/2018
06 - Houston Houston 016530 Pinnacle Hospice LLC 03/13/2018
06 - Houston Spring 017768 Avatar Hospice & Palliative Care
Agency LLC
12/25/2017
08 - San Antonio San Antonio 017244 Pallium Hospice LLC 10/18/2017
09 - Abilene Midland 017433 Merida Health Care Group 06/08/2018
11 - Corpus Christi Pharr 017607 San Jose Hospice Care 05/23/2018
11 Total hospice agency revocations of license.
D-59
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
● On or before 45 working days
● On or before 90 working days
● Next on-site
● Desk review
● Withdrawn
● Not applicable
D-60
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.
On or Before 45 Calendar Days
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.
On or Before 45 Working Days
The allegation(s) asserts that one or more of the following exist:
D-61
● 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
On or Before 90 Working Days
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.HHSC.state.tx.us/providers/communications/2015/scc/SCC2015-
01.pdf).
D-62
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.
D-63
Home and Community Support Services Agency All Intakes by Priority and Region for FY 2018
Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 2 working days 0 0 2 0 2 3 3 4 0 0 2 16
On or before 10 working days 3 1 52 14 13 44 22 28 4 6 12 199
On or before 45 working days 21 23 312 49 36 227 102 173 16 38 210 1,207
On or before 90 working days 0 1 4 0 0 3 0 3 1 0 2 14
Next on site 11 6 88 22 11 94 48 60 6 21 119 486
Desk review 150 318 1,343 539 251 714 663 783 159 169 1,437 6,526
Withdrawn 2 0 15 0 0 4 0 8 1 0 0 30
Not applicable 20 23 110 20 12 99 41 63 97 27 101 613
Total 207 372 1,926 644 325 1,188 879 1,122 284 261 1,883 9,091
Home and Community Support Services Agency Complaints by Priority and Region for FY 2018
Complaint Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 2 working days 0 0 2 0 1 3 3 3 0 0 1 13
On or before 10 working days 3 1 41 9 9 34 18 26 0 6 8 155
On or before 45 working days 13 22 225 40 31 196 72 137 14 34 161 945
On or before 90 working days 0 1 4 0 0 3 0 3 1 0 2 14
Next on site 11 6 85 17 11 88 48 57 6 20 115 464
Withdrawn 2 0 15 0 0 4 0 8 1 0 0 30
Not applicable 2 0 11 0 0 4 1 1 0 0 2 21
Total 31 30 383 66 52 332 142 235 22 60 289 1,642
D-64
Home and Community Support Services Agency Incidents by Priority and Region for FY 2018
Incident Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 2 working days 0 0 0 0 1 0 0 1 0 0 1 3
On or before 10 working days 0 0 11 5 4 10 4 2 4 0 4 44
On or before 45 working days 8 1 87 9 5 31 30 36 2 4 49 262
Next on site 0 0 3 5 0 6 0 3 0 1 4 22
Desk review 150 318 1,343 539 251 714 663 783 159 169 1,437 6,526
Not applicable 18 23 99 20 12 95 40 61 97 27 99 591
Total 176 342 1,543 578 273 856 737 886 262 201 1,594 7,448
E-1
Appendix E. Intermediate Care Facility for
Individuals with an Intellectual Disability
or Related Conditions (ICF/IID)
Intermediate Care Facility for Individuals with an
Intellectual Disability or Related Conditions Actions
The table on page E-5 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) 2018.
Administrative Penalties
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.
● 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.
● Makes a false statement, that the person knows or should know is false, of a
material fact:
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 state regulatory
agency.
● Refuses to allow a representative of the agency to inspect:
A book, record, or file required to be maintained by a facility.
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 252.
E-2
● Fails to pay a penalty assessed by the state under Texas Health and Safety
Code Chapter 252, 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.
Imposed
An action can be recommended by:
● 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 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
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 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.
E-3
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.
Amelioration of Violations
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:
● 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 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.
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 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
E-4
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.
● Fails to pay certain fees.
● 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.
E-5
Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition Actions by
Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Totals
Administrative penalties Imposed 0 0 7 2 2 1 6 1 0 0 1 20
Administrative penalties (1) Assessed 0 0 3 0 0 0 1 0 0 0 0 4
Injunctive/other relief and
civil penalties (2)
Referred 0 0 1 0 0 0 0 0 0 0 0 1
Amelioration of violations Approved 0 0 0 0 0 0 0 0 0 0 0 0
Amelioration of violations 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 0 0 0 0 0 0 0 0 0 0
Denials of license (3) Proposed 0 0 0 0 0 1 0 0 0 0 0 1
Denials of license (3) Denied 0 0 0 0 0 1 0 0 0 0 0 1
Revocations of license (3) Proposed 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 previous fiscal year.
E-6
Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
Administrative Penalties for FY 2018
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
03 – Arlington Arlington 007302 Cedar Oaks Community Home 09/15/2017 $10,000 $10,000 $0 N
03 – Arlington Arlington 007563 Evergreen Endicott Community
Home
04/20/2018 $5,000 $0 $5,000 N
03 – Arlington Azle 007414 Lakeview Community Home 08/31/2017 $10,000 $6,500 $6,500 $0 Y
03 – Arlington Azle 007422 Lamplighter Community Home 03/22/2018 $15,000 $15,000 $0 N
03 – Arlington Bedford 007809 Walnut Community Home 08/19/2017 $5,000 $10,000 $0 N
03 – Arlington Dallas 100368 14 Ferris Creek 06/22/2018 $5,000 $0 $5,000 N
03 – Arlington Denton 007247 Educare Community Living
Corporation-Texas
09/30/2017 $10,000 $10,000 $0 N
04 – Tyler Elkhart 003868 Elkhart Inn Community Home 03/07/2018 $5,000 $5,000 $0 N
04 – Tyler Palestine 007294 Crestview Community Home 12/20/2017 $10,000 $10,000 $0 N
05 - Beaumont Beaumont 003692 Pinehaven Community Home 05/23/2018 $5,000 $0 $5,000 Y
05 - Beaumont Beaumont 003964 Cambridge Group Home 11/28/2017 $5,000 $5,000 $0 N
06 – Houston Houston 007616 Destiny House 03/02/2018 $5,000 $5,000 $0 N
07 – Austin Austin 007264 Delaware Court 02/13/2018 $20,000 $20,000 $0 N
07 – Austin Austin 007599 Blarwood 09/19/2017 $10,000 $10,000 $0 Y
07 – Austin Austin 007599 Blarwood 08/02/2017 $15,000 $15,000 $0 Y
07 – Austin Bertram 003675 Bertram Community Residence 06/07/2018 $10,000 $0 $10,000 Y
07 – Austin Cedar Park 007468 Driftwood Community Home 07/10/2017 $15,000 $0 $15,000 Y
07 – Austin Pflugerville 007633 Wildridge 03/12/2018 $20,000 $0 $20,000 Y
E-7
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
08 - San
Antonio
San Antonio 003649 Pebble Bow 10/31/2017 $5,000 $5,000 $0 N
11 - Corpus
Christi
Alice 007295 Green Acres 05/10/2018 $1,000 $0 $1,000 N
Totals $186,000 $6,500 $126,500
20 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.
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.
E-8
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 2018
Region City Facility
ID Facility
Date
Referred
03 - Arlington Everman 007262 Chambers Creek Community Home 11/30/2017
1 Total 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.
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions Amelioration of Violations for FY 2018
HHSC did not process any amelioration requests for intermediate care facilities for
individuals with an intellectual disability or related conditions in FY 2018.
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions Trusteeships for FY 2018
HHSC did not place a trustee in any intermediate care facilities for individuals with
an intellectual disability or related conditions in FY 2018.
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions Emergency Suspension and Closing
Orders for FY 2018
HHSC 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
2018.
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions License Denials and Revocations
Proposed for FY 2018
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
06 -
Houston
Houston 007661 1801 Branard Deny 04/25/2018 License
Denied
1 Total intermediate care facilities for individuals with an intellectual disability or
related conditions license denials and revocations processed.
E-10
Intermediate Care Facility 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 HHSC 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 facility for individuals with an intellectual
disability or related conditions facility are:
● On or before 24 hours
● On or before 14 calendar days
● On or before 45 calendar days
● Professional review
● Financial
● Withdrawn
E-11
● Not required
On or Before 24 Hours
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.
On or Before 14 Calendar Days
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.
On or Before 45 Calendar Days
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.
E-12
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
(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.
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions All Intakes by Priority and Region for
FY 2018
Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
0 0 3 2 1 2 1 2 4 0 0 15
On or before 14
days
27 16 46 14 26 39 48 48 59 5 35 363
On or before 45
days
44 26 61 7 21 56 68 69 100 10 44 506
Professional Review 14 12 17 2 9 17 30 5 39 2 12 159
Financial 0 0 1 0 1 0 1 4 0 0 1 8
Withdrawn 0 1 1 0 1 0 2 0 0 0 0 5
Not required 6 0 1 2 3 4 5 3 2 1 10 37
Total 91 55 130 27 62 118 155 131 204 18 102 1,093
E-13
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions Complaints by Priority and Region for
FY 2018
Complaint Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
0 0 3 1 0 2 0 2 3 0 0 11
On or before 14
days
6 5 17 7 8 10 12 21 8 2 14 110
On or before 45
days
8 5 37 4 6 14 20 42 25 7 18 186
Financial 0 0 1 0 1 0 1 4 0 0 1 8
Withdrawn 0 1 1 0 1 0 2 0 0 0 0 5
Not required 0 0 0 0 0 2 0 0 0 0 1 3
Total 14 11 59 12 16 28 35 69 36 9 34 323
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions Incidents by Priority and Region for FY
2018
Incident Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24
hours
0 0 0 1 1 0 1 0 1 0 0 4
On or before 14
days
21 11 29 7 18 29 36 27 51 3 21 253
On or before 45
days
36 21 24 3 15 42 48 27 75 3 26 320
Professional review 14 12 17 2 9 17 30 5 39 2 12 159
Not required 6 0 1 2 3 2 5 3 2 1 9 34
Total 77 44 71 15 46 90 120 62 168 9 68 770
F-1
Appendix F. Nursing Facility (NF)
Nursing Facility Actions
The table on page F-7 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) 2018.
Administrative Penalties
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.
● Makes a false statement, that the person knows or should know is false, of a
material fact:
F-2
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 state regulatory
agency.
● Refuses to allow a representative of the agency to inspect:
A book, record, or file required to be maintained by a facility.
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
An action can be recommended by:
● 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
F-3
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.
Amelioration of Violations
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:
● 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 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.
F-4
Emergency Suspension and Closing Orders
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 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 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
executive commissioner can order the facility to immediately suspend admissions.
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.
● Fails to pay certain fees.
● Committed any act described by Texas Health and Safety Code
§242.066(a)(2)-(6).
F-5
● 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.
Revocation 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 $20,965 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 varying increments, in the
following amounts:
F-6
● $6,394 to $10,494 per day for deficiencies constituting immediate jeopardy
● $205 to $2,055 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 $10,000 to $20,000 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.
F-7
Nursing Facility Actions by Region for FY 2018
Type of Remedy Actions 01 02 03 04 05 06 07 08 09 10 11 Totals
Administrative penalties Imposed 0 0 9 7 3 25 5 7 2 2 4 64
Administrative penalties (1)
Assessed 1 0 1 3 4 2 1 3 2 0 0 17
Injunctive/other relief and civil
penalties (2)
Referred 0 0 0 0 0 0 0 0 0 0 0 0
Amelioration of violations Approved 2 0 0 0 0 1 0 1 0 0 0 5
Amelioration of violations Denied 0 0 0 0 0 1 0 0 0 0 0 1
Trusteeships Ordered 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
Denials of license (3)
Proposed 0 0 0 0 0 2 1 0 0 0 0 3
Denials of license (3)
Denied 0 0 0 0 0 0 0 0 0 0 0 0
Revocations of license (4)
Proposed 0 0 1 1 0 3 0 1 0 0 0 6
Revocations of license (4)
Revoked 0 0 0 0 0 0 0 0 0 0 0 0
Civil money penalties Imposed 14 37 82 79 9 86 34 24 16 15 20 416
Notes:
1. Assessed administrative penalties can include final actions on penalties imposed in a previous fiscal year.
2. HHSC refers injunctive/other relief and civil penalties to the Office of the Attorney General.
3. HHSC 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,
F-8
HHSC may propose to deny the application. If the facility subsequently corrects the violation(s), HHSC 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.
