TX HHS Form 5521-NFA. Complaints

The TX HHS Form 5521-NFA, Complaints, is a crucial tool for reporting concerns or issues related to nursing facilities in Texas. This form helps individuals submit complaints about the administration of these facilities, ensuring that any alleged rule violations are investigated and addressed.

To complete this form, users must provide information about themselves as the complainant, including their address. Additionally, they must supply details about the nursing facility administrator being complained about, such as their address and license number (if known). The form also requires information about the facility where the events of the complaint occurred, including its name and address.

This form is designed for use when reporting concerns or issues related to the administration of a nursing facility in Texas. It provides a structured format for submitting complaints, which may include alleged rule violations. By completing this form, individuals can expect to receive notification from the investigator about the status and final outcome of their complaint.