New Hope Manor: PASRR Filing Delay Harms Resident - TX
The violation, documented during a complaint inspection on August 13, 2025, centers on a federal screening process called PASRR, which stands for Preadmission Screening and Resident Review. The process is designed to ensure that nursing home residents with mental illness, intellectual disabilities, or developmental disabilities receive specialized services beyond what the facility itself provides. When a resident qualifies, the nursing home is required to submit a request to the state's Nursing Facility Specialized Services program within a set window. At New Hope Manor, that window closed, and nobody sent the form.
The resident at the center of the complaint, identified in inspection records only as Resident 1, had a qualifying diagnosis. The facility held an interdisciplinary team meeting on February 17, 2025, the point at which the clock started. The request for specialized services was not submitted to the state until April 14, 2025, a full 26 days after the deadline the facility's own policy set at 20 business days.
The person most directly responsible, the facility's MDS coordinator and PASRR contact, told inspectors she thought the facility had 30 days to submit the form, not 20. She said she did not know why the submission was late. She confirmed the resident was already receiving therapy through Medicare Part B, a separate benefit that does not replace what PASRR-funded specialized services are designed to provide.
A second staff member, the facility's CRNC, told inspectors something more striking: she had never been trained on PASRR at all. She learned the actual 20-day deadline, she said, on the day inspectors arrived. She told inspectors that without the referral being sent to the state, a resident may not get the services they are entitled to through PASRR. She also said she did not know why the facility delayed sending the referral for Resident 1.
The two accounts together describe a facility where the person trained on the process had the wrong deadline in her head, and the person working alongside her had no training at all.
New Hope Manor's own internal policy, dated September 2023, states clearly that the facility has 20 business days from the date of the initial interdisciplinary team meeting to initiate all PASRR nursing facility specialized services requests for residents with a positive screening for intellectual or developmental disabilities. The policy existed. The deadline was written down. The form still went out nearly a month late.
Inspectors noted the level of harm as minimal harm or potential for actual harm, with few residents affected. That language reflects the lower end of the federal violation scale, but it does not mean nothing was at stake for Resident 1. The specialized services available through PASRR are distinct from Medicare-covered therapy. They are designed specifically for people with intellectual and developmental disabilities living in nursing facilities, and access to them depends entirely on the referral being submitted correctly and on time.
Whether Resident 1 ultimately received those services, or lost access to any portion of them because of the delay, is not addressed in the inspection report.
What the report does show is a facility where a resident with a qualifying disability waited more than six weeks after an IDT meeting for a form that should have gone out in four, where the staff member accountable for that form had the wrong number in her head, and where the colleague who might have caught the error had never been taught the process at all.
Resident 1 was already getting therapy. Whether they got everything they were entitled to is a different question, and the inspection record does not answer it.
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.
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 22, 2026 · Our methodology
NEW HOPE MANOR in CEDAR PARK, TX was cited for violations during a health inspection on August 13, 2025.
When a resident qualifies, the nursing home is required to submit a request to the state's Nursing Facility Specialized Services program within a set window.
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.