Nursing Facility Administrative Penalties for FY 2018
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
03 - Arlington Carrollton 005122 Heritage Gardens
Rehabilitation and Healthcare
$15,210 $0 $9,887 N
03 - Arlington Cleburne 005185 Heritage Trails Nursing and
Rehabilitation Center
07/21/2017 $20,964 $0 $13,627 N
03 - Arlington Denton 101682 Senior Care at Denton Post
Acute Care
07/31/2017 $200,737 $0 $130,479 N
03 - Arlington Euless 005041 Legend Oaks Health and
Rehabilitation - Euless
07/27/2017 $115,855 $104,270 $104,270 $0 Y
03 - Arlington Gainesville 004335 Renaissance Care Center 06/29/2017 $7,152 $4,649 $0 N
03 - Arlington Granbury 005296 Granbury Rehab & Nursing $15,005 $0 $15,005 N
03 - Arlington Grapevine 005052 Woodridge Nursing &
Rehabilitation
07/27/2017 $27,218 $21,774 $21,774 $0 Y
03 - Arlington Irving 101460 Northgate Plaza Nursing &
Rehabilitation Center
05/26/2017 $40,322 $0 $40,322 N
03 - Arlington Rockwall 106108 Highland Meadows Health &
Rehab
02/17/2017 $1,493 $1,493 $0 N
04 - Tyler Athens 004009 Athens Healthcare and
Rehabilitation Center
04/27/2017 $73,500 $15,000 $15,000 $0 Y
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation
and Nursing Center
07/03/2017 $70,280 $0 $70,280 N
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation
and Nursing Center
10/23/2017 $248,000 $0 $248,000 Y
F-9
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
04 - Tyler Sulphur
Springs
004740 Sulphur Springs Health and
Rehabilitation
02/22/2017 $4,000 $8,784 -$4,784
N
04 - Tyler Texarkana 005345 Heritage Plaza Nursing Center 06/28/2017 $6,962 $0 $6,962
N
04 - Tyler Texarkana 005346 Reunion Plaza Senior Care
and Rehabilitation Center
08/15/2017 $177,630 $0 $177,630 N
04 - Tyler Texarkana 101006 MSHC The Waterton at
Cowhorn Creek LLC
04/13/2018 $81,000 $0 $81,000 Y
05 -
Beaumont
Beaumont 103768 Summer Place Nursing &
Rehabilitation
10/20/2017 $460,000 $17,500 $17,500 $0 Y
05 -
Beaumont
Lufkin 101371 Castle Pines Health and
Rehabilitation
07/07/2017 $77,510 $50,382 $17,729 $35,458 Y
05 -
Beaumont
Port Arthur 004630 Senior Rehabilitation &
Skilled Nursing Center
$20,000 $0 $13,000 N
06 - Houston Baytown 005057 Focused Care at Allenbrook 08/16/2017 $175,000 $35,000 $35,000 $0 Y
06 - Houston Baytown 100001 Baytown Nursing & Rehab
Center
08/03/2017 $3,800 $3,800 $0 N
06 - Houston Conroe 004500 Conroe Health Care Center 05/15/2017 $306,733 $0 $210,478 N
06 - Houston Deer Park 004966 San Jacinto Manor 11/09/2017 $3,200 $0 $3,200 N
06 - Houston Houston 000184 The Vosswood Nursing Center 02/08/2018 $16,800 $16,800 $0 N
06 - Houston Houston 004371 Woodridge Nursing &
Rehabilitation
02/01/2018 $2,800 $2,800 $0 N
06 - Houston Houston 004371 Woodridge Nursing &
Rehabilitation
03/14/2018 $12,500 $12,500 $0 N
F-10
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
06 - Houston Houston 004610 Brookhollow Heights
Transitional Care Center
02/23/2018 $9,600 $0 $9,600 N
06 - Houston Houston 004823 Jacinto Nursing &
Rehabilitation Center, LLC
04/06/2018 $17,400 $0 $17,400 N
06 - Houston Houston 004826 Winterhaven Healthcare
Residence
12/07/2017 $1,400 $0 $1,400 N
06 - Houston Houston 005056 Westchase Health and
Rehabilitation Center
03/16/2018 $29,400 $29,400 $0 N
06 - Houston Houston 005137 Northwest Health and
Rehabilitation Center
04/27/2018 $15,000 $15,000 $0 N
06 - Houston Houston 005316 Focused Care at Beechnut 06/16/2017 $1,400 $1,400 $0 N
06 - Houston Houston 005367 The Westbury Place $59,750 $0 $59,750 N
06 - Houston Houston 005367 The Westbury Place 05/25/2017 $85,412 $145,162 -$59,750 N
06 - Houston Houston 102294 Park Manor of Westchase 02/23/2018 $7,200 $0 $7,200 N
06 - Houston Houston 103626 Grace Care Center of Cypress 07/18/2017 $20,000 $0 $20,000 N
06 - Houston Houston 103626 Grace Care Center of Cypress 05/17/2017 $16,800 $16,800 $0 N
06 - Houston Katy 103520 Heritage Park of Katy Nursing
and Rehabilitation
01/19/2018 $9,000 $0 $9,000 N
06 - Houston The
Woodlands
104661 Park Manor of The Woodlands 05/18/2017 $3,000 $0 $0 N
06 - Houston The
Woodlands
104661 Park Manor of The Woodlands 12/29/2017 $2,400 $2,400 $0 N
06 - Houston Tomball 005135 Lawrence Street Health Care
Center
07/27/2017 $13,305 $0 $13,305 N
06 - Houston Tomball 104224 Grace Care Center at
Northpointe
02/02/2018 $4,800 $4,800 $0 N
F-11
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
06 - Houston Tomball 105652 The Heights of Tomball 01/04/2018 $7,200 $0 $7,200 Y
06 - Houston Wharton 005227 Avalon Place Wharton 09/21/2017 $3,800 $3,800 $0 N
07 - Austin Austin 000230 Buckner Villa Siesta Home 12/14/2017 $1,500 $1,500 $0 N
07 - Austin Austin 004118 Retirement and Nursing
Center Austin
04/09/2018 $44,100 $0 $44,100 Y
07 - Austin Austin 004118 Retirement and Nursing
Center Austin
05/17/2018 $43,500 $0 $43,500 N
07 - Austin Austin 104663 Senior Care of Onion Creek 06/02/2017 $1,500 $1,500 $0 N
07 - Austin San Saba 106549 Shady Shores of San Saba 03/22/2018 $18,000 $0 $18,000 Y
08 - San
Antonio
Fredericksburg 004204 Tristar Care Center Inc 06/21/2017 $227,675 $0 $227,675 N
08 - San
Antonio
Poteet 004544 Poteet Manor 06/12/2017 $14,505 $9,428 $0 $9,428 Y
08 - San
Antonio
San Antonio 004579 Alamo Heights Health and
Rehabilitation Center
10/27/2017 $12,900 $12,900 $0 N
08 - San
Antonio
San Antonio 004754 Mesa Vista Inn Health Center 03/09/2018 $90,000 $0 $90,000 N
08 - San
Antonio
San Antonio 005109 Senior Care of Windcrest 02/16/2018 $90,000 $0 $90,000 N
08 - San
Antonio
San Antonio 104934 The Rio at Mission Trails 08/25/2017 $8,400 $8,400 $0 N
08 - San
Antonio
San Marcos 005265 Hays Nursing & Rehab Center 03/09/2018 $6,300 $6,300 $0 N
09 - Abilene Midland 004280 Hogan Park Nursing &
Rehabilitation
08/18/2017 $60,749 $60,749 $0 N
09 - Abilene Ozona 005064 Crockett County Care Center 03/02/2018 $20,965 $13,627 $0 N
F-12
Region City Facility
ID Facility
Visit Exit
Date Imposed Assessed Collected Balance H
10 - El Paso El Paso 005086 Vista Hills Health Care Center 08/22/2017 $20,000 $13,000 $0 N
10 - El Paso Socorro 106362 Las Ventanas De Socorro $17,500 $0 $17,500 N
11 - Corpus
Christi
Hebbronville 005389 Meridian Care of Hebbronville $64,005 $0 $64,005 N
11 - Corpus
Christi
Laredo 004758 Retama Manor Nursing
Center/Laredo-West
06/28/2017 $318,729 $0 $213,151 N
11 - Corpus
Christi
McAllen 005341 Las Palmas Healthcare Center 09/28/2017 $4,200 $4,200 $0 N
11 - Corpus
Christi
Premont 004487 Premont Rehab and Nursing
Center
08/24/2017 $10,000 $0 $10,000 N
Totals $3,565,066 $253,354 $603,037
64 nursing 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 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.
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 no hearing was requested by the facility.
F-13
Nursing Facility Injunctive/Other Relief and Civil Penalty Referrals to
the Office of the Attorney General for FY 2018
HHSC did not refer any nursing facilities for injunctive/other relief and civil penalty
referrals to the Office of the Attorney General in FY 2018.
Nursing Facility Amelioration of Violations for FY 2018
Region City Facility
ID Facility Decision
Decision
Date
Amount
Ameliorated
01 -
Lubbock
Lubbock 004235 Southern Specialty
Rehab & Nursing
Approved 06/18/2018 $12,600
01 -
Lubbock
Slaton 004321 Slaton Care Center Approved
in Part
02/15/2018 $40,900
06 -
Houston
Houston 005383 Spring Branch
Transitional Care
Center
Denied 03/22/2018
06 -
Houston
La Marque 005379 Bayou Pines Care
Center
Approved
in Part
11/28/2017 $42,436
06 -
Houston
The
Woodlands
104661 Park Manor of the
Woodlands
Approved 01/30/2018 $3,000
08 - San
Antonio
Eagle Pass 102925 Maverick Nursing
and Rehabilitation
Center
Approved 01/19/2018 $9,096
6 Total nursing facility ameliorations processed.
Nursing Facility Trusteeships for FY 2018
HHSC did not order any trustees placed in nursing facilities in FY 2018.
Nursing Facility Closures Under Trusteeship for FY 2018
HHSC did not close any nursing facilities under trusteeship in FY 2018.
Nursing Facility Emergency Suspension and Closing Orders for FY
2018
HHSC did not issue any emergency suspension or closing orders to a nursing facility
in FY 2018.
F-14
Nursing Facility Suspensions of Admission for FY 2018
HHSC did not issue any suspension of admission orders to a nursing facility in FY
2018.
F-15
Nursing Facility License Denials and Revocations Proposed for FY 2018
Region City Facility
ID Facility
Proposed
Action
Revoked
Date
Denied
Date Status
03 - Arlington Benbrook 004606 Benbrook Nursing & Rehabilitation
Center
Revoke Rescinded
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and Nursing
Center
Revoke Hearing
06 - Houston Friendswood 004286 Friendship Haven Healthcare and
Rehabilitation Center
Deny Rescinded
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
Revoke Rescinded
06 - Houston Rosenberg 005112 Rosenberg Health & Rehabilitation
Center
Revoke Rescinded
06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land Revoke IR Letter
06 - Houston Texas City 105868 The Rio at Mainland Center Deny Rescinded
07 - Austin Madisonville 005342 Riverwood Healthcare Deny Hearing
08 - San Antonio Fredericksburg 004204 Tristar Care Center Inc Revoke Hearing
9 Total nursing facility license denials and revocations proposed.
Notes:
Status column values:
1. Hearing - the facility has requested a hearing.
2. IR Letter - the facility has requested an informal review.
3. Rescinded - HHSC rescinded the proposed action.
F-16
Nursing Facility Civil Money Penalties for FY 2018
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
01 - Lubbock Amarillo 004604 Georgia Manor Nursing Home 01/30/2018 $20,705 F
01 - Lubbock Amarillo 004348 Legacy Rehabilitation and Living 10/25/2017 $10,000 F
01 - Lubbock Amarillo 005231 Plum Creek Healthcare Residence 02/26/2018 $179,820 $116,883 F
01 - Lubbock Amarillo 005231 Plum Creek Healthcare Residence 02/26/2018 $12,954 $10,211 F
01 - Lubbock Amarillo 005231 Plum Creek Healthcare Residence 02/26/2018 $23,230 $15,100 F
01 - Lubbock Borger 105467 Caprock Nursing & Rehabilitation 01/11/2018 $21,090 F
01 - Lubbock Denver City 104320 Shinnery Oaks Community 05/25/2018 $10,000 F
01 - Lubbock Farwell 005093 Farwell Care and Rehabilitation
Center
11/16/2017 $8,500 F
01 - Lubbock Farwell 005093 Farwell Care and Rehabilitation
Center
11/16/2017 $8,500 F
01 - Lubbock Hale Center 004882 Hale Center Health and
Rehabilitation
06/06/2018 $10,000 $10,000 F
01 - Lubbock Lubbock 004072 Bender Terrace of Lubbock 03/21/2018 $15,805 F
01 - Lubbock Lubbock 004072 Bender Terrace of Lubbock 03/21/2018 $15,805 F
01 - Lubbock Lubbock 005338 Heritage Oaks Nursing and
Rehabilitation Center
06/24/2018 $20,965 F
01 - Lubbock Plainview 005328 Prairie House Living Center 06/28/2018 $15,000 F
02 - Abilene Abilene 106765 Brightpointe at Lytle Lake 05/26/2017 $13,805 $45,454 F
02 - Abilene Abilene 106765 Brightpointe at Lytle Lake 05/26/2017 $46,623 F
02 - Abilene Abilene 106765 Brightpointe at Lytle Lake 05/26/2017 $7,695 $7,695 F
02 - Abilene Abilene 005378 Mesa Springs Healthcare Center 08/21/2017 $40,160 F
02 - Abilene Abilene 005378 Mesa Springs Healthcare Center 08/21/2017 $47,796 F
F-17
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
02 - Abilene Abilene 004681 Northern Oaks Living &
Rehabilitation Center
09/06/2017 $81,030 F
02 - Abilene Abilene 004681 Northern Oaks Living &
Rehabilitation Center
09/06/2017 $19,310 $80,272 F
02 - Abilene Abilene 106050 Silver Spring 10/02/2017 $58,985 $29,493 $29,493 F
02 - Abilene Abilene 106050 Silver Spring 10/02/2017 $118,590 $59,295 $53,053 F
02 - Abilene Abilene 005033 The Oaks at Radford Hills 04/17/2018 $106,020 F
02 - Abilene Abilene 004205 Willow Springs Health &
Rehabilitation Center
11/01/2017 $10,805 F
02 - Abilene Abilene 004205 Willow Springs Health &
Rehabilitation Center
12/12/2017 $16,505 F
02 - Abilene Ballinger 004445 Ballinger Healthcare and
Rehabilitation Center
11/18/2017 $13,635 F
02 - Abilene Ballinger 004445 Ballinger Healthcare and
