Elder Care Record

States › Texas › July 2025

Texas, July 2025

Surveys with citations and penalties dated this month in the current CMS record. Recent months fill in as CMS processes reports; the record is refreshed daily.

245surveys with health citations
846citations89 at actual harm or worse
59penalties dated this month
$1,815,900in fines
← June 2025August 2025 →

Penalties

DateFacilityCityTypeAmount
31 Jul 2025Windcrest Nursing and RehabilitationWindcrestFine$9,113
31 Jul 2025Arbor View Nursing & RehabilitationKerrvilleFine$91,293
31 Jul 2025Arbor View Nursing & RehabilitationKerrvillePayment denial, 6 days—
30 Jul 2025Vintage Health Care CenterDentonFine$198,559
30 Jul 2025Spindletop Hill Nursing and Rehabilitation CenterBeaumontFine$37,447
30 Jul 2025Copperas Cove Nursing & RehabilitationCopperas CoveFine$15,177
29 Jul 2025Sharpview Residence and Rehabilitation CenterHoustonFine$8,431
29 Jul 2025River Pointe of Trinity Healthcare and RehabilitatTrinityFine$15,203
28 Jul 2025Bluebonnet Point WellnessBullardFine$17,279
27 Jul 2025Harmony Care At GolfcrestHoustonFine$11,768
25 Jul 2025Valley Grande ManorWeslacoFine$14,744
25 Jul 2025Sylan Shores Health and WellnessLa PorteFine$8,281
25 Jul 2025Corrigan LTC PartnersCorriganFine$14,901
25 Jul 2025Arbor Lake Nursing & Rehabilitation, LLCFort WorthFine$607
24 Jul 2025Woodland Park Nursing & RehabShepherdFine$18,915
24 Jul 2025Avir At MagnoliaLulingFine$14,069
23 Jul 2025Park Village Healthcare and RehabilitationDesotoFine$17,345
23 Jul 2025Deer Creek Nursing and RehabilitationWimberleyFine$17,131
23 Jul 2025Avir At WestonTempleFine$5,980
23 Jul 2025Avir At GolfcrestHoustonFine$8,400
22 Jul 2025Avir At Richland HillsRichland HillsFine$6,338
22 Jul 2025Avir At LulingLulingFine$4,648
21 Jul 2025Terra Bella Health and Wellness SuitesHoustonFine$45,679
18 Jul 2025Ralls Nursing HomeRallsFine$16,543
17 Jul 2025Fort Worth Wellness & RehabilitationFort WorthFine$122,336
16 Jul 2025Whispering Pines LodgeLongviewFine$16,432
16 Jul 2025The Homestead of DenisonDenisonFine$14,271
16 Jul 2025Park View Care CenterFort WorthFine$43,592
16 Jul 2025Colonial Manor Advanced Rehab & HealthcarePharrFine$16,442
16 Jul 2025Azle Manor Health Care, L.L.L.P.AzleFine$10,634
15 Jul 2025Heritage Park Rehabilitation and Skilled Nursing CAustinFine$9,246
15 Jul 2025Brownsville Nursing and Rehabilitation CenterBrownsvilleFine$10,361
14 Jul 2025The Manor At SeagovilleSeagovilleFine$85,413
14 Jul 2025Avir At CarthageCarthageFine$10,529
13 Jul 2025Twin Pines Nursing and RehabilitationVictoriaFine$14,721
11 Jul 2025Dogwood Trails ManorWoodvilleFine$9,255
11 Jul 2025Bluebonnet Point WellnessBullardFine$16,442
11 Jul 2025Bluebonnet Point WellnessBullardFine$16,442
11 Jul 2025Avir At Jeffrey PlaceWacoFine$14,361
11 Jul 2025Afton Oaks Nursing and Rehabilitation CenterHoustonFine$10,529
10 Jul 2025Willow Park Rehabilitation Health Care CenterCliftonFine$8,281
10 Jul 2025The Heights of League CityLeague CityFine$17,345
10 Jul 2025River City Care CenterSan AntonioFine$9,113
10 Jul 2025Legacy At JacksonvilleJacksonvilleFine$14,280
10 Jul 2025Cityview Nursing and Rehabilitation CenterFort WorthFine$173,713
9 Jul 2025Town Hall Estates Keene IncKeeneFine$8,402
9 Jul 2025Columbus Oaks Healthcare CommunityColumbusFine$8,412
