New Hope Manor: Delayed Mental Health Services - TX
The facility submitted a request for specialized services to the state on April 14, 2025, when it should have been filed by March 19, according to federal inspectors who visited the nursing home in August following a complaint.
Under federal law, nursing homes must conduct Pre-Admission Screening and Resident Review evaluations to identify residents with mental illness or intellectual disabilities who need specialized services. When a positive screening occurs, facilities have 20 business days to request those services from the state.
The administrator at New Hope Manor couldn't explain the delay when questioned by inspectors on August 13. She said she didn't know what the facility's policy was regarding the screening process, known as PASRR. She said she didn't know who monitored compliance because she didn't handle the screenings herself.
"She said if not submitted, the resident would not get the services to which they were entitled," inspectors wrote in their report. The administrator couldn't explain why Resident #1's request wasn't submitted on time to the state's nursing facility specialized services program.
The facility's MDS coordinator, who was responsible for submitting the forms, also struggled to explain the delay during her interview with inspectors. She said she thought the facility had 30 days to submit requests, not 20 business days as required by state policy.
She couldn't explain why she submitted the request on April 14 instead of March 19.
The coordinator said the screening process begins when a doctor assesses a new resident and identifies qualifying diagnoses for mental illness or intellectual disability. She would then submit forms to the correct state agency, and if the screening came back positive, the facility would hold a team meeting to discuss services.
"She said she did not know why she submitted the request to NFSS was submitted on 04/14/2025 instead of 03/19/2025," inspectors noted.
The facility's charge nurse revealed during questioning that she had never been trained on the screening requirements. She said the nursing home obtains screening copies when residents transfer from hospitals, but conducts its own screenings for residents coming from home.
She told inspectors she learned that day that facilities have 20 days to submit requests to the state, not the longer timeframe she had assumed.
"She said that if the referral was not sent to the state agency the resident may not get the services through PASRR," the charge nurse acknowledged.
Both the coordinator and charge nurse noted that Resident #1 was receiving some therapy services through Medicare Part B during the delay period. However, this didn't address the specialized services the resident was entitled to receive through the state program.
The facility's own policy, dated September 2023, clearly outlined the 20 business day requirement. The policy stated that nursing homes have 20 business days from their initial team meeting or specialized services review to request all services for residents with positive screenings for intellectual or developmental disabilities.
Despite having this written policy, key staff members either weren't trained on the requirements or didn't understand the timeline. The administrator said she didn't know who monitored compliance with the screening process at the facility.
The charge nurse said specialized service needs would typically be identified during resident assessments, when staff notice indicators of mental illness or intellectual disability. The MDS coordinator would then handle appropriate referrals to state agencies.
But the system broke down for Resident #1, leaving them without access to specialized services for nearly a month beyond the required deadline.
The violation represented what inspectors classified as minimal harm or potential for actual harm, affecting few residents. However, the delay meant Resident #1 potentially went without specialized services they were legally entitled to receive.
Federal regulations require nursing homes to ensure residents with mental illness or intellectual disabilities receive appropriate specialized services. The screening and referral process exists to identify residents who need additional support beyond standard nursing home care.
When facilities fail to submit timely requests, residents may miss opportunities for behavioral health services, specialized therapies, or other interventions designed to improve their quality of life and care outcomes.
The inspection revealed gaps in staff training and oversight that allowed the delay to occur without detection until inspectors arrived following the complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for New Hope Manor from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
NEW HOPE MANOR in CEDAR PARK, TX was cited for violations during a health inspection on August 13, 2025.
When a positive screening occurs, facilities have 20 business days to request those services from the state.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.