Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0921
E

Failure to Maintain Cleanliness and Timely Repairs in Resident Rooms

Webster, Texas Survey Completed on 11-18-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe, functional, sanitary, and comfortable environment for residents, staff, and the public in two rooms on the 200 hallway, affecting two residents. Observations revealed that the floors in both rooms were dirty, with food crumbs, stains resembling dried coffee, and plastic wrappers present. One resident reported that her room was rarely swept or mopped, and both she and her family member stated that cleaning was inconsistent and only occurred when specifically requested. Pest control devices were observed throughout the room, and the resident mentioned the presence of bugs, with pest control personnel placing traps in the area. The second resident's room was also found to be unclean, with sticky floors and food debris, and he noted that cleaning times were inconsistent due to the lack of a designated housekeeper for the hallway. In addition to cleanliness issues, the facility failed to address several maintenance concerns in one resident's room. The footboard of the bed was splintered and had exposed wooden particle board, the closet door was off its hinges and could not be properly opened or closed, and the overhead light fixture above the bed was cracked with jagged edges. The resident stated that he had reported the closet door issue but could not recall to whom or when. Interviews with staff and administration revealed that there was no record of these maintenance issues in the facility's repair log, and the maintenance director was not notified about the needed repairs. The maintenance director also indicated that his focus had been on painting and preparing rooms for new admissions, with repairs being addressed only as time allowed. Housekeeping staff interviews confirmed that the 200 hallway did not have a regularly assigned housekeeper, and cleaning responsibilities were split among the available staff. Staff turnover in the housekeeping and maintenance departments contributed to the lack of consistent cleaning and timely repairs. Housekeepers and nursing staff reported seeing pests such as flies, gnats, and roaches in the facility, and the pest control program was described as ineffective by both staff and the maintenance director. Facility policy required daily cleaning of resident rooms, but this was not consistently implemented, and documentation of cleaning assignments and maintenance requests was lacking.

An unhandled error has occurred. Reload 🗙