8 Jul 2025Heritage Gardens Rehabilitation and HealthcareCarrolltonFine$38,840
8 Jul 2025Five Points At Lake Highlands Nursing and RehabDallasFine$15,143
4 Jul 2025Paradigm At SweenySweenyFine$11,905
3 Jul 2025Windsor Nursing and Rehabilitation Center of AliceAliceFine$9,113
3 Jul 2025Windsor Nursing and Rehabilitation Center of AliceAliceFine$14,069
3 Jul 2025Viridian Wellness & RehabilitationArlingtonFine$202,736
3 Jul 2025Viridian Wellness & RehabilitationArlingtonPayment denial, 13 days—
3 Jul 2025Town Hall Estates - Arlington, Inc.ArlingtonFine$222,820
3 Jul 2025The Villages On MacarthurIrvingFine$11,190
3 Jul 2025Avir At PittsburgPittsburgFine$15,119
2 Jul 2025Monument Rehabilitation and Nursing CenterLa GrangeFine$8,281
2 Jul 2025Avir At Western HillsTempleFine$8,281

Surveys with citations

FacilityCitySurvey dateTypeCitationsActual harm+
Arbor View Nursing & RehabilitationKerrville31 Jul 2025Standard, Complaint202
Crestway Nursing & RehabilitationSan Antonio18 Jul 2025Standard160
Ridgecrest Healthcare and Rehabilitation CenterForney31 Jul 2025Complaint, Standard150
Woodland Park Nursing & RehabShepherd24 Jul 2025Standard153
Heritage At Longview Healthcare CenterLongview2 Jul 2025Standard, Complaint140
Kemp Care CenterKemp2 Jul 2025Standard, Complaint140
Huntington Health Care & Rehabilitation CenterHuntington16 Jul 2025Standard130
The Villages On MacarthurIrving3 Jul 2025Complaint, Standard131
Brownsville Nursing and Rehabilitation CenterBrownsville15 Jul 2025Complaint121
Columbus Oaks Healthcare CommunityColumbus9 Jul 2025Standard, Complaint101
Normandy Terrace Nursing & Rehabilitation CenterSan Antonio25 Jul 2025Complaint100
Valley Grande ManorWeslaco25 Jul 2025Complaint, Standard101
Willow Creek LodgeTomball17 Jul 2025Standard100
Avir At Camp WoodCamp Wood31 Jul 2025Standard, Complaint90
Avir At GonzalesGonzales25 Jul 2025Standard90
Denison Nursing and RehabDenison2 Jul 2025Standard90
Meadowbrook Care CenterVan Alstyne3 Jul 2025Complaint, Standard90
The Hillcrest of North DallasDallas31 Jul 2025Standard, Complaint90
Viridian Wellness & RehabilitationArlington3 Jul 2025Complaint93
Focused Care At Mount PleasantMount Pleasant2 Jul 2025Standard80
Harmony Care At GiddingsGiddings17 Jul 2025Standard80
Houston Transitional CareHouston17 Jul 2025Standard80
Las Alturas Nursing & Transitional Care BrownsvillBrownsville1 Jul 2025Standard, Complaint80
Lytle Nursing HomeLytle17 Jul 2025Standard80
San Gabriel Rehabilitation and Care CenterRound Rock17 Jul 2025Standard80
Seven Oaks Nursing & RehabilitationBonham23 Jul 2025Standard80
Sharpview Residence and Rehabilitation CenterHouston29 Jul 2025Standard81
Stone Oak Care CenterSan Antonio25 Jul 2025Standard80
Town Hall Estates - Arlington, Inc.Arlington3 Jul 2025Standard82
Whispering Oaks Rehab & NursingCuero18 Jul 2025Standard, Complaint80
Avir At DallasDallas23 Jul 2025Standard70
Carriage House ManorSulphur Springs23 Jul 2025Standard70
Cedar Hill Healthcare CenterCedar Hill2 Jul 2025Complaint70
Fort Worth Wellness & RehabilitationFort Worth17 Jul 2025Standard71
Franklin Heights Nursing & RehabilitationEl Paso24 Jul 2025Complaint, Standard70
Pleasanton North Nursing and RehabilitationPleasanton18 Jul 2025Standard70