Rehabilitation Center
11/18/2017 $25,576 F
02 - Abilene Brownwood 004881 Brownwood Nursing and
Rehabilitation LP
05/03/2018 $10,000 F
02 - Abilene Brownwood 004881 Brownwood Nursing and
Rehabilitation LP
05/03/2018 $10,965 F
02 - Abilene Brownwood 005309 Songbird Lodge 09/22/2017 $11,005 F
02 - Abilene Cisco 004250 Cisco Nursing & Rehabilitation 05/10/2018 $35,340 $22,971 F
02 - Abilene Cisco 004250 Cisco Nursing & Rehabilitation 06/12/2018 $1,515 $985 F
02 - Abilene Cisco 004250 Cisco Nursing & Rehabilitation 06/12/2018 $76,728 $49,873 F
02 - Abilene Comanche 004230 Western Hills Healthcare
Residence
01/29/2018 $3,765 $3,765 F
F-18
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
02 - Abilene Comanche 004230 Western Hills Healthcare
Residence
01/29/2018 $203,133 $207,595 F
02 - Abilene Comanche 004230 Western Hills Healthcare
Residence
02/01/2018 $4,620 $4,620 F
02 - Abilene Eastland 004933 Eastland Nursing & Rehabilitation 02/14/2018 $10,480 $6,812 F
02 - Abilene Eastland 004933 Eastland Nursing & Rehabilitation 02/14/2018 $10,480 $6,996 F
02 - Abilene Hamlin 004399 Homeplace Manor 11/06/2017 $18,000 F
02 - Abilene Hamlin 004399 Homeplace Manor 11/06/2017 $18,000 F
02 - Abilene Hamlin 004399 Homeplace Manor 11/06/2017 $18,000 F
02 - Abilene Hamlin 004399 Homeplace Manor 11/06/2017 $18,000 F
02 - Abilene Nocona 004817 Grace Care Center of Nocona 10/31/2017 $12,005 F
02 - Abilene Ranger 004253 Ranger Care Center 11/07/2017 $12,500 F
02 - Abilene Ranger 004253 Ranger Care Center 11/07/2017 $8,400 F
02 - Abilene Snyder 005133 Snyder Oaks Care Center 06/11/2018 $77,724 F
02 - Abilene Snyder 005133 Snyder Oaks Care Center 06/11/2018 $84,085 F
02 - Abilene Vernon 004345 Advanced Rehabilitation and
Healthcare of Vernon
03/14/2018 $10,805 $7,023 $7,023 F
02 - Abilene Wichita Falls 005155 Midwestern Healthcare Center 05/29/2018 $13,500 $13,500 F
02 - Abilene Winters 004358 Winters Healthcare Residence 07/20/2018 $10,000 $10,000 F
03 - Arlington Arlington 004239 Arlington Villa Retirement
Community
04/19/2018 $20,965 F
03 - Arlington Azle 004984 Azle Manor Health Care and
Rehabilitation
02/13/2018 $10,000 F
03 - Arlington Balch Springs 005105 Balch Springs Nursing Home 03/13/2018 $11,005 F
03 - Arlington Bedford 000268 Parkwood Healthcare Community 11/30/2017 $1,010 $1,010 F
F-19
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington Bedford 000268 Parkwood Healthcare Community 11/30/2017 $156,588 $156,588 F
03 - Arlington Benbrook 004606 Benbrook Nursing & Rehabilitation
Center
08/04/2017 $16,000 $16,000 F
03 - Arlington Benbrook 004606 Benbrook Nursing & Rehabilitation
Center
03/09/2018 $20,000 $20,000 F
03 - Arlington Carrollton 005122 Heritage Gardens Rehabilitation
and Healthcare
07/12/2017 $15,210 F
03 - Arlington Carrollton 005122 Heritage Gardens Rehabilitation
and Healthcare
04/28/2018 $11,000 F
03 - Arlington Carrollton 102861 The Madison on Marsh 09/28/2017 $10,605 F
03 - Arlington Cleburne 005185 Heritage Trails Nursing and
Rehabilitation Center
07/21/2017 $10,482 F
03 - Arlington Cleburne 005185 Heritage Trails Nursing and
Rehabilitation Center
07/21/2017 $10,482 F
03 - Arlington Corinth 105150 Corinth Rehabilitation Suites on
The Parkway
02/10/2018 $23,735 F
03 - Arlington Corinth 105150 Corinth Rehabilitation Suites on
The Parkway
02/10/2018 $9,699 F
03 - Arlington Corinth 105150 Corinth Rehabilitation Suites on
The Parkway
04/13/2018 $77,020 F
03 - Arlington Dallas 105408 Remarkable Healthcare of Dallas,
LP
12/08/2017 $138,320 $138,320 F
03 - Arlington Dallas 105408 Remarkable Healthcare of Dallas,
LP
01/18/2018 $4,095 $4,095 F
03 - Arlington Dallas 105408 Remarkable Healthcare of Dallas,
LP
07/16/2018 $23,708 $23,708 F
F-20
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington Dallas 105408 Remarkable Healthcare of Dallas,
LP
07/16/2018 $57,575 $57,575 F
03 - Arlington Dallas 005054 Senior Care Health and
Rehabilitation Center - Dallas
07/07/2017 $8,649 F
03 - Arlington Dallas 004755 Skyline Nursing Center 06/05/2018 $13,500 $13,500 F
03 - Arlington Dallas 004432 The Lennwood Nursing and
Rehabilitation
03/12/2018 $34,512 $7,433 F
03 - Arlington Dallas 004432 The Lennwood Nursing and
Rehabilitation
03/12/2018 $11,025 $7,166 F
03 - Arlington Decatur 004945 The Hills Nursing & Rehabilitation 01/05/2018 $12,500 F
03 - Arlington Denison 004344 Beacon Hill 06/29/2017 $12,005 F
03 - Arlington Ennis 104339 Legend Oaks Healthcare and
Rehabilitation - Ennis
05/17/2018 $11,000 F
03 - Arlington Fort Worth 005018 Arlington Heights Health and
Rehabilitation Center
02/07/2018 $10,000 F
03 - Arlington Fort Worth 005018 Arlington Heights Health and
Rehabilitation Center
02/07/2018 $10,000 F
03 - Arlington Fort Worth 005121 Estates Healthcare and
Rehabilitation Center
02/03/2018 $176,953 F
03 - Arlington Fort Worth 005121 Estates Healthcare and
Rehabilitation Center
02/03/2018 $9,595 F
03 - Arlington Fort Worth 005197 Ft Worth Southwest Nursing
Center
02/03/2018 $32,630 $21,536 $21,536 F
03 - Arlington Fort Worth 005197 Ft Worth Southwest Nursing
Center
02/03/2018 $232,029 $153,139 $164,191 F
03 - Arlington Fort Worth 005197 Ft Worth Southwest Nursing
Center
03/09/2018 $32,320 $21,331 $21,331 F
F-21
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington Fort Worth 102497 Kindred Transitional Care and
Rehabilitation-Ridgmar
04/20/2018 $10,000 $6,500 F
03 - Arlington Fort Worth 005388 Marine Creek Nursing and
Rehabilitation LP
04/12/2018 $10,605 $6,893 $6,893 F
03 - Arlington Fort Worth 104767 Remarkable Healthcare of Fort
Worth
11/29/2017 $7,500 $7,500 F
03 - Arlington Fort Worth 104767 Remarkable Healthcare of Fort
Worth
11/29/2017 $7,500 $7,500 F
03 - Arlington Fort Worth 104767 Remarkable Healthcare of Fort
Worth
06/01/2018 $17,000 $17,000 F
03 - Arlington Fort Worth 004980 Trinity Healthcare Residence 07/30/2018 $810 $810 F
03 - Arlington Fort Worth 004980 Trinity Healthcare Residence 07/30/2018 F
03 - Arlington Fort Worth 004980 Trinity Healthcare Residence 07/30/2018 $52,816 $52,816 F
03 - Arlington Fort Worth 004980 Trinity Healthcare Residence 07/30/2018 $52,470 $52,470 F
03 - Arlington Granbury 005296 Granbury Rehab & Nursing 09/15/2017 $15,005 F
03 - Arlington Irving 101460 Northgate Plaza Nursing &
Rehabilitation Center
05/26/2017 $20,965 $13,627 F
03 - Arlington Lake Worth 005038 Lake Worth Nursing Home 05/17/2018 $47,245 $47,245 F
03 - Arlington Lake Worth 005038 Lake Worth Nursing Home 05/17/2018 $2,205 $2,205 F
03 - Arlington Lancaster 005115 Lancaster Nursing & Rehabilitation
Center
08/23/2017 $20,965 F
03 - Arlington Leonard 004448 Leonard Manor Nursing and
Rehabilitation LP
11/14/2017 $5,205 F
03 - Arlington Lewisville 102004 Vista Ridge Nursing &
Rehabilitation Center
10/27/2017 $10,805 F
F-22
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington Mansfield 102788 Kindred Transitional Care and
Rehabilitation-Mansfield
03/06/2018 $14,805 $9,623 F
03 - Arlington McKinney 004589 North Park Health and
Rehabilitation Center
09/29/2017 $1,255 F
03 - Arlington McKinney 004589 North Park Health and
Rehabilitation Center
09/29/2017 $236,578 F
03 - Arlington Mesquite 004971 Christian Care Center 08/12/2017 $108,698 $108,698 F
03 - Arlington Mesquite 004971 Christian Care Center 08/12/2017 $1,255 $1,255 F
03 - Arlington Mesquite 004971 Christian Care Center 09/15/2017 $6,195 $6,195 F
03 - Arlington Mesquite 105263 Edgewood Rehabilitation and Care
Center
02/02/2018 $17,000 F
03 - Arlington Mesquite 105263 Edgewood Rehabilitation and Care
Center
02/02/2018 $17,000 F
03 - Arlington Mesquite 105263 Edgewood Rehabilitation and Care
Center
02/02/2018 $17,000 F
03 - Arlington Mesquite 106781 Palomino Place 04/25/2018 $8,899 F
03 - Arlington Mesquite 106781 Palomino Place 05/31/2018 $53,025 F
03 - Arlington Mineral Wells 004735 Palo Pinto Nursing Center 09/30/2017 $82,720 $82,720 F
03 - Arlington Mineral Wells 004735 Palo Pinto Nursing Center 09/30/2017 $12,249 $12,249 F
03 - Arlington North Richland
Hills
102789 Emerald Hills Rehabilitation and
Healthcare Center
12/01/2017 $47,690 $30,999 $30,999 F
03 - Arlington North Richland
Hills
102789 Emerald Hills Rehabilitation and
Healthcare Center
12/01/2017 $1,700,804 $1,105,523 $1,169,607 F
03 - Arlington North Richland
Hills
004741 Manorcare Health Services 01/20/2018 $31,375 F
F-23
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington North Richland
Hills
004741 Manorcare Health Services 01/20/2018 $83,952 F
03 - Arlington Richardson 104410 San Remo 07/27/2018 $29,097 $29,097 F
03 - Arlington Richardson 104410 San Remo 07/27/2018 F
03 - Arlington Royse City 103804 Royse City Medical Lodge 10/19/2017 $10,605 F
03 - Arlington Sherman 004864 Focused Care at Sherman 05/08/2018 $19,505 $19,505 F
03 - Arlington Sherman 004346 Texoma Healthcare Center 09/26/2017 $20,965 F
03 - Arlington Stephenville 004962 Mulberry Manor 02/26/2018 $57,590 $37,434 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
11/04/2017 $20,005 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
11/04/2017 $20,005 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
11/04/2017 $20,005 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
11/04/2017 $20,005 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
11/04/2017 $20,005 F
03 - Arlington Watauga 004240 North Pointe Nursing and
Rehabilitation LP
03/30/2018 $13,500 F
03 - Arlington Weatherford 103708 College Park Rehabilitation and
Care Center
04/11/2018 $36,012 $36,012 F
03 - Arlington Weatherford 103708 College Park Rehabilitation and
Care Center
04/11/2018 $17,170 $17,170 F
03 - Arlington Whitesboro 004209 Whitesboro Health and
Rehabilitation Center
11/14/2017 $17,000 F
F-24
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
03 - Arlington Whitesboro 004209 Whitesboro Health and
Rehabilitation Center
11/14/2017 $17,000 F
04 - Tyler Athens 004009 Athens Healthcare and
Rehabilitation Center
08/22/2017 $35,700 F
04 - Tyler Athens 004009 Athens Healthcare and
Rehabilitation Center
04/13/2018 $35,840 $1,314 F
04 - Tyler Elkhart 005034 Elkhart Oaks Care Center 10/11/2017 $84,255 F
04 - Tyler Elkhart 005034 Elkhart Oaks Care Center 10/11/2017 $81,545 F
04 - Tyler Emory 005184 Senior Suite Care & Rehab LLC 09/27/2017 $13,215 $4,295 F
04 - Tyler Gilmer 005293 Focused Care of Gilmer 04/05/2018 $10,000 $6,600 $6,600 F
04 - Tyler Gilmer 005293 Focused Care of Gilmer 04/05/2018 $10,000 $6,600 $7,715 F
04 - Tyler Gilmer 005293 Focused Care of Gilmer 04/05/2018 $10,000 $6,600 $6,600 F
04 - Tyler Gilmer 004470 Gilmer Nursing and Rehabilitation
LP
03/15/2018 $20,000 F
04 - Tyler Gilmer 004470 Gilmer Nursing and Rehabilitation
LP
03/15/2018 $20,965 F
04 - Tyler Henderson 004555 Henderson Health & Rehabilitation
Center
01/11/2018 $5,000 $5,000 F
04 - Tyler Henderson 004555 Henderson Health & Rehabilitation
Center
01/12/2018 $16,505 $16,505 F
04 - Tyler Jacksonville 005275 Bonner Street Plaza Healthcare &
Rehabilitation
06/27/2017 $6,405 F
04 - Tyler Jacksonville 005275 Bonner Street Plaza Healthcare &
Rehabilitation
06/27/2017 $6,405 F
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and
Nursing Center
07/03/2017 $83,724 $35,380 $44,065 F
F-25
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and
Nursing Center
07/03/2017 $70,280 $29,699 $29,699 F
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and
Nursing Center
09/21/2017 $28,600 $22,880 $22,880 F
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and
Nursing Center
09/21/2017 $326,400 $261,120 $341,134 F
04 - Tyler Jacksonville 004986 Gardendale Rehabilitation and
Nursing Center
10/23/2017 $394,400 $315,520 $315,520 F
04 - Tyler Jacksonville 004369 Jacksonville Healthcare Center 10/25/2017 $6,000 F
04 - Tyler Jacksonville 004369 Jacksonville Healthcare Center 10/25/2017 $6,000 F
04 - Tyler Jacksonville 102529 Senior Care of Jacksonville 11/08/2017 $14,505 F
04 - Tyler Jefferson 005288 Magnolia Place 06/07/2018 $7,905 $7,905 F
