TX HHS Form 5521-NFA. Complaints

The TX HHS Form 5521-NFA, Complaints, helps resolve issues related to nursing facilities in Texas. This form is used when a complaint arises regarding the administration of a nursing facility. The person reporting the issue (Complainant) typically completes this form.

This form requires specific information to be provided, including the Complainant's address and contact details, as well as those of the Nursing Facility Administrator being complained about. Additionally, the form asks for the facility name, address, and current administrator's name, along with approximate dates of the events described in the complaint.

Upon submission, the person filing this form will be notified of any alleged rule violations, assigned case number, investigator contact information, and the status and final outcome of the complaint. This form is an essential tool for addressing concerns and ensuring compliance with regulations in the nursing facility industry.

• This form is used to report complaints related to nursing facilities in Texas.
• The Complainant typically completes this form.
• The form requires specific information, including Complainant and Nursing Facility Administrator contact details, facility name and address, and approximate dates of the events described.