Windsor Nursing and Rehabilitation Center of SeguiSeguin31 Jul 2025Standard70
Avir At HaskellHaskell17 Jul 2025Standard60
Avir At MonahansMonahans29 Jul 2025Complaint60
Avir At SeguinSeguin31 Jul 2025Standard60
Brookhaven Nursing and Rehabilitation CenterCarrollton23 Jul 2025Standard, Complaint60
Center At Zaragoza, LLCEl Paso8 Jul 2025Standard60
Harmony Care At GolfcrestHouston27 Jul 2025Standard61
Magnolia ManorGroves2 Jul 2025Standard60
Paradigm At SweenySweeny4 Jul 2025Standard63
Parklane West Healthcare CenterSan Antonio17 Jul 2025Complaint60
Silver Creek Nursing and RehabilitationSan Antonio2 Jul 2025Standard60
Town Hall Estates Keene IncKeene31 Jul 2025Standard60
Willowbrook Nursing CenterNacogdoches9 Jul 2025Complaint, Standard60
Windsor Nursing and Rehabilitation Center of MorgaCorpus Christi8 Jul 2025Standard60
Woodville Health and Rehabilitation CenterWoodville8 Jul 2025Standard60
Arbor Lake Nursing & Rehabilitation, LLCFort Worth25 Jul 2025Standard, Complaint52
Avir At CenterCenter23 Jul 2025Standard50
Avir At San KnollSan Antonio24 Jul 2025Standard50
Gracy Woods Nursing CenterAustin31 Jul 2025Standard50
Ignite Medical Resort El Paso, LLCEl Paso31 Jul 2025Standard50
Ivy Creek Wellness & RehabilitationWaco23 Jul 2025Standard50
Jefferson Nursing and Rehabilitation CenterBeaumont31 Jul 2025Standard50
Laredo South Nursing and Rehabilitation CenterLaredo22 Jul 2025Standard50
Mclean Care CenterMclean9 Jul 2025Standard50
River City Care CenterSan Antonio10 Jul 2025Complaint, Standard51
Rowlett Health and Rehabilitation CenterRowlett24 Jul 2025Standard50
San Antonio North Nursing and RehabilitationSan Antonio31 Jul 2025Standard50
SorrentoSan Antonio17 Jul 2025Complaint50
Terra Bella Health and Wellness SuitesHouston21 Jul 2025Complaint53
The Mission At Blue Skies of Texas EastSan Antonio11 Jul 2025Standard50
Wesley Court Health CenterAbilene9 Jul 2025Standard50
Willow Ridge Wellness & RehabilitationFort Worth24 Jul 2025Standard50
Allegiant Wellness and RehabCrowley24 Jul 2025Standard40
Brazos Healthcare CenterLake Jackson2 Jul 2025Standard40
Cuero Nursing and Rehabilitation CenterCuero10 Jul 2025Complaint40
Ffiii Houston SNF Tenant LLCHouston31 Jul 2025Complaint40
Garnet Hill Rehabilitation and Skilled CareWylie16 Jul 2025Complaint40
Grace Care Center of HenriettaHenrietta30 Jul 2025Standard40
Kingsville Nursing and Rehabilitation CenterKingsville3 Jul 2025Standard40
Lakeside Nursing and Rehabilitation CenterSan Antonio31 Jul 2025Standard40
Park Place Care CenterGeorgetown10 Jul 2025Complaint43
Solera At West HoustonHouston25 Jul 2025Standard40
Sun Valley Rehabilitation and Healthcare CenterHarlingen9 Jul 2025Standard40
Wisteria PlaceAbilene30 Jul 2025Standard40
Avante Rehabilitation CenterIrving31 Jul 2025Standard30
Avir At BryanBryan30 Jul 2025Complaint32
Avir At El PasoEl Paso1 Jul 2025Complaint30
Avir At Enchanted RockFredericksburg10 Jul 2025Complaint30
Avir At PittsburgPittsburg3 Jul 2025Complaint33
Bluebonnet Point WellnessBullard11 Jul 2025Complaint32
Dogwood Trails ManorWoodville11 Jul 2025Complaint31
Five Points At Lake Highlands Nursing and RehabDallas8 Jul 2025Complaint31
Focused Care At LindenLinden16 Jul 2025Complaint30
Garrison Nursing Home & Rehabilitation CenterGarrison30 Jul 2025Standard30