04 - Tyler Jefferson 005288 Magnolia Place 06/07/2018 $18,405 $18,405 F
04 - Tyler Kilgore 004515 Kilgore Health & Rehabilitation 11/30/2017 $11,415 $11,415 F
04 - Tyler Kilgore 101801 Willow Rehab & Nursing 08/01/2018 $20,965 $20,965 F
04 - Tyler Lindale 005213 Colonial Nursing & Rehabilitation
Center
12/01/2017 $11,000 $7,150 F
04 - Tyler Lindale 005213 Colonial Nursing & Rehabilitation
Center
12/22/2017 $20,965 $13,627 $14,351 F
04 - Tyler Lindale 005213 Colonial Nursing & Rehabilitation
Center
12/22/2017 $5,000 $3,250 $2,150 F
04 - Tyler Longview 005015 Havencare Nursing and
Rehabilitation Center LLC
02/23/2018 $11,605 F
04 - Tyler Longview 005015 Havencare Nursing and
Rehabilitation Center LLC
04/05/2018 $15,805 F
F-26
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
04 - Tyler Longview 005129 Heritage at Longview Healthcare
Center
05/11/2018 $10,000 F
04 - Tyler Longview 004160 Highland Pines Nursing Home 10/23/2017 $11,210 $7,287 F
04 - Tyler Longview 004160 Highland Pines Nursing Home 12/28/2017 $31,920 $20,748 F
04 - Tyler Longview 004160 Highland Pines Nursing Home 07/20/2018 $14,505 $14,505 F
04 - Tyler Longview 005374 Whispering Pines Lodge 05/18/2018 $20,965 F
04 - Tyler Marshall 103421 Heritage House of Marshall Health
& Rehabilitation
04/27/2018 $29,760 F
04 - Tyler Mineola 004396 Wood Memorial Nursing and
Rehabilitation Center
05/25/2018 $9,504 $9,504 F
04 - Tyler Mineola 004396 Wood Memorial Nursing and
Rehabilitation Center
05/25/2018 $45,955 $45,955 F
04 - Tyler Mount Pleasant 005192 Pleasant Springs Healthcare
Center
02/15/2018 $11,605 F
04 - Tyler Mount Pleasant 005192 Pleasant Springs Healthcare
Center
06/01/2018 $20,965 F
04 - Tyler Mount Vernon 004659 Mission Manor Healthcare
Residence
09/22/2017 $148,980 $96,837 F
04 - Tyler Mount Vernon 004659 Mission Manor Healthcare
Residence
11/16/2017 $20,965 $13,627 F
04 - Tyler Mount Vernon 004659 Mission Manor Healthcare
Residence
11/16/2017 $20,965 $13,627 F
04 - Tyler Mount Vernon 004659 Mission Manor Healthcare
Residence
11/16/2017 $20,965 $16,701 F
04 - Tyler Mount Vernon 004659 Mission Manor Healthcare
Residence
11/16/2017 $20,965 $13,627 F
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $20,965 F
F-27
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $29,240 F
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $20,965 F
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $20,965 F
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $20,965 F
04 - Tyler New Boston 004185 Inspire New Boston 04/26/2018 $20,965 $20,965 F
04 - Tyler Paris 004958 Brentwood Terrace Healthcare
and Rehabilitation
12/14/2017 $20,965 F
04 - Tyler Paris 004586 Paris Healthcare Center 08/24/2017 $6,300 F
04 - Tyler Paris 004586 Paris Healthcare Center 08/24/2017 $51,840 F
04 - Tyler Pittsburg 004749 Pittsburg Nursing Center 06/07/2018 $8,585 $8,585 F
04 - Tyler Pittsburg 004749 Pittsburg Nursing Center 06/07/2018 $163,264 $163,264 F
04 - Tyler Rusk 004304 Cherokee Trails Nursing Home 09/08/2017 $59,085 F
04 - Tyler Rusk 005238 The Arbors Healthcare and
Rehabilitation Center
08/17/2017 $23,845 F
04 - Tyler Rusk 005238 The Arbors Healthcare and
Rehabilitation Center
08/17/2017 $128,010 $80,519 F
04 - Tyler Rusk 005238 The Arbors Healthcare and
Rehabilitation Center
08/17/2017 $27,508 F
04 - Tyler Sulphur
Springs
103979 Rock Creek Health and
Rehabilitation LLC
03/23/2018 $13,305 F
04 - Tyler Sulphur
Springs
004740 Sulphur Springs Health and
Rehabilitation
06/20/2018 $13,305 F
04 - Tyler Sulphur
Springs
005060 Sunny Springs Nursing & Rehab 09/19/2017 $6,605 F
04 - Tyler Texarkana 005345 Heritage Plaza Nursing Center 06/28/2017 $20,965 F
F-28
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
04 - Tyler Texarkana 101006 MSHC The Waterton at Cowhorn
Creek LLC
04/13/2018 $42,670 $42,670 F
04 - Tyler Texarkana 101006 MSHC The Waterton at Cowhorn
Creek LLC
04/13/2018 $91,343 $91,343 F
04 - Tyler Texarkana 101006 MSHC The Waterton at Cowhorn
Creek LLC
06/12/2018 $12,500 F
04 - Tyler Texarkana 005346 Reunion Plaza Senior Care and
Rehabilitation Center
08/15/2017 $177,630 $106,148 $56,178 F
04 - Tyler Texarkana 005346 Reunion Plaza Senior Care and
Rehabilitation Center
10/26/2017 $143,136 $143,136 F
04 - Tyler Texarkana 005346 Reunion Plaza Senior Care and
Rehabilitation Center
10/26/2017 $79,065 $79,065 F
04 - Tyler Tyler 005390 Park Place Nursing &
Rehabilitation Center
06/14/2018 $10,805 F
04 - Tyler Tyler 005181 Pinecrest Nursing & Rehabilitation
Center
10/06/2017 $77,010 $77,010 F
04 - Tyler Tyler 005181 Pinecrest Nursing & Rehabilitation
Center
10/06/2017 $96,024 $96,024 F
04 - Tyler Tyler 005181 Pinecrest Nursing & Rehabilitation
Center
02/07/2018 $3,840 F
04 - Tyler Tyler 104599 The Heights of Tyler 07/17/2018 $15,805 $15,805 F
04 - Tyler Tyler 103323 The Waterton Healthcare &
Rehabilitation
06/06/2018 $20,505 $13,328 F
04 - Tyler Wills Point 004777 Free State Crestwood 05/02/2018 $14,140 F
04 - Tyler Wills Point 004777 Free State Crestwood 05/02/2018 $19,818 F
05 - Beaumont Beaumont 004472 Spring Creek Nursing and
Rehabilitation LP
01/25/2018 $47,770 F
F-29
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
05 - Beaumont Beaumont 103768 Summer Place Nursing &
Rehabilitation
10/20/2017 $20,505 $13,328 F
05 - Beaumont Crockett 005125 Winfield Rehab & Nursing 01/11/2018 $8,999 $6,299 F
05 - Beaumont Crockett 005125 Winfield Rehab & Nursing 01/11/2018 $93,465 $65,426 F
05 - Beaumont Huntington 103330 Huntington Health Care &
Rehabilitation Center
10/18/2017 $10,841 F
05 - Beaumont Kirbyville 005201 Avalon Place Kirbyville 07/25/2018 $10,805 $7,023 F
05 - Beaumont Orange 102551 The Meadows of Orange 09/25/2017 $10,805 F
05 - Beaumont Silsbee 005340 Pine Arbor 09/26/2017 $83,700 F
05 - Beaumont Silsbee 005083 Silsbee Oaks Health Care LLP 09/28/2017 $10,805 F
06 - Houston Baytown 100001 Baytown Nursing & Rehab Center 06/06/2018 $14,505 F
06 - Houston Baytown 103620 Cedar Bayou Nursing & Rehab
Center
05/01/2018 $2,310 F
06 - Houston Baytown 103620 Cedar Bayou Nursing & Rehab
Center
05/01/2018 $233,120 F
06 - Houston Baytown 005057 Focused Care at Allenbrook 08/16/2017 $72,790 $72,790 F
06 - Houston Baytown 005057 Focused Care at Allenbrook 08/16/2017 $77,994 $80,662 F
06 - Houston Houston 004774 Afton Oaks Nursing Center 08/22/2017 $59,245 F
06 - Houston Houston 004774 Afton Oaks Nursing Center 08/22/2017 $26,355 F
06 - Houston Houston 004611 Briarwood Nursing &
Rehabilitation
06/19/2018 $42,220 F
06 - Houston Houston 004611 Briarwood Nursing &
Rehabilitation
06/19/2018 $5,265 F
06 - Houston Houston 004446 Galleria Residence and
Rehabilitation Center
07/05/2018 $43,796 $43,796 F
F-30
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
06 - Houston Houston 004446 Galleria Residence and
Rehabilitation Center
07/05/2018 $5,565 $5,565 F
06 - Houston Houston 104360 Grace Care Center at Veterans
Memorial
09/20/2017 $2,097 $1,625 F
06 - Houston Houston 103626 Grace Care Center of Cypress 07/18/2017 $10,000 F
06 - Houston Houston 103626 Grace Care Center of Cypress 07/18/2017 $10,000 F
06 - Houston Houston 103626 Grace Care Center of Cypress 08/22/2017 $10,000 F
06 - Houston Houston 103626 Grace Care Center of Cypress 08/22/2017 $10,000 F
06 - Houston Houston 103626 Grace Care Center of Cypress 07/26/2018 $13,305 $8,648 F
06 - Houston Houston 004062 Highland Park Care Center 07/19/2018 $10,805 $7,023 F
06 - Houston Houston 004823 Jacinto Nursing & Rehabilitation
Center, LLC
05/10/2018 $20,965 F
06 - Houston Houston 104200 Legend Oaks Healthcare and
Rehabilitation -
North/Willowbrooke
01/12/2018 $17,005 F
06 - Houston Houston 104200 Legend Oaks Healthcare and
Rehabilitation -
North/Willowbrooke
01/12/2018 $17,005 F
06 - Houston Houston 104200 Legend Oaks Healthcare and
Rehabilitation -
North/Willowbrooke
04/24/2018 $20,965 F
06 - Houston Houston 104200 Legend Oaks Healthcare and
Rehabilitation -
North/Willowbrooke
04/24/2018 $20,965 F
06 - Houston Houston 102369 Legend Oaks Healthcare and
Rehabilitation Center
10/14/2017 $295,623 F
F-31
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
06 - Houston Houston 102369 Legend Oaks Healthcare and
Rehabilitation Center
10/14/2017 $7,530 F
06 - Houston Houston 101489 Park Manor of Cypress Station 08/23/2017 $10,850 F
06 - Houston Houston 005400 Park Manor of South Belt 04/10/2018 $13,305 F
06 - Houston Houston 106120 Pathways Memory Care at Villa
Toscana
03/22/2018 $10,000 F
06 - Houston Houston 000191 Royal Oaks Residence and
Rehabilitation Center
05/21/2018 $20,965 F
06 - Houston Houston 004000 Seven Acres Jewish Senior Care
Services, Inc
03/28/2018 $13,305 F
06 - Houston Houston 105634 Silverado Hermann Park 05/04/2018 $18,498 $12,024 $12,024 F
06 - Houston Houston 105634 Silverado Hermann Park 05/04/2018 $22,590 $14,684 $14,684 F
06 - Houston Houston 105634 Silverado Hermann Park 07/05/2018 $7,875 $5,119 $5,119 F
06 - Houston Houston 000217 The Forum at Memorial Woods
Healthcare Center
07/25/2018 $21,715 $14,115 F
06 - Houston Houston 000217 The Forum at Memorial Woods
Healthcare Center
07/25/2018 $19,208 $12,485 F
06 - Houston Houston 005367 The Westbury Place 05/25/2017 $43,925 F
06 - Houston Houston 005367 The Westbury Place 05/25/2017 $11,954 F
06 - Houston Houston 005367 The Westbury Place 06/16/2017 $10,125 F
06 - Houston Houston 005367 The Westbury Place 07/18/2017 $73,458 F
06 - Houston Houston 005367 The Westbury Place 07/18/2017 $5,700 F
06 - Houston Houston 103799 Villa Toscana at Cypress Woods 12/21/2017 $13,505 $13,505 F
06 - Houston Houston 103799 Villa Toscana at Cypress Woods 12/21/2017 $13,305 $13,305 F
06 - Houston Houston 103799 Villa Toscana at Cypress Woods 02/08/2018 $15,805 $15,805 F
F-32
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
02/09/2018 $37,647 $24,471 F
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
02/09/2018 $9,780 $6,357 F
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
03/23/2018 $29,565 $29,565 F
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
04/27/2018 $17,170 $17,170 F
06 - Houston Houston 005403 Willowbrook Residence and
Rehabilitation Center
06/12/2018 $4,800 $4,800 F
06 - Houston Houston 004371 Woodridge Nursing &
Rehabilitation
02/21/2018 $10,805 F
06 - Houston Houston 004371 Woodridge Nursing &
Rehabilitation
03/14/2018 $11,805 F
06 - Houston Humble 104541 Deerbrook Skilled Nursing and
Rehab Center
09/29/2017 $20,000 F
06 - Houston Humble 104541 Deerbrook Skilled Nursing and
Rehab Center
11/02/2017 $20,000 F
06 - Houston Humble 104541 Deerbrook Skilled Nursing and
Rehab Center
11/02/2017 $20,000 F
06 - Houston Humble 005208 Oakmont Healthcare and
Rehabilitation Center of Humble
06/14/2018 $128,010 $83,207 F
06 - Houston Humble 005208 Oakmont Healthcare and
Rehabilitation Center of Humble
06/14/2018 $36,012 F
06 - Houston Huntsville 004943 Focused Care at Huntsville 01/04/2018 $20,965 $23,329 F
06 - Houston Huntsville 004943 Focused Care at Huntsville 01/04/2018 $20,965 $20,965 F
06 - Houston Huntsville 005190 MRC Creekside 02/01/2018 $12,005 F
F-33
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
06 - Houston Huntsville 005190 MRC Creekside 02/01/2018 $5,000 F
06 - Houston Katy 103520 Heritage Park of Katy Nursing and
Rehabilitation
09/21/2017 $10,405 F
06 - Houston Katy 103520 Heritage Park of Katy Nursing and
Rehabilitation
04/20/2018 $15,805 $10,397 F
06 - Houston Katy 005196 Oakmont Healthcare and
Rehabilitation Center of Katy
09/26/2017 $13,305 F
06 - Houston Katy 106784 Sterling Oaks Rehabilitation 03/02/2018 $11,205 $11,205 F
06 - Houston La Porte 004145 LaPorte Healthcare Center 04/10/2018 $194,987 F
06 - Houston La Porte 004145 LaPorte Healthcare Center 04/10/2018 $9,315 F
06 - Houston La Porte 004145 LaPorte Healthcare Center 05/03/2018 $4,725 F
06 - Houston La Porte 004145 LaPorte Healthcare Center 06/22/2018 $6,060 F
06 - Houston Missouri City 105225 Chelsea Gardens 06/10/2017 $20,000 $20,000 F
