Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 673077 (X3) Date Survey Completed 06/05/2026
Name of Provider or Supplier Texas Rehabilitation Hospital Of Keller Street Address, City, State 791 S Main Street, Keller, TX
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0000 The CMS-2567 (Statement of Deficiencies) is an official. Legal document. All information must remain unchanged except for entering the plan of correction, correction dates, and the signature space. Any discrepancy in the original deficiency citation(s) will be reported to the Dallas Regional Office (RO) for referral to the Office of the Inspector General (OIG) for possible fraud. If information is inadvertently changed by the provider/supplier, the State Survey Agency (SA) should be notified immediately. An unannounced survey to verify the allegations of complaint TX00562007 was conducted on site. An entrance conference was held in the morning of 06/03/2026 with the Chief Operating Officer and other members of the leadership team. The hospital representatives were informed that this investigation would be conducted according to the survey protocol in the State Operations Manual, Chapter 5, section 5100 and Appendix A, and according to 42 CFR 482 the Condition of Participation for Hospitals. An exit conference was conducted in the afternoon of 06/05/2026 with the Chief Operating Officer and other members of the leadership team. Preliminary findings of the survey were presented, and an opportunity provided for discussion. All questions were answered. The staff were thanked for their time and cooperation during the survey process. The investigation of TX00562007 reflected the facility was in substantial compliance; federal deficiencies were cited.