Greenview Nursing and RehabilitationWaco3 Jul 2025Complaint31
Gulf Shores Rehabilitation and Healthcare CenterFalfurrias7 Jul 2025Complaint30
Jourdanton Nursing and RehabilitationJourdanton10 Jul 2025Complaint30
Legacy Estate Long Term CareComanche1 Jul 2025Complaint30
Marine Creek Nursing & RehabilitationFort Worth14 Jul 2025Complaint30
Mira Vista CourtFort Worth29 Jul 2025Standard30
Pampa Nursing CenterPampa23 Jul 2025Standard30
Prairie AcresFriona31 Jul 2025Standard30
Ralls Nursing HomeRalls18 Jul 2025Complaint33
San Antonio Wellness & RehabilitationSan Antonio2 Jul 2025Complaint30
Sylan Shores Health and WellnessLa Porte23 Jul 2025Standard31
Terrell Healthcare CenterTerrell17 Jul 2025Complaint30
Towers Nursing HomeSmithville31 Jul 2025Standard30
Treemont Healthcare and Rehabilitation CenterDallas17 Jul 2025Standard30
Trinity Care CenterRound Rock9 Jul 2025Complaint30
Vintage Health Care CenterDenton30 Jul 2025Complaint32
William R Courtney Texas State Veterans HomeTemple23 Jul 2025Complaint33
Windsor Nursing and Rehabilitation Center of AliceAlice3 Jul 2025Complaint32
Windsor Nursing and Rehabilitation Center of BastrBastrop17 Jul 2025Standard30
Arlington Heights Health and Rehabilitation CenterFort Worth15 Jul 2025Complaint20
Avir At CoronadoAbilene10 Jul 2025Complaint20
Avir At GrapevineGrapevine9 Jul 2025Complaint20
Avir At Jeffrey PlaceWaco11 Jul 2025Complaint21
Avir At New BraunfelsNew Braunfels10 Jul 2025Complaint20
Avir At SchertzSchertz5 Jul 2025Complaint20
Avir At StephenvilleStephenville24 Jul 2025Standard20
Bluebonnet Point WellnessBullard28 Jul 2025Complaint22
Brentwood Place OneDallas23 Jul 2025Complaint20
Cityview Nursing and Rehabilitation CenterFort Worth10 Jul 2025Complaint21
Colonial Manor Advanced Rehab & HealthcarePharr16 Jul 2025Complaint21
Concho Health & Rehabilitation CenterEden24 Jul 2025Standard, Complaint20
Corrigan LTC PartnersCorrigan25 Jul 2025Complaint21
Crimson Heights Health & WellnessHumble21 Jul 2025Complaint22
Fairfield Nursing & Rehabilitation CenterFairfield28 Jul 2025Complaint20
Focused Care of WaxahachieWaxahachie1 Jul 2025Complaint20
Frank M. Tejeda Texas State Veterans HomeFloresville11 Jul 2025Complaint20
Granbury Care CenterGranbury3 Jul 2025Complaint20
Harker Heights Nursing & RehabilitationHarker Heights3 Jul 2025Complaint20
Harmony Care At BeaumontBeaumont8 Jul 2025Complaint20
Harmony Care At BrookshireBrookshire18 Jul 2025Complaint20
Heritage House of Marshall Health & RehabilitationMarshall29 Jul 2025Standard20
Landmark of Plano Rehabilitation and Nursing CentePlano18 Jul 2025Complaint20
Laurel CourtAlvin31 Jul 2025Standard20
Legacy Rehabilitation and LivingAmarillo31 Jul 2025Standard20
Onion Creek Nursing and Rehabilitation CenterAustin3 Jul 2025Complaint20
Palomino PlaceMesquite30 Jul 2025Complaint21
Paradigm At the OakSchulenburg10 Jul 2025Complaint20
Presbyterian Village North Special Care CtrDallas2 Jul 2025Complaint20
Pure Health Transitional Care At Texas Health PresDallas2 Jul 2025Standard20
Reunion Plaza Senior Care and Rehabilitation CenteTexarkana15 Jul 2025Complaint20
River Pointe of Trinity Healthcare and RehabilitatTrinity29 Jul 2025Complaint21
Spindletop Hill Nursing and Rehabilitation CenterBeaumont30 Jul 2025Complaint21
The Center At ParmerAustin15 Jul 2025Complaint20