06 - Houston Missouri City 105225 Chelsea Gardens 11/06/2017 $31,375 $31,375 F
06 - Houston Missouri City 105225 Chelsea Gardens 11/06/2017 $63,770 $70,167 F
06 - Houston Missouri City 105892 Windsor Quail Valley Post-Acute
Healthcare
10/13/2017 $10,484 F
06 - Houston Pasadena 103086 The Courtyards at Pasadena 03/01/2018 $10,905 F
06 - Houston Pasadena 105427 The Medical Resort at Bay Area 02/08/2018 $11,005 F
06 - Houston Rosenberg 005112 Rosenberg Health & Rehabilitation
Center
01/12/2018 $174,286 $113,286 $113,286 F
06 - Houston Rosenberg 005112 Rosenberg Health & Rehabilitation
Center
01/12/2018 $56,475 $36,709 $36,709 F
06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land 03/06/2018 $21,715 $21,715 F
06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land 03/06/2018 $18,798 $18,798 F
F-34
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land 05/22/2018 $22,590 $22,590 F
06 - Houston Sugar Land 106119 The Medical Resort at Sugar Land 05/22/2018 $49,036 $49,036 F
06 - Houston Texas City 005368 Oceanview Healthcare and
Rehabilitation
07/15/2018 $23,908 $23,908 F
06 - Houston Texas City 005368 Oceanview Healthcare and
Rehabilitation
07/15/2018 $15,060 $15,060 F
06 - Houston The Woodlands 105818 The Broadmoor at Creekside Park 07/19/2018 $12,005 $7,803 F
06 - Houston Tomball 104224 Grace Care Center at Northpointe 07/31/2018 $13,305 F
06 - Houston Tomball 005135 Lawrence Street Health Care
Center
07/27/2017 $13,305 F
06 - Houston Tomball 005135 Lawrence Street Health Care
Center
05/21/2018 $14,505 F
06 - Houston Wharton 004115 Wharton Nursing and
Rehabilitation Center
06/05/2018 $15,805 $15,805 F
07 - Austin Austin 005261 Gracy Woods Nursing Center 10/12/2017 $5,000 F
07 - Austin Austin 005261 Gracy Woods Nursing Center 10/12/2017 $10,605 F
07 - Austin Austin 005261 Gracy Woods Nursing Center 10/12/2017 $2,097 F
07 - Austin Austin 104003 Legend Oaks Healthcare and
Rehabilitation – North Austin
08/03/2017 $208,640 F
07 - Austin Belton 005235 Park Place Manor Inc 11/15/2017 $17,305 $10,482 F
07 - Austin Bremond 005161 Bremond Nursing and
Rehabilitation Center
02/08/2018 $19,105 F
07 - Austin Bryan 101864 Lampstand Nursing and
Rehabilitation LP
11/18/2017 $33,885 F
07 - Austin Bryan 101864 Lampstand Nursing and
Rehabilitation LP
11/18/2017 $45,312 F
F-35
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
07 - Austin Bryan 101864 Lampstand Nursing and
Rehabilitation LP
07/30/2018 $11,605 F
07 - Austin Caldwell 103889 Copperas Hollow Nursing &
Rehabilitation Center
06/07/2018 $2,100 $2,100 F
07 - Austin Caldwell 103889 Copperas Hollow Nursing &
Rehabilitation Center
06/07/2018 $59,940 $59,940 F
07 - Austin Centerville 004907 Centerville Healthcare Center 09/22/2017 $8,000 F
07 - Austin Copperas Cove 004037 Hill Country Rehab and Nursing
Center
07/19/2018 $19,695 $19,695 F
07 - Austin Copperas Cove 004037 Hill Country Rehab and Nursing
Center
07/19/2018 $489,445 $489,445 F
07 - Austin Georgetown 104710 Estrella Oaks Rehabilitation and
Care Center
04/12/2018 $18,005 F
07 - Austin Georgetown 104710 Estrella Oaks Rehabilitation and
Care Center
04/12/2018 $18,005 F
07 - Austin Harker Heights 000232 Indian Oaks Living Center 11/03/2017 $10,805 F
07 - Austin Lampasas 004906 Regal Healthcare Residence 02/23/2018 $10,482 $10,482 F
07 - Austin Lampasas 004906 Regal Healthcare Residence 02/23/2018 $10,482 $10,482 F
07 - Austin Madisonville 004314 Madisonville Care Center 12/13/2017 $10,000 F
07 - Austin San Saba 106549 San Saba Rehabilitation LP 03/22/2018 $10,000 F
07 - Austin San Saba 106549 San Saba Rehabilitation LP 03/22/2018 $10,000 F
07 - Austin Temple 005132 Senior Care of Marlandwood East 11/05/2017 $18,905 $12,288 F
07 - Austin Temple 005132 Senior Care of Marlandwood East 11/05/2017 $18,905 $12,288 F
07 - Austin Temple 005268 Senior Care of Western Hills 10/30/2017 $2,020 $1,212 F
07 - Austin Temple 005268 Senior Care of Western Hills 10/30/2017 $159,850 $95,910 F
F-36
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
07 - Austin Temple 004260 Wellington Rehabilitation and
Healthcare
10/13/2017 $10,000 F
07 - Austin Temple 004260 Wellington Rehabilitation and
Healthcare
10/13/2017 $10,000 F
07 - Austin Valley Mills 004824 Valley Mills Nursing and
Rehabilitation LP
09/21/2017 $5,500 F
07 - Austin Valley Mills 004824 Valley Mills Nursing and
Rehabilitation LP
09/21/2017 $5,500 F
07 - Austin Whitney 004809 Town Hall Estates Whitney Inc 10/19/2017 $20,965 $10,059 F
07 - Austin Whitney 004809 Town Hall Estates Whitney Inc 10/19/2017 $20,965 $10,059 F
07 - Austin Whitney 004809 Town Hall Estates Whitney Inc 10/19/2017 $20,965 $10,059 F
07 - Austin Whitney 004809 Town Hall Estates Whitney Inc 10/19/2017 $20,965 $10,059 F
08 - San
Antonio
Boerne 004736 Town and Country Manor 11/10/2017 $13,305 F
08 - San
Antonio
Fredericksburg 004204 Tristar Care Center Inc 06/21/2017 $21,715 $21,715 F
08 - San
Antonio
Fredericksburg 004204 Tristar Care Center Inc 06/21/2017 $83,122 $91,562 F
08 - San
Antonio
Fredericksburg 004204 Tristar Care Center Inc 08/17/2017 $14,140 $14,140 F
08 - San
Antonio
Fredericksburg 004204 Tristar Care Center Inc 08/17/2017 $108,698 $108,698 F
08 - San
Antonio
Ganado 004883 Ganado Nursing and
Rehabilitation Center
10/14/2017 $6,752 F
08 - San
Antonio
Ganado 004883 Ganado Nursing and
Rehabilitation Center
10/14/2017 $6,752 F
F-37
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
08 - San
Antonio
Lytle 004149 Lytle Nursing Home 04/05/2018 $1,515 $985 $985 F
08 - San
Antonio
Lytle 004149 Lytle Nursing Home 04/05/2018 $48,872 $31,767 $32,752 F
08 - San
Antonio
New Braunfels 004533 Colonial Manor Care Center 11/03/2017 $59,108 F
08 - San
Antonio
New Braunfels 004533 Colonial Manor Care Center 11/03/2017 $13,635 F
08 - San
Antonio
New Braunfels 004533 Colonial Manor Care Center 01/22/2018 $92,820 F
08 - San
Antonio
New Braunfels 004533 Colonial Manor Care Center 02/02/2018 $1,785 F
08 - San
Antonio
San Antonio 005254 Heartland of San Antonio 08/17/2017 $11,745 F
08 - San
Antonio
San Antonio 005254 Heartland of San Antonio 08/17/2017 $27,998 F
08 - San
Antonio
San Antonio 102734 Legend Oaks Healthcare and
Rehabilitation Center – San
Antonio
06/16/2017 $12,500 F
08 - San
Antonio
San Antonio 005058 Meridian Care at Grayson Square 11/20/2017 $105,000 $56,636 $22,629 F
08 - San
Antonio
San Antonio 005058 Meridian Care at Grayson Square 11/20/2017 $74,045 $39,939 $45,385 F
08 - San
Antonio
San Antonio 004754 Mesa Vista Inn Health Center 10/31/2017 $66,515 F
08 - San
Antonio
San Antonio 004754 Mesa Vista Inn Health Center 10/31/2017 $76,643 F
F-38
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
08 - San
Antonio
San Antonio 101669 Mystic Park Nursing & Rehab
Center
11/21/2017 $12,625 F
08 - San
Antonio
San Antonio 101669 Mystic Park Nursing & Rehab
Center
11/21/2017 $272,571 F
08 - San
Antonio
San Antonio 005233 Sunrise Nursing & Rehab Center 09/18/2017 $13,305 F
08 - San
Antonio
San Antonio 105220 Trisun Care Center - Lakeside 12/16/2017 $11,205 F
09 - Abilene Crane 004272 Crane Nursing & Rehabilitation
Center
09/22/2017 $23,845 F
09 - Abilene Crane 004272 Crane Nursing & Rehabilitation
Center
09/22/2017 $76,643 F
09 - Abilene Junction 004838 Hill Country Care Center 06/27/2018 $20,965 $13,627 F
09 - Abilene Midland 004280 Hogan Park Nursing &
Rehabilitation
08/18/2017 $47,690 F
09 - Abilene Midland 004280 Hogan Park Nursing &
Rehabilitation
08/18/2017 $13,059 F
09 - Abilene Midland 004280 Hogan Park Nursing &
Rehabilitation
01/17/2018 $2,525 $1,641 F
09 - Abilene Midland 004280 Hogan Park Nursing &
Rehabilitation
01/17/2018 $90,000 $63,498 F
09 - Abilene Midland 103255 Senior Care of Midland 04/16/2018 $20,965 $21,230 F
09 - Abilene Midland 005136 Terrace West Nursing and
Rehabilitation LP
12/15/2017 $26,260 F
09 - Abilene Midland 005136 Terrace West Nursing and
Rehabilitation LP
12/15/2017 $16,665 F
F-39
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
09 - Abilene Midland 005136 Terrace West Nursing and
Rehabilitation LP
12/15/2017 $40,618 F
09 - Abilene Midland 005136 Terrace West Nursing and
Rehabilitation LP
12/15/2017 $40,618 F
09 - Abilene Odessa 004351 Buena Vida Nursing and Rehab
Odessa
12/22/2017 $20,965 F
09 - Abilene Ozona 005064 Crockett County Care Center 03/02/2018 $20,965 S
09 - Abilene San Angelo 004815 Arbor Terrace Healthcare Center 08/06/2018 $20,505 $20,505 F
09 - Abilene San Angelo 000170 Senior Care of Meadow Creek 07/27/2018 $20,505 $20,505 F
10 - El Paso El Paso 102314 Ambrosio Guillen Texas State
Veterans Home
07/30/2018 $5,555 $3,611 F
10 - El Paso El Paso 102314 Ambrosio Guillen Texas State
Veterans Home
07/30/2018 $37,062 $24,090 F
10 - El Paso El Paso 004619 Oasis Nursing & Rehabilitation
Center
07/31/2017 $20,500 F
10 - El Paso El Paso 004619 Oasis Nursing & Rehabilitation
Center
11/16/2017 $5,405 F
10 - El Paso El Paso 004619 Oasis Nursing & Rehabilitation
Center
11/16/2017 $15,815 F
10 - El Paso El Paso 004619 Oasis Nursing & Rehabilitation
Center
11/16/2017 $5,405 F
10 - El Paso El Paso 005404 Regent Care Center of El Paso 08/14/2017 $242,592 $39,303 $16,944 F
10 - El Paso El Paso 005404 Regent Care Center of El Paso 08/14/2017 $4,305 $697 $697 F
10 - El Paso El Paso 105607 St. Teresa Nursing and
Rehabilitation Center
03/15/2018 $13,305 F
10 - El Paso El Paso 106895 Vibralife of El Paso Rehabilitation
Center
07/23/2018 $12,005 F
F-40
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
10 - El Paso El Paso 005086 Vista Hills Health Care Center 08/22/2017 $10,000 F
10 - El Paso El Paso 005086 Vista Hills Health Care Center 08/22/2017 $10,000 F
10 - El Paso Socorro 106362 Las Ventanas De Socorro 08/23/2017 $17,500 F
10 - El Paso Socorro 106362 Las Ventanas De Socorro 11/16/2017 $98,420 F
10 - El Paso Socorro 106362 Las Ventanas De Socorro 11/16/2017 $79,554 F
11 - Corpus
Christi
Corpus Christi 004567 Retama Manor Nursing Center 09/28/2017 $78,324 F
11 - Corpus
Christi
Corpus Christi 004567 Retama Manor Nursing Center 09/28/2017 $42,670 F
11 - Corpus
Christi
Corpus Christi 004894 The Palms Nursing &
Rehabilitation
07/21/2018 $13,635 F
11 - Corpus
Christi
Corpus Christi 004894 The Palms Nursing &
Rehabilitation
07/21/2018 $108,432 F
11 - Corpus
Christi
Corpus Christi 005006 Trisun Care Center-Westwood 02/28/2018 $16,500 F
11 - Corpus
Christi
Corpus Christi 005006 Trisun Care Center-Westwood 03/01/2018 $16,500 F
11 - Corpus
Christi
Falfurrias 004951 Falfurrias Nursing and
Rehabilitation LP
06/22/2018 F
11 - Corpus
Christi
Falfurrias 004951 Falfurrias Nursing and
Rehabilitation LP
06/22/2018 $38,562 $38,562 F
11 - Corpus
Christi
Hebbronville 005389 Meridian Care of Hebbronville 07/12/2017 $11,745 F
11 - Corpus
Christi
Hebbronville 005389 Meridian Care of Hebbronville 07/13/2017 $27,610 F
11 - Corpus
Christi
Kingsville 004571 Kleberg County Nursing and
Rehabilitation LP
04/28/2018 $13,500 F
F-41
Region City Facility
ID Facility Visit Date Imposed Assessed
Balance
Due IA
11 - Corpus
Christi
Laredo 005303 Regent Care Center of Laredo 10/26/2017 $12,150 F
11 - Corpus
Christi
Laredo 005303 Regent Care Center of Laredo 10/26/2017 $17,908 F
11 - Corpus
Christi
Laredo 004758 Retama Manor Nursing
Center/Laredo-West
09/29/2017 $17,005 F
11 - Corpus
Christi
Laredo 005042 Retama Manor/Laredo South 03/11/2018 $36,395 F
11 - Corpus
Christi
Laredo 005042 Retama Manor/Laredo South 03/11/2018 $51,816 F
11 - Corpus
Christi
Portland 005391 Trisun Care Center-Coastal Palms 11/20/2017 $42,220 F
11 - Corpus
Christi
Portland 005391 Trisun Care Center-Coastal Palms 11/20/2017 $7,530 F
11 - Corpus
Christi
Premont 004487 Premont Nursing and
Rehabilitation
08/24/2017 $10,000 $6,500 F
11 - Corpus
Christi
Robstown 004818 Robstown Nursing and
Rehabilitation Center
04/06/2018 $8,785 F
Totals $16,388,750 $2,928,917 $7,356,631
416 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, waiver, 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.
