1. The "S&S" Grid: The ONLY Letter That Matters
When you look at a CMS-2567 report, look for a small box or column labeled **S&S** (Scope and Severity). This isn't just a random letter—it's the surveyor's final verdict on how dangerous the situation was.
Standard Citations
"Potential for minimal harm." This covers things like paperwork errors or slightly dusty vents. Important, but not a dealbreaker on its own.
The Real Danger Zone
**G through I** means Actual Harm. **J through L** means "Immediate Jeopardy." If you see these, it means someone was hurt or was in significant danger while under their care.
2. Ignoring the Marketing: Follow the "F-Tags"
Nursing homes will tell you about their "vibrant activities" and "five-star dining." The F-Tags tell you about their failures. These numbers are a universal code used by inspectors.
Abuse & Neglect
If you see an F600 citation, stop and read every word. This isn't about paperwork; it's about how the staff interacts with residents. Physical, verbal, or mental abuse are captured here.
Accidents & Falls
Is the building safe? Are there enough staff to help someone get to the bathroom? F689 tracks elopement (residents wandering off) and preventable injuries.
3. The Three-Year Rule: One Mistake vs. A Culture
Even the best facilities in Texas can have a "bad day." An inspector might find a single unwashed tray in the kitchen (F812). That's a mistake.
"A pattern of F812 citations over three consecutive years isn't a mistake—it's a management failure. It means the leadership knows there is a problem and hasn't fixed it."
When you use our Audit Search, we prioritize these patterns. We look past the single-day snapshots and show you the long-term culture of the building.
The "Touring Parent" Secret
Next time you tour a nursing home, bring the CMS-2567 with you. Ask the Admissions Director: *"I noticed an F600 violation from last November. What specific changes did you make to the night staff training after that?"*
Disclaimer: This guide is for educational purposes. We are an independent audit project and do not provide legal or medical advice. Always verify data directly with CMS.gov and consult with a professional when making healthcare decisions.