The Palms Nursing & RehabilitationCorpus Christi30 Jul 2025Complaint20
Traymore Nursing CenterDallas22 Jul 2025Standard20
Twin Pines Nursing and RehabilitationVictoria13 Jul 2025Complaint22
Ventana By BucknerDallas15 Jul 2025Complaint20
Viridian Wellness & RehabilitationArlington26 Jul 2025Complaint22
Willow Park Rehabilitation Health Care CenterClifton10 Jul 2025Complaint21
Windsor Nursing and Rehabilitation Center of McallMcallen9 Jul 2025Complaint20
Woodland Manor Nursing and RehabilitationConroe2 Jul 2025Complaint20
Woodland Springs Nursing CenterWaco15 Jul 2025Complaint20
Afton Oaks Nursing and Rehabilitation CenterHouston11 Jul 2025Complaint11
Allegiant Wellness and RehabCrowley8 Jul 2025Complaint10
Avir At BeevilleBeeville1 Jul 2025Complaint10
Avir At CarthageCarthage15 Jul 2025Complaint11
Avir At Corpus ChristiCorpus Christi15 Jul 2025Complaint10
Avir At GolfcrestHouston23 Jul 2025Complaint11
Avir At GolfcrestHouston8 Jul 2025Complaint10
Avir At Jeffrey PlaceWaco29 Jul 2025Complaint10
Avir At LongviewLongview29 Jul 2025Complaint10
Avir At LulingLuling22 Jul 2025Complaint11
Avir At MagnoliaLuling24 Jul 2025Complaint11
Avir At PortlandPortland1 Jul 2025Complaint10
Avir At Richland HillsRichland Hills22 Jul 2025Complaint10
Avir At Western HillsTemple2 Jul 2025Complaint11
Avir At WestonTemple23 Jul 2025Complaint11
Azle Manor Health Care, L.L.L.P.Azle16 Jul 2025Complaint11
Bel Air At TeravistaRound Rock9 Jul 2025Complaint10
Bluebonnet Rehab At EnnisEnnis29 Jul 2025Complaint10
Briarcliff Health Center of GreenvilleGreenville28 Jul 2025Complaint10
Bronte Health and Rehab CenterBronte16 Jul 2025Complaint10
Buena Vida Nursing and Rehab-San AntonioSan Antonio11 Jul 2025Complaint10
Chisolm Trail Nursing and Rehabilitation CenterLockhart17 Jul 2025Complaint10
Cimarron Place Health & RehabilitationCorpus Christi20 Jul 2025Complaint11
Coleman Healthcare CenterColeman2 Jul 2025Complaint10
Copperas Cove Nursing & RehabilitationCopperas Cove30 Jul 2025Complaint11
Copperas Cove Nursing & RehabilitationCopperas Cove9 Jul 2025Complaint10
Coral Rehabilitation and Nursing of AustinAustin23 Jul 2025Complaint10
Crestview Healthcare ResidenceWaco24 Jul 2025Complaint10
Deerbrook Skilled Nursing and Rehab CenterHumble31 Jul 2025Complaint10
Desoto Nursing & Rehabilitation CenterDesoto15 Jul 2025Complaint10
Eagle Crest Rapid RecoveryHouston7 Jul 2025Complaint10
Fair Park Health & Rehabilitation CenterDallas8 Jul 2025Complaint10
Falcon Lake Nursing Home, LLCZapata26 Jul 2025Complaint10
Fall Creek Rehabilitation and Healthcare CenterHumble8 Jul 2025Complaint10
Farwell Care and Rehabilitation CenterFarwell23 Jul 2025Complaint10
Focused Care At Summer PlaceBeaumont24 Jul 2025Complaint10
Forum Parkway Health & RehabilitationBedford29 Jul 2025Complaint10
Golden Creek Healthcare and Rehabilitation CenterNavasota8 Jul 2025Complaint10
Gracy Woods Nursing CenterAustin9 Jul 2025Complaint10
Gulf Shores Rehabilitation and Healthcare CenterFalfurrias16 Jul 2025Complaint10
Harbor Point Skilled NursingTexas City30 Jul 2025Complaint10
Heritage At Turner Park Health & RehabGrand Prairie31 Jul 2025Standard10
Heritage Convalescent CenterAmarillo15 Jul 2025Complaint10
Heritage Gardens Rehabilitation and HealthcareCarrollton8 Jul 2025Complaint11