F-42
3. 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. This amount may include 35% reduction due to the acceptance of a waiver.
4. 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.
F-43
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
● On or before 14 calendar days
● On or before 30 calendar days
● On or before 45 calendar days
● Professional review
● Financial (Medicaid facilities only)
● Withdrawn
● Not required
On or Before 24 Hours
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
F-44
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 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.
On or Before 30 Calendar Days
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.
On or Before 45 Calendar Days
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.
F-45
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.HHSC.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.
F-46
Nursing Facility All Intakes by Priority and Region for FY 2018
Intake Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 32 29 166 47 31 127 79 91 13 8 40 663
On or before 14 days 329 225 1,667 582 362 1,067 770 860 127 116 369 6,474
On or before 30 days 276 266 2,085 596 345 1,227 918 916 142 130 368 7,269
On or before 45 days 304 314 2,336 719 343 978 878 925 176 91 315 7,379
Professional review 27 19 208 34 34 98 87 147 18 11 32 715
Financial 215 194 1,707 592 250 561 524 463 103 57 160 4,826
Withdrawn 4 2 35 6 2 14 9 18 2 4 5 101
Not required 5 2 30 15 19 13 5 4 0 1 2 96
Total 1,192 1,051 8,234 2,591 1,386 4,085 3,270 3,424 581 418 1,291 27,523
Nursing Facility Complaints by Priority and Region for FY 2018
Complaint Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 30 27 158 46 27 123 76 88 11 8 39 633
On or before 14 days 122 105 824 254 164 604 410 487 64 56 150 3,240
On or before 30 days 148 146 1,181 305 182 779 558 566 80 80 210 4,235
On or before 45 days 66 86 644 163 98 335 305 344 37 34 130 2,242
Financial 27 19 205 34 34 97 87 147 18 11 32 711
Withdrawn 0 0 1 0 0 0 0 1 0 0 1 3
Not required 5 2 30 15 19 13 5 4 0 1 2 96
Total 398 385 3,043 817 524 1,951 1,441 1,637 210 190 564 11,160
F-47
Nursing Facility Incidents by Priority and Region for FY 2018
Incident Priority 01 02 03 04 05 06 07 08 09 10 11 Total
On or before 24 hours 2 2 8 1 4 4 3 3 2 0 1 30
On or before 14 days 207 120 843 328 198 463 360 373 63 60 219 3,234
On or before 30 days 128 120 904 291 163 448 360 350 62 50 158 3,034
On or before 45 days 238 228 1,692 556 245 643 573 581 139 57 185 5,137
Professional review 215 194 1,707 592 250 561 524 463 103 57 160 4,826
Financial 0 0 3 0 0 1 0 0 0 0 0 4
Not required 4 2 34 6 2 14 9 17 2 4 4 98
Total 794 666 5,191 1,774 862 2,134 1,829 1,787 371 228 727 16,363
G-1
Appendix G. Trends
Trends in Long-Term Care Facilities, Home and
Community Support Services Agencies, and Waiver
Programs
HHSC 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,
G-2
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,
G-3
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
G-4
HHSC 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
G-5
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
G-6
Area 9
Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy,
Kleberg, Live Oak, Nueces, San Patricio, Starr, Webb, Willacy, Zapata
G-7
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 1,964 43.9% 45,546 27.1%
DAHS 458 10.2% 22,368 13.3%
ICF/IID 805 18.0% 7,915 4.7%
Nursing 1,250 27.9% 92,121 54.8%
PPECC 1 0.0% 3 0.0%
Total 4,478 NA 167,953 NA
G-8
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
PPECC
Count
% of All
PPECC
Total
Count % of Total
01 93 4.7% 6 1.3% 30 3.7% 71 5.7% 0 0.0% 200 4.5%
02 45 2.3% 1 0.2% 41 5.1% 75 6.0% 0 0.0% 162 3.6%
03 615 31.3% 38 8.3% 208 25.8% 286 22.9% 0 0.0% 1,147 25.6%
04 99 5.0% 7 1.5% 71 8.8% 106 8.5% 0 0.0% 283 6.3%
05 42 2.1% 8 1.7% 46 5.7% 75 6.0% 0 0.0% 171 3.8%
06 494 25.2% 54 11.8% 119 14.8% 175 14.0% 0 0.0% 842 18.8%
07 186 9.5% 4 0.9% 99 12.3% 149 11.9% 0 0.0% 438 9.8%
08 284 14.5% 52 11.4% 119 14.8% 174 13.9% 0 0.0% 629 14.0%
09 22 1.1% 1 0.2% 31 3.9% 43 3.4% 0 0.0% 97 2.2%
10 46 2.3% 31 6.8% 11 1.4% 19 1.5% 0 0.0% 107 2.4%
11 38 1.9% 256 55.9% 30 3.7% 77 6.2% 1 100.0% 402 9.0%
Total 1,964 NA 458 NA 805 NA 1,250 NA 1 NA 4,478 NA
G-9
Facility Visits/Contacts by HHSC Surveyors by Region
Region Assisted
Living DAHS ICF/IID Nursing PPECC Unlicensed Total
01 177 16 70 629 0 2 894
02 99 2 127 619 0 0 847
03 1,401 49 561 3,189 0 46 5,246
04 383 12 162 1,177 0 1 1,735
05 95 8 139 668 0 9 919
06 1,017 120 379 1,844 0 76 3,436
07 518 14 334 1,390 0 19 2,275
08 307 44 304 970 0 8 1,633
09 71 0 117 321 0 0 509
10 89 26 40 147 0 4 306
11 79 370 100 542 3 5 1,099
Total 4,236 661 2,333 11,496 3 170 18,899
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 1,964 42.4% 4,236 22.4%
DAHS 458 9.9% 661 3.5%
ICF/IID 805 17.4% 2,333 12.3%
Nursing 1,250 27.0% 11,496 60.8%
PPECC 1 0.0% 3 0.0%
Unlicensed 149 3.2% 170 0.9%
Total 4,627 NA 18,899 NA
G-10
Notes:
1. Visits/contacts consist of all on-site, off-site, and combination inspections and
investigations done by regulatory survey staff.
2. The unlicensed row 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.
G-11
Changes in Regulated Facilities
Facility and Occupancy Counts in FY 2014 and FY 2018
Program FY 2014 Count FY 2014
Occupancy FY 2018 Count
FY 2018
Occupancy
Assisted Living 1,771 39,435 1,964 45,546
DAHS 478 22,174 458 22,368
ICF/IID 863 8,803 805 7,915
Nursing 1,224 94,591 1,250 92,121
PPECC 0 0 1 3
Total 4,336 165,003 4,478 167,953
Facility and Occupancy by Percentage in FY 2014 and FY 2018
Program FY 2014 % of
Total Facilities
FY 2014 %
of Total
Occupancy
FY 2018 % of
Total Facilities
FY 2018 %
of Total
Occupancy
Assisted Living 40.8% 23.9% 43.9% 27.1%
DAHS 11.0% 13.4% 10.2% 13.3%
ICF/IID 19.9% 5.3% 18.0% 4.7%
Nursing 28.2% 57.3% 27.9% 54.8%
PPECC 0.0% 0.0% 0.0% 0.0%
G-12
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
2014 1,771 -1.2% 60,369 +3.8% 39,435 +5.0% 65.3%
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%
2018 1,964 +4.0% 73,988 +4.6% 45,546 +2.3% 61.6%
Percent
Change FY
2014 to 2018
NA +10.9% NA +22.6% NA +15.5% NA
Day Activity and Health Services 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
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%
2018 458 -1.5% 43,644 -1.4% 22,368 -1.2% 51.3%
G-13
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 FY
2014 to 2018
NA -4.2% NA +0.6% NA +0.9% 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
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%
2018 805 -0.6% 11,333 -0.3% 7,915 -0.3% 69.8%
Percent
Change FY
2014 to 2018
NA -6.7% NA -4.5% NA -10.1% 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.
G-14
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
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%
2018 15 0.0% 5,995 0.0% 2,979 -1.2% 49.7%
Percent
Change FY
2014 to 2018
NA 0.0% NA 0.0% NA -11.7% 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.
G-15
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
Licensed or
Certified
Beds:
Percent
Growth/Loss
Number of
Occupants
Occupants:
Percent
Growth/Loss
Occupancy
Rates
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%
2018 790 -0.6% 5,338 -0.6% 4,936 +0.3% 92.5%
Percent
Change FY
2014 to 2018
NA -6.8% NA -9.0% NA -9.1% NA
Nursing 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
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%
2018 1,250 +0.6% 140,509 +0.8% 92,121 -1.1% 65.6%
G-16
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 FY
2014 to 2018
NA +2.1% NA +2.7% NA -2.6% NA
Note:
The number of licensed or certified beds includes all types - Medicare, Medicaid and private pay.
G-17
Facility Visits/Contacts by Regulatory Surveyors for FY 2014-18
Facility Type FY 2014 FY 2015 FY 2016 FY 2017 FY 2018
Assisted Living 4,946 4,883 5,578 5,589 4,236
DAHS 1,015 871 1,069 844 661
ICF/IID 2,339 2,412 2,524 2,342 2,333
Nursing 11,683 12,228 12,395 12,944 11,496
PPECC 0 0 0 0 3
Unlicensed 290 241 296 255 170
Totals 20,273 20,635 21,862 21,974 18,899
Notes:
1. Visits/contacts consist of all on-site, off-site and combination inspections and
investigations done by regulatory survey staff.
2. The unlicensed row 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.
G-18
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 2017 and
FY 2018
% of All
Consumers
Home health and hospice
parents
5,339 86.7% 1,246,313 98.3%
Home health branches 613 10.0% 14,989 1.2%
Alternate delivery sites 203 3.3% 6,863 0.5%
Total 6,155 NA 1,268,165 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 HHSC
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 96 1.8% 42 6.9% 8 3.9% 146 2.4%
02 80 1.5% 26 4.2% 16 7.9% 122 2.0%
03 1,598 29.9% 113 18.4% 48 23.6% 1,759 28.6%
04 171 3.2% 47 7.7% 32 15.8% 250 4.1%
05 116 2.2% 32 5.2% 12 5.9% 160 2.6%
06 1,572 29.4% 58 9.5% 21 10.3% 1,651 26.8%
07 328 6.1% 78 12.7% 26 12.8% 432 7.0%
08 435 8.1% 88 14.4% 18 8.9% 541 8.8%
09 67 1.3% 21 3.4% 6 3.0% 94 1.5%
10 167 3.1% 13 2.1% 2 1.0% 182 3.0%
11 709 13.3% 95 15.5% 14 6.9% 818 13.3%
Totals 5,339 NA 613 NA 203 NA 6,155 NA
G-19
Home and Community Support Services Agency Visits/Contacts by
Regulatory Surveyors by Region
Region HCSSA
01 121
02 99
03 1,077
04 202
05 130
06 1,162
07 359
08 456
09 62
10 126
11 706
Total 4,500
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 2,231 249 NA
Licensed and certified home health w/ dialysis 1 0 NA
Licensed home health services 2,878 468 NA
Licensed home health w/ dialysis 37 1 NA
Personal assistance services 3,662 366 NA
Hospice 815 NA 203
Note:
Home and community support services agencies can provide more than one category of
service from the same parent or branch.
G-20
Home and Community Support Services Agency Counts by Category of Service by HHSC Region
Category of Service 01 02 03 04 05 06 07 08 09 10 11 Total
Parent: licensed and
certified home health
46 49 742 89 61 625 108 138 32 66 275 2,231
Parent: licensed home
health
52 41 900 106 67 879 154 201 32 73 373 2,878
Parent: licensed home
health with dialysis
0 0 7 1 0 25 1 1 0 0 2 37
Parent: personal
assistance
42 38 1,141 80 55 1,183 190 239 34 118 542 3,662
Parent: hospice 25 13 236 35 26 197 63 102 13 22 83 815
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
21 16 55 35 20 24 29 16 12 0 21 249
Branch: licensed home
health
41 23 88 37 21 41 58 63 14 11 71 468
Branch: licensed home
health with dialysis
0 0 1 0 0 0 0 0 0 0 0 1
Branch: personal
assistance
26 14 61 22 19 30 34 63 12 8 77 366
Alternative delivery site:
hospice
8 16 48 32 12 21 26 18 6 2 14 203
Note:
Home and community support services agencies can provide more than one category of service from the same parent or
branch.
G-21
Changes in Regulated Home and Community Support Services
Agencies
Home and Community Support Services Agency Counts for FY 2014
and FY 2018
Agency Type FY 2014 Count FY 2018 Count
Home health and hospice parents 5,413 5,339
Home health branches 769 613
Alternate delivery sites 170 203
Total 6,352 6,155
G-22
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
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%
2018 5,339 -1.1% 613 -6.7% 203 -2.9% 6,155 -1.7%
Percent
Change FY
2014 to
2018
NA -1.4% NA -20.3% NA +19.4% NA -3.1%
Home and Community Support Services Agency Visits/Contacts by Regulatory Surveyors for FY
2014-18
Agency
Type FY 2014 FY 2015 FY 2016 FY 2017 FY 2018
HCSSA 3,874 3,470 2,885 3,851 4,500
Note:
Visits/contacts consist of all on-site, off-site and combination inspections and investigations done by regulatory survey staff.
