Trucare Living Centers Selma: Missing Physician Notes - TX
When inspectors raised the issue during the April 2026 complaint inspection, the administrator acknowledged the gap directly. There was no policy on accuracy of clinical records. There was no requirement that a physician write a note after each visit. She said so herself.
She also said she did not see any harm that could come to a resident from missing physician visit documentation, because the doctor came to the facility weekly and stayed in communication with nurses, the administrator, and the director of nursing.
That reasoning left something important out. A resident's clinical record is not just an internal communication log. When a physician visit goes undocumented, or gets written up two days later from memory, what ends up in the record may not reflect what was actually observed, decided, or ordered at the time of the visit. Other clinicians working from that record have no reliable way to know.
Inspectors classified the violation as causing minimal harm or the potential for actual harm, and noted that some residents were affected.
What the facility had, in place of a documentation policy, was an informal arrangement. The doctor came in. He talked to people. Notes would come eventually. The administrator considered that sufficient.
She did not explain what would happen to a resident's record if that communication broke down, or what a covering clinician would find if they needed to know what Physician A had seen and decided during his last visit. The record might show nothing at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Trucare Living Centers - Selma from 2026-04-26 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 19, 2026 · Our methodology
Trucare Living Centers - Selma in Selma, TX was cited for violations during a health inspection on April 26, 2026.
When inspectors raised the issue during the April 2026 complaint inspection, the administrator acknowledged the gap directly.
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.