Heritage Park Rehabilitation and Skilled Nursing CAustin15 Jul 2025Complaint11
Ignite Medical Resort Fort Worth, LLCFort Worth10 Jul 2025Complaint10
Interlochen Health and Rehabilitation CenterArlington23 Jul 2025Complaint10
Lake Forest Village By PurehealthDenton8 Jul 2025Complaint10
Legacy Nursing and RehabilitationCameron14 Jul 2025Complaint10
Legend Healthcare and Rehabilitation - ParisParis24 Jul 2025Complaint10
Liberty Health Care CenterLiberty17 Jul 2025Complaint10
Lily Springs Rehabilitation and Healthcare CenterLampasas10 Jul 2025Complaint10
Memorial City Nursing and Rehabilitation CenterHouston1 Jul 2025Complaint10
Mesa Hills Post AcuteBrownsville17 Jul 2025Complaint10
Mineola Gardens Wellness & RehabilitationMineola9 Jul 2025Standard10
Monument Rehabilitation and Nursing CenterLa Grange2 Jul 2025Complaint11
Morada TempleTemple2 Jul 2025Complaint10
Navasota Nursing & RehabilitationNavasota1 Jul 2025Complaint10
Oakmont Healthcare and Rehabilitation of HumbleHumble10 Jul 2025Complaint10
Palo Duro Nursing HomeClaude15 Jul 2025Complaint10
Paradigm At Woodwind LakesHouston22 Jul 2025Complaint10
Park View Care CenterFort Worth16 Jul 2025Complaint11
Park Village Healthcare and RehabilitationDesoto23 Jul 2025Complaint11
Patriot Heights Health Care CenterSan Antonio16 Jul 2025Complaint10
Pecan Valley Rehabilitation and HealthcareSan Antonio7 Jul 2025Complaint11
Rambling Oaks Courtyard Extensive Care CommunityHighland Village30 Jul 2025Complaint10
Renaissance Park Multi Care CenterFort Worth16 Jul 2025Complaint10
Richmond Health Care CenterRichmond10 Jul 2025Complaint10
Rockport Nursing and Rehabilitation CenterRockport22 Jul 2025Complaint10
Sagecrest Alzheimers Care CenterSan Angelo24 Jul 2025Complaint10
San Antonio West Nursing and RehabilitationSan Antonio3 Jul 2025Complaint10
San Pedro ManorSan Antonio30 Jul 2025Complaint10
San Pedro ManorSan Antonio17 Jul 2025Complaint10
Sedona Trace Health and Wellness CenterAustin24 Jul 2025Standard10
Skilled Care of MexiaMexia17 Jul 2025Standard10
The Chateau WacoWaco30 Jul 2025Complaint10
The Chateau WacoWaco1 Jul 2025Complaint10
The EnclaveSan Antonio24 Jul 2025Complaint10
The Heights of League CityLeague City10 Jul 2025Complaint11
The Hills Nursing & RehabilitationDecatur17 Jul 2025Complaint10
The Homestead of DenisonDenison16 Jul 2025Complaint11
The Manor At SeagovilleSeagoville14 Jul 2025Complaint11
Town Hall Estates Keene IncKeene9 Jul 2025Complaint11
Trinity Rehabilitation & Healthcare CenterTrinity27 Jul 2025Complaint10
Wellington Care CenterWellington7 Jul 2025Complaint10
Wharton Nursing and Rehabilitation CenterWharton1 Jul 2025Complaint10
Whispering Pines LodgeLongview16 Jul 2025Complaint11
Whispering Springs Rehabilitation and Healthcare CCarrizo Springs18 Jul 2025Standard10
Whisperwood Nursing & Rehabilitation CenterLubbock3 Jul 2025Complaint11
Will-O-BellBartlett3 Jul 2025Complaint10
Willow Creek LodgeTomball2 Jul 2025Complaint10
Windcrest Nursing and RehabilitationWindcrest31 Jul 2025Complaint11
Wooldridge Place Nursing CenterCorpus Christi11 Jul 2025Complaint10

Source: CMS Care Compare health deficiencies and penalties files, processed 1 Aug 2026. Surveys without citations are not in the deficiencies file and are not counted here.