G-23
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
842 69.6% 26,206 84.2%
Texas Home Living 367 30.4% 4,902 15.8%
Total 1,209 NA 31,108 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% 8 2.2% 23 1.9%
2 111 13.2% 56 15.3% 167 13.8%
3 146 17.3% 72 19.6% 218 18.0%
4 112 13.3% 39 10.6% 151 12.5%
5 240 28.5% 98 26.7% 338 28.0%
6 72 8.6% 26 7.1% 98 8.1%
7 75 8.9% 27 7.4% 102 8.4%
8 23 2.7% 15 4.1% 38 3.1%
9 48 5.7% 26 7.1% 74 6.1%
Total 842 NA 367 NA 1,209 NA
Reviews of Waiver Programs by State Reviewers by Contract Area
Waiver
Contract
Area
Home and
Community-
based
Services
Texas Home
Living Total
1 28 8 36
2 138 50 188
3 146 60 206
4 118 36 154
5 240 88 328
6 101 25 126
G-24
Waiver
Contract
Area
Home and
Community-
based
Services
Texas Home
Living Total
7 103 32 135
8 28 15 43
9 49 22 71
Total 951 336 1,287
Reviews of Waiver Programs Compared to the Number of Waiver
Programs
Program Type Contract Count % of All
Contracts
% of All
Reviews
Home and Community-based
Services
842 69.6% 73.9%
Texas Home Living 367 30.4% 26.1%
Total 1,209 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 3,858 14.7%
Foster care 13,761 52.5%
Three-person group home 4,089 15.6%
Four-person group home 4,498 17.2%
Total 26,206 NA
G-25
Home and Community-based Services Residential Reviews
Residential Category Reviews
Completed
% of All
Reviews
Own home or family home NA NA
Foster care 12,319 81.5%
Three-person group home 1,583 10.5%
Four-person group home 1,218 8.1%
Total 15,120 NA
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Changes in Waiver Programs
Waiver Program Contract and Consumer Counts for FY 2014 and FY
2018
Program Type FY 2014
Contracts
FY 2014
Consumers
FY 2018
Contracts
FY 2018
Consumers
Home and Community-
based Services
767 21,334 842 26,206
Texas Home Living 374 5,955 367 4,902
Total 1,141 27,289 1,209 31,108
Waiver Program Contract and Consumers by Percentage in FY 2014 -
2018
Program Type
FY 2014 %
of All
Contracts
FY 2014 %
of All
Consumers
FY 2018 %
of All
Contracts
FY 2018 %
of All
Consumers
Home and Community-
based Services
67.2% 78.2% 69.6% 84.2%
Texas Home Living 32.8% 21.8% 30.4% 15.8%
Home and Community-based Services Trends
Fiscal Year
Number of
HCS
Contracts
HCS: %
Growth/Loss
HCS
Consumers
HCS
Consumers:
% Growth/
Loss
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%
2018 842 +2.3% 26,206 -6.1%
Percent
Change
FY 2014 to
2018
NA +9.8% NA +22.8%
Note:
Home and Community-based Services contract counts include only contracts through which
at least one consumer is provided services.
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Texas Home Living Trends
Fiscal Year
Number of
TxHmL
Contracts
TxHmL: %
Growth/Loss
TxHmL
Consumers
TxHmL
Consumers:
% Growth/
Loss
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%
2018 367 -6.6% 4,902 -9.0%
Percent
Change
FY 2014 to
2018
NA -1.9% NA -17.7%
Reviews of Waiver Programs by Regulatory Reviewers for FY 2014 -
2018
Facility Type FY 2014 FY 2015 FY 2016 FY 2017 FY 2018
Home and Community-
based Services
1,014 960 1,202 994 951
Texas Home Living 425 396 477 413 336
Totals 1,439 1,356 1,679 1,407 1,287
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Comparisons to Other States
In Centers for Medicare and Medicaid Services Region VI (which includes Arkansas,
Louisiana, New Mexico, Oklahoma, and Texas) for FY 2018, Texas accounts for:
● 64 percent of all active certified facilities and agencies
● 64 percent of all nursing facility federal enforcement cases
● 49 percent of all immediate jeopardy situations
● 30 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
● 13 percent of all state survey agency hours spent on investigations at nursing
facilities
● 9 percent of all nursing facility federal enforcement cases
● 11 percent of all immediate jeopardy situations
● 8 percent of all past noncompliance cases
Overview of Enforcement Activities
Administrative Penalties
During FY 2018, HHSC imposed 944 administrative penalties against facilities and
agencies, including:
● 812 against home and community support services agencies
● 64 against nursing facilities
● 42 against assisted living facilities
● 20 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 2018, HHSC referred the following facilities for injunctive/other relief and
civil penalties:
● 6 unlicensed facilities
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● 1 intermediate care facilities for individuals with an intellectual disability or
related conditions
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:
● $42,435.82 for the purchase and installation of EMAR system, bathing
system, kitchen rollup doors, bladder scanner, PIR alert system and VitaStem
Plus system.
● $40,900.01 for the installation of a therapeutic garden program, purchase of
62 smart TVs and installation of internet WiFi.
● $12,600.00 for the addition of quilted bed spreads for every bed, purchase of
TV's and mounts for sitting area and install lobby TV and chairs.
● $9,095.74 for an Internet café and vital sign attendant monitor with oral
temperature.
● $3,000.00 for the purchase of outdoor furniture to use on the front porch.
During FY 2018, HHSC denied 36 initial and renewal applications for licensure for
facilities and agencies, including:
● 21 home and community support services agencies
● 9 assisted living facilities
● 5 day activity and health services facilities
● 1 intermediate care facility for individuals with an intellectual disability or
related conditions
License Revocations
During FY 2018, HHSC revoked 57 facility and agency licenses, including:
● 57 home and community support services agencies
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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 2018, 19 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 2018, 32 home
and community support services agencies surrendered their license in lieu of further
enforcement actions.
Vendor Holds
During FY 2018, HHSC placed 1 waiver contract on vendor hold.
Denial of Certification
During FY 2018, HHSC did not deny any certifications to 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 2018, HHSC referred 6 unlicensed facilities for injunctive/other relief and
civil penalties. Of those, all 6 referrals were to the Office of the Attorney General.
Trust Fund Monitoring
The long-term care regulatory program routinely monitors resident funds in
Medicaid contracted nursing facilities and intermediate care facilities for individuals
with intellectual disabilities for compliance with state and federal guidelines. They
also perform change of ownership/closure audits on outgoing ownership, and
investigate financial complaints referred by intake staff.
During FY 2018, HHSC completed:
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● 685 financial investigations resulting in $2,677,094.82 in resident refunds
● Routine monitoring visits resulting in $2,023,059.78 in resident refunds
● Change of ownership/closure audits resulting in $976,374.54 in resident
refunds
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 2018, CMS imposed 415 CMPs against facilities participating in the Medicare
program; HHSC imposed one CMP against facilities that contracted for Medicaid only.
Regulatory Penalty Receipts for FY 2013–2018
Fiscal
Year
Administrative Penalties
Amount Received
(All Facility Types)
Civil Money Penalties
Amount Received
(Nursing Facilities)
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
2018 $793,348.00 $8,218,224.00
G-32
Top 10 Rankings
Certification Deficiencies and Licensure Violations
Top 10 Violations Cited During Inspections for FY 2018: 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 2017)
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. 2
in FY 2017)
3. 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. (Tied for No. 5 in FY 2017)
4. [TIE] Fire Alarm-Sprinkler Systems: 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. (Tied for No. 5 in FY 2017)
[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. (Tied for No. 5 in FY 2017)
6. Fire Alarm-Sprinkler Systems: 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. (Ranked No. 3 in FY 2017)
7. 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. (Ranked No. 10 in FY 2017)
G-33
8. S - H: Fac. Clean and in Good Repair: 40 TAC §92.62(h)(8) - The facility
failed to maintain the building free of accumulations of dirt, rubbish, dust, and
hazards. (Not ranked in FY 2017)
9. 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. 4 in FY 2017)
10. Construction: Interior Wall and Ceiling Surfaces: 40 TAC §92.62(e)(2) -
The facility failed to ensure interior walls and/or ceilings were constructed with a
material having at least a 20-minute fire rating, or at least 3/8 gypsum board.
(Not ranked in FY 2017)
Top 10 Violations Cited During Inspections for FY 2018: 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 2017)
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. 2 in
FY 2017)
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. 3 in FY 2017)
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 2017)
5. [TIE] Personal Safety/Fire Extinguishers-Monthly Inspection: 40 TAC
§98.42(c)(1)(M)(i) - The facility staff did not inspect the portable fire
extinguishers on a monthly basis or maintain them in proper condition and
working order. (Not ranked in FY 2017)
[TIE] Personal Safety/ General-Outdoor Recreation Area: 40 TAC
§98.42(c)(2)(L) - The facility failed to provide a walled or fenced outdoor area
G-34
that was directly accessible from the facility and was suitably furnished. (Not
ranked in FY 2017)
7. 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. (Tied for No. 7 in FY 2016)
8. Sanitation/ General-Rest Room Facilities: 40 TAC §98.43(a)(8) - The
facility failed to provide adequate restrooms for men and women. (Not ranked in
FY 2017)
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. 9 in FY 2016)
10. [TIE] Personal Safety/Fire-Building in Good Repair: 40 TAC
§98.42(c)(1)(C) - The facility failed to keep the building in good repair.
(Ranked No. 8 in FY 2017)
[TIE] Emergency Preparedness & Response/Administration: 40 TAC
§98.64(b)(3) - The facility failed to evaluate and change the emergency
preparedness and response plan as needed within 30 days after an emergency
situation, remodeling or adding on to the facility, or at least annually. (Not
ranked in FY 2017)
Top 10 Deficiencies Cited During Inspections for FY 2018: Home
Health Agencies
1. Plan of Care Must Include the Following: 42 CFR 484.60(a)(2)(i-xvi),
TAG 0574 – The agency failed to include any of the following in the plan of
care: all pertinent diagnoses; patient's mental, psychosocial and cognitive
status; types of services/equipment needed; frequency an duration of visits;
prognosis, functional limitations; activities permitted; nutritional requirements;
all medications/treatments; safety measures against injury; patient's risk for
emergency department visits and hospital re-admission including interventions;
training to patient and caregiver for timely discharge; patient-specific
interventions, education and goals; information on advance directives; and
additional items from the agency or physician. (Not ranked in FY 2017)
2. 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
G-35
of care established and periodically reviewed by a doctor of medicine,
osteopathy, or podiatric medicine. (Ranked No. 1 in FY 2017)
3. 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 2017)
4. 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. 3 in FY 2017)
5. 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. 4 in FY 2017)
6. Plan of Care: 42 CFR 484.60(a)(1), TAG 0572 – The agency failed to
identify changes in health or functional status in the individualized plan of care,
or review every 60 days or more frequently when indicated and signed by the
physician. (Not ranked in FY 2017)
7. Responsible for All Day to Day Operations: 42 CFR 484.105(b)(1)(ii),
TAG 0948 - The agency's administrator failed to manage the day-to-day
operations. (Not ranked in FY 2017)
8. 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. 6 in FY 2017)
G-36
9. Provide Services in the Plan of Care: 42 CFR 484.75(b)(3), TAG 0710 -
The agency failed to provide services that are ordered by the physician as
indicated by the plan of care. (Not ranked in FY 2017)
10. 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. 5 in FY 2017)
Top 10 Violations Cited During Inspections for FY 2018: Home Health
Agencies
1. 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 HHSC. (Ranked No. 2 in FY 2017)
2. Quality Assessment/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. (Tied for No. 5 in FY 2017)
3. 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 2017)
4. 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. (Ranked No. 10 in FY 2017)
5. 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. 3 in FY 2017)
6. 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 2017)
G-37
7. 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. 4 in FY 2017)
8. 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.
