Falcon Point Post Acute: PASRR Screening Failure - TX
The inspection, completed December 30, 2025, was triggered by a complaint. What inspectors found centered on a single requirement that nursing facilities are supposed to treat as non-negotiable: before a resident with a mental disorder or intellectual disability moves in, the facility must ensure a screening form called a PASRR, a Pre-Admission Screening and Resident Review, gets submitted. The form exists to make sure people with mental health needs end up in the most appropriate setting for their care, not simply warehoused in whatever bed is available.
For Resident 1, that form did not get submitted the way it should have.
During an interview on the morning of December 30, the administrator told inspectors that the MDS Coordinator and the Director of Rehabilitation were the staff members responsible for submitting the PASRR form. He then described what he called the hiccup: Resident 1 had initially agreed to the services, then refused them. In the administrator's telling, that sequence of events explained the breakdown. Resident 1 said yes, then said no, and somewhere in that back-and-forth the required paperwork fell through.
The administrator went further. He said there was no risk to Resident 1 because the resident had refused all services anyway.
That reasoning has a circular problem. The PASRR process is not simply about delivering services to people who want them. It is about evaluating whether a nursing facility is even the right place for someone with a mental health diagnosis in the first place. A resident refusing services after admission does not retroactively make the pre-admission screening unnecessary. The screening is supposed to happen before the question of service acceptance ever comes up.
A separate staff member, identified in the inspection report only as "A," told inspectors that Resident 1 was capable of making his own decisions. She said the facility could not force him to do anything. That is true, and it is not the point. Whether a resident can refuse services is a different question from whether the facility completed its screening obligations before he arrived.
The facility's own PASRR policy, reviewed by inspectors during the visit, stated plainly that the facility must ensure each resident is screened for a mental disorder or intellectual disability prior to admission, and that individuals identified with those conditions receive care and services in the most integrated setting appropriate to their needs. The policy was not dated.
Inspectors classified the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. Those classifications matter for how CMS categorizes and penalizes deficiencies, but they do not capture what the PASRR process is actually designed to prevent. The screening requirement exists because history is full of people with mental illness or intellectual disabilities who ended up in nursing facilities not because that was the best option for them, but because it was the most convenient one for everyone else involved. The form is a check on that.
Falcon Point Post Acute is a post-acute and rehabilitation facility. The residents who pass through it are often in transition, moving from hospitals toward either recovery or longer-term placement. Those transition points are exactly when screening requirements matter most, when decisions about appropriate care settings are still being made and can still be changed.
The administrator's account placed responsibility on two specific staff members, the MDS Coordinator and the Director of Rehabilitation, while describing the failure as a process breakdown tied to a resident's change of mind. Neither of those staff members was quoted in the inspection report. What the record shows is that a required form did not get submitted, that the person in charge of the facility knew which staff were supposed to submit it, and that his explanation for why it didn't happen was that the resident later said no to services.
Resident 1, who was described as capable of making his own decisions, never got the full benefit of a process designed to make sure the decisions being made about his care were the right ones.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Falcon Point Post Acute from 2025-12-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 17, 2026 · Our methodology
Falcon Point Post Acute in Katy, TX was cited for violations during a health inspection on December 30, 2025.
The inspection, completed December 30, 2025, was triggered by a complaint.
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.