|(a) Texas Health and Human Services Commission (HHSC)
will determine if a facility meets licensure requirements through
inspections, surveys, and investigations.
(b) During an investigation resulting from a complaint,
HHSC does not disclose the source of the complaint.
(c) At the conclusion of an inspection, survey, or
investigation, a representative of HHSC holds an exit conference with
a representative of the facility and provides the facility representative
a written list of preliminary findings.
(d) If HHSC cites additional violations during a review
of field notes or preparation of the official final statement of licensing
(1) communicates the additional violations to the facility
in writing within ten working days after the exit conference; and
(2) gives the facility an additional face-to-face exit
conference regarding the additional violations.
(e) HHSC provides the facility with a clear and concise
summary in nontechnical language of each licensure inspection or complaint
(f) The facility must submit a plan to correct cited
violations to the regional director of the area in which the facility
is located no later than 10 working days after the date the facility
receives the final, official statement of violations. To be accepted
by HHSC, a plan to correct violations must state when the corrective
action will be completed and must address:
(1) how the facility will accomplish corrective action
for residents directly affected by the cited violation;
(2) how the facility will identify other residents
who may be affected by the cited violation; and
(3) how the facility will avoid having the violation
(g) If a facility fails to submit a plan to correct
violations that meets the requirements of subsection (f) of this section,
HHSC may assess an administrative penalty against the facility in
accordance with §551.236(a)(7) of this chapter (relating to Administrative
|Source Note: The provisions of this §551.192 adopted to be effective August 31, 1993, 18 TexReg 2557; transferred effective September 1, 1993, as published in the Texas Register September 3, 1993, 18 TexReg 5885; amended to be effective May 1, 1995, 20 TexReg 1659; amended to be effective May 1, 1998, 23 TexReg 4060; amended to be effective April 1, 1999, 24 TexReg 1816; amended to be effective May 1, 2000, 25 TexReg 3557; amended to be effective January 15, 2009, 34 TexReg 238; transferred effective May 1,2019,as published in the Texas Register April 12, 2019, 44 TexReg 1883; amended to be effective February 24, 2022, 47 TexReg 787