(Tied for No. 5 in FY 2017)
9. Agency Investigations - Level B: 40 TAC §97.250(b)(3) - The agency
failed to send its investigation report form no later than 10 days after reporting
abuse, neglect, or exploitation of a client by an agency employee, contractor, or
volunteer to the Department of Family and Protective Services and HHSC. (Not
ranked in FY 2017)
10. Quality Assessment/Performance Improvement - Level B: 40 TAC
§97.287(c) - The agency failed to make sure its quality assessment and
performance improvement committee met at least twice a year to address
identified problems and concerns in service delivery. (Not ranked in FY 2017)
Top 10 Deficiencies Cited During Inspections for FY 2018: 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 2017)
2. 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. (Ranked No. 3 in FY
2017)
3. 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
G-38
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 2017)
4. Level of Activity: 42 CFR 418.78(e), TAG 0647 - The hospice failed ensure
volunteers must provide day-to-day administrative and/or direct patient care
services in an amount that, at a minimum, equals 5 percent of the total patient
care hours of all paid hospice employees and contract staff. The hospice must
maintain records on the use of volunteers for patient care and administrative
services, including the type of services and time worked. (Not ranked in FY
2017)
5. 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. (Ranked No. 4 in FY 2017)
6. Content of Plan of Care: 42 CFR 418.56(c)(4), TAG 0549 – The hospice
failed to provide the patient with effective pain management by providing drugs
and treatment necessary to meet the patient's needs. (Not ranked in FY 2017)
7. 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. 6 in FY 2017)
8. 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
G-39
hospice failed to maintain documentary evidence of its quality assessment and
performance improvement program and be able to demonstrate its operation to
the Centers for Medicare and Medicaid Services. (Tied for No. 6 in FY 2017)
9. CONTENT OF PLAN OF CARE: 42 CFR 418.56(c), TAG 0545 - The hospice
failed to develop an individualized written plan of care for each patient. The plan
of care must reflect patient and family goals and interventions based on the
problems identified in the initial, comprehensive, and updated comprehensive
assessments. The plan of care must include all services necessary for the
palliation and management of the terminal illness and related conditions. (Not
ranked in FY 2017)
10. Content of Plan of Care: 42 CFR 418.56(c)(5), TAG 0550 - The hospice
failed to include in the plan of care all services necessary for the palliation and
management of the terminal illness and related conditions, including the
following: medical supplies and appliances necessary to meet the needs of the
patient. (Not ranked in FY 2017)
Top 10 Violations Cited During Inspections for FY 2018: Hospice
Agencies
1. 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 HHSC. (Ranked No. 2 in FY 2017)
2. 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 2017)
3. 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. (Tied for No. 6 in FY 2017)
4. Management Responsibility Administrator - Level A and Level B:
§97.243(b)(1)(B), TAG 0130 - The administrator failed to carry out,
organize, and supervise ongoing work under the agency's administrative
policies. (Not ranked in FY 2017)
G-40
5. 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. (Tied for No. 6 in FY 2017)
6. Agency Investigations-Level B: 40 TAC §97.250(b)(3), TAG 0237 - The
Hospice failed to send its investigation report form no later than 10 days after
reporting abuse, neglect, or exploitation of a client by an agency employee,
contractor, or volunteer to the Department of Family and Protective Services
and HHSC. (Not ranked in FY 2017)
7. Client Records – Level A: 40 TAC §97.301(a)(7), TAG 0471 - 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. 5 in FY 2017)
8. Management Responsibility Administrator - Level B: 40 TAC
§97.243(b)(1)(C), TAG 0132 - The administrator failed to administratively
supervise the provision of quality care to clients. (Not ranked in FY 2017)
9. Emergency Preparation Planning & Implementation - Level B: 40 TAC
§97.256(k), TAG 0302 - The Hospice 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. (Not
ranked in FY 2017)
10. Client Records - Level A: 40 TAC §97.301(a), TAG 0475 - The hospice
failed to establish and maintain a client record system needed for the proper
documentation of client care and services and to facilitate the retrieval of
information. (Not ranked in FY 2017)
Top 10 Deficiencies Cited During Inspections for FY 2018:
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 operating direction over the facility’s policies, procedures, and
budget. (Ranked No. 1 in FY2017)
2. Qualified Intellectual Disability Professional: 42 CFR 483.430(a), TAG
0159 - The Qualified Intellectual Disability Professional failed to coordinate and
monitor individuals' program plans. (Ranked No. 3 in FY2017)
G-41
3. Evacuation Drills: 42 CFR 483.470(i)(1), TAGS 0440 and 0441 - The
facility failed to hold fire drills under varied conditions, at least quarterly for
each shift of personnel. (Not ranked in FY2017)
4. Program Monitoring and Change: 42 CFR 483.440(f)(3)(ii), TAG 0263 -
The specially constituted committee failed to obtain individuals’ or guardians’
written informed consent for individual program plans that include restrictive
practices. (Ranked No. 5 in FY2017)
5. Physician Services: 42 CFR 483.460(a)(3), TAG 0322 - The facility failed to
provide preventive and general health care services. (Ranked No. 2 in FY2017)
6. Program Implementation: 42 CFR 483.440(d)(1), TAG 0249 - The facility
failed to implement continuous active treatment programs immediately after
individuals’ program plans were developed. (Ranked No. 9 in FY2017)
7. Infection Control: 42 CFR 483.470(I)(1), TAGS 0454 and 0455 - The
facility failed to maintain a program for prevention, control, and investigation of
infections as well as provide a sanitary environment to avoid infections. (Tag
0454 Ranked No. 10 in FY2017, tag 0455 not ranked in FY2017)
8. Drug Administration: 42 CFR 483.460(k)(2), TAG 0369 - The facility failed
to ensure there were no medication errors. (Ranked No. 8 in FY2017)
9. Program Monitoring and Change: 42 CFR 483.440(f)(3)(i), TAG 0262 -
The specially constituted committee failed to review, approve, and monitor
individual program plans that include restrictive practices involving risks to client
protections and rights. (Ranked No. 4 in FY2017)
10. Nursing Services: 42 CFR 483.460(c), TAG 0331 - The facility failed to
provide nursing services in accordance with individuals’ needs. (Ranked No. 7 in
FY2017)
Top 10 Deficiencies Cited During Inspections for FY 2018:
Intermediate Care Facilities for Individuals with an Intellectual
Disability or Related Conditions - Life Safety Code
1. Corridor - Doors: National Fire Protection Association 101, TAG S363 -
The facility failed to comply with requirements related to corridor doors. (Ranked
No. 1 in FY2017)
G-42
2. Utilities - Gas and Electric: NFPA 101, TAG S511 - The facility failed to
comply with requirements for gas equipment, gas piping, or electrical wiring.
(Ranked No. 2 in FY2017)
3. Sprinkler System - Maintenance and Testing: NFPA 101, TAG S353 - The
facility failed to comply with requirements for testing, maintaining, and
inspecting a sprinkler system. (Ranked No. 4 in FY2017)
4. 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 or for retaining records related to the fire
alarm system. (Ranked No. 3 in FY2017)
5. Means of Escape - General: NFPA 101, TAG S211 - The facility failed to
comply with the requirements for a designated means of escape, which will be
continuously maintained clear of obstructions and impediments to full instant
use in the case of fire or emergency. (Ranked No. 7 in FY2017)
6. Evacuation and Relocation Plan: NFPA 101, TAG S711 - The facility failed
to comply with emergency evacuation and relocation plan requirements,
including maintaining a written emergency plan, training staff and residents on
the plan, or ensuring appropriate parties have access to the plan. (Ranked No. 8
in FY2017)
7. Smoking Regulations: NFPA 101, TAG S741 - The facility failed to comply
with requirements for smoking regulations, including adopting a plan to address
where smoking is permitted, or failed to provide noncombustible safety type
ashtrays or receptacles in convenient locations. (Ranked No. 9 in FY2017)
8. Fire Drills: NFPA 101, TAG S712 - The facility failed to comply with
requirements for conducting fire drills or ensuring staff are familiar with the
procedures. (Not ranked in FY2017)
9. Fire Alarm System - Installation: NFPA 101, TAG S341 – The facility failed
to comply with requirements for fire alarm installation. (Not ranked in FY2017)
10. Egress - Doors: NFPA 101, TAG S222 - The facility failed to comply with
requirements for egress doors including latches or locks (Ranked No. 6 in
FY2017)
G-43
Top 10 Deficiencies Cited During Inspections for FY 2018: Nursing
Facilities - Health
A new federal regulation set for Life Safety Code in this facility type went into effect
January 22, 2018. FY 2017 rankings will not be available for these new tags.
1. Infection Prevention and Control: 42 CFR 483.80(a)(1)(2)(4)(e)(f), TAG
0880 - 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)(2),
TAG 0812 - The facility failed to comply with certain requirements related to
food sources, storage, and safe handling.
3. Develop/Implement Comprehensive Care Plan: 42 CFR 483.21(b)(1),
TAG 0656 - The facility failed to comply with certain requirements related to
the development and implementation of a person-centered care plan.
4. Pharmacy Services/Procedures/Pharmacist/Records: 42 CFR
483.45(a)(b)(1)-(3), TAG 0755 - The facility failed to comply with
requirements related to the provision of pharmaceutical services.
5. Free of Accident Hazards/Supervision/Devices: 42 CFR
483.25(d)(1)(2), TAG 0689 - The facility failed to comply with accident
prevention requirements.
6. Bowel/Bladder Incontinence, Catheter, UTI: 42 CFR 483.25(e)(1)-(3),
TAG 0690 - The facility failed to comply with requirements related to bowel and
bladder incontinence.
7. ADL Care Provided for Dependent Residents: 42 CFR 483.24(a)(2), TAG
0677 - The facility failed to comply with requirements for providing assistance
with daily living care for dependent residents.
8. Competent Nursing Staff: 42 CFR 483.35(a)(3)(4)(c), TAG 0726 - The
facility failed to comply with certain requirements related to the proficiency and
competency of the nursing staff.
9. Resident Records- Identifiable Information: 42 CFR 483.20(f)(5);
483.70(i)(1)-(5), TAG 0842 - The facility failed to comply with resident-
identifiable information and medical records requirements.
G-44
10. Develop/Implement Abuse/Neglect Policies: 42 CFR 483.12(b)(1)-(3),
TAG 0607 - The facility failed to comply with requirements related to the
development and implementation of written policies and procedures on abuse,
neglect, and exploitation of residents and misappropriation of resident property.
Top 10 Deficiencies Cited During Inspections for FY 2018: Nursing
Facilities - Life Safety Code
1. Heating Ventilation and Air Conditioning: National Fire Protection
Association (NFPA) 101, TAG 0521 - The facility failed to comply with Life
Safety Code requirements for heating, ventilation, and air conditioning systems.
(Ranked No. 1 in FY 2017)
2. Sprinkler System - Maintenance and Testing: NFPA 101, TAG 0353 - The
facility failed to comply with requirements for testing, maintaining, and
inspecting a sprinkler system or for retaining records related to the sprinkler
system. (Ranked No. 3 in FY 2017)
3. Subdivision of Building Spaces - Smoke Barrier Construction: NFPA 101,
TAG 0372 - The facility failed to construct smoke barriers in accordance to
certain Life Safety Code requirements or with the required resistance ratings.
(Ranked No. 2 in FY 2017)
4. Means of Egress - General: NFPA 101, TAG 0211 - The facility failed to
comply with requirements for egress, including aisles, passageways, corridors,
exit discharges, or exit locations. (Ranked No. 5 in FY 2017)
5. Hazardous Areas - Enclosure: NFPA 101, TAG 0321 - The facility failed to
comply with requirements related to the protection of hazardous areas. (Ranked
No. 4 in FY 2017)
6. Electrical Systems - Essential Electrical System Maintenance and
Testing: 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. (Ranked No. 9 in FY 2017)
7. Corridor – Doors: NFPA 101, TAG 0363 - The facility failed to comply with
requirements related to corridor doors, including door construction and fire
rating, means for keeping doors closed, clearance beneath doors, impediments
to closure of doors, use of roller latches, or construction and labeling of door
frames. (Tied for No. 7 in FY 2017)
G-45
8. Cooking Facilities: NFPA 101, TAG 0324 - The facility failed to comply with
requirements related to cooking facilities or cooking equipment. (Tied for No. 7
in FY 2017)
9. Utilities - Gas and Electric: NFPA 101, TAG 0511 - The facility failed to
comply with the National Fuel Gas Code or the National Electric Code related to
equipment using gas or related gas piping. (Ranked No. 10 in FY 2017)
10. Egress Doors: NFPA 101, TAG 0222 - The facility failed to comply with
requirements for latches, locks, or special locking arrangements on egress
doors. (Not ranked in FY 2017)
Principles
Top 10 Principles Cited During Reviews for FY 2018: 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 HHSC data system no later than 30
calendar days after the last day of the month being reported. (Ranked No. 1 in
FY 2017)
2. Nursing - Monitoring Medications: 40 TAC §9.174(a)(31)(B) - The
program provider failed to ensure monitoring of medications. (Ranked No. 4 in
FY 2017)
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. (Ranked No. 3 in FY 2017)
4. Nursing - Comprehensive Assessments: 40 TAC §9.174(a)(31)(J)(ii) -
The program provider failed to ensure the RN performed comprehensive
assessments of individuals. (Ranked No. 6 in FY 2017)
5. 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. 2 in FY 2017)
G-46
6. Background Checks: 40 TAC §9.177(n) - The program provider failed to
complete the required background checks for employees. (Ranked No. 8 in FY
2017)
7. 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). (Ranked No. 5 in FY 2017)
8. 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 HHSC within 14 calendar days
of the provider's receipt of the investigation findings. (Ranked No. 10 in FY
2017)
9. Agree in Writing to Charges: 40 TAC §9.178(s) - The program provider
failed to ensure that an individual or Legally Authorized Representative agreed in
writing to all charges assessed by the program provider against the individual's
personal funds before the charges were assessed. (Not ranked in FY 2017)
10. Provide Nursing Services: 40 TAC §9.174(a)(31)(J)(iv) – The program
provider failed to ensure that nursing was provided in accordance with the
individual’s individual plan of care, person-directed plan, and applicable laws and
regulations. (Not ranked in FY 2017)
Top 10 Principles Cited During Reviews for FY 2018: Texas Home
Living
1. Report Critical Incident Data: 40 TAC §9.580(r) - The program provider
failed to enter critical incident data in the HHSC data system no later than 30
calendar days after the last calendar day of the month being reported. (Ranked
No. 1 in FY 2017)
2. Person Directed Plan Service Training: 40 TAC §9.579(d)(2) - The
program provider failed to ensure that a staff member who participates in
developing an implementation plan for Consumer First Choice Personal
Attendant Services/Habilitation completes person-centered service planning
training approved by HHSC. (Not ranked in FY 2017)
G-47
3. Background Checks: 40 TAC §9.579(r) - The program provider failed to
complete the required background checks for employees. (Ranked No. 4 in FY
2017)
4. TxHmL Services Provided: 40 TAC §9.578(d)(1) - The program provider
failed to provide Texas Home Living Program Services in accordance with an
individual's Person Directed Plan, Individual Plan of Care, Transportation Plan,
and Appendix C of the Texas Home Living Program Waiver Application. (Ranked
No. 5 in FY 2017)
5. 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 obligations had been shared with the individual
or Legally Authorized Representative. (Ranked No. 6 in FY 2017)
6. Person Directed Plan Service Training: 40 TAC §9.579(d)(2)(A) - The
program provider failed to ensure that a staff member who was hired on or
before June 1, 2015 and participates in developing an implementation plan for
Consumer First Choice Personal Attendant Services/Habilitation completes
person-centered service planning training approved by HHSC by June 1, 2017.
(Not ranked in FY 2017)
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
obligations had been shared with the individual or Legally Authorized
Representative. (Ranked No. 7 in FY 2017)
8. 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. (Ranked No. 9 in FY 2017)
9. 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 plan of care and the program
provider determined that no nursing task would be performed by unlicensed
service providers. (Ranked No. 8 in FY 2017)
10. 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
G-48
needs and characteristics of the individual to whom they deliver services.
(Ranked No. 3 in FY 2017)
H-1
Appendix H. Waiver Programs - Home and Community-
based Services (HCS) and Texas Home Living (TxHmL)
Home and Community-based Services and Texas
Home Living 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)
2018.
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
2018
Type of Remedy 01 02 03 04 05 06 07 08 09 Totals
Vendor hold 0 0 0 1 0 0 0 0 0 1
Denial of certification 0 0 0 0 0 0 0 0 0 0
H-2
Texas Home Living Actions by Contract Area for FY 2018
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 2018
Waiver
Contract
Area
Waiver
Contract City
Contract
Number Contract
Visit Exit
Date
4 Willis 1021680 Nayobi Health Services, LLC 06/13/2018
1 Total Home and Community-based Services vendor holds.
Texas Home Living Vendor Holds for FY 2018
HHSC did not recommend vendor hold for any Texas Home Living in FY 2018.
Home and Community-based Services Denials of Certification for FY
2018
HHSC did not recommend denial of certification for any Home and Community-
based Services in FY 2018.
Texas Home Living Denial of Certifications for FY 2018
HHSC did not recommend denial of certification for any Texas Home Living in FY
2018.
H-3
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.