Hearth Record

Little Scholars Academy

A licensed child care center in Spring, Texas 77379

9606 Spring Cypress Rd, Spring, Texas 77379. (832) 698-1352.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 30 deficiencies in 8 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

30 deficiencies cited in the last three years

The middle of the 2,139 child care providers in Harris County had 4.

23 inspections on record. The latest, on Sep 30, 2026: 2 deficiencies cited.

Rated High by Texas: Responsibilities - Not interfere with an inspection or investigation, at the report to the state on Jun 5, 2025

Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Jun 5, 2025

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Jun 5, 2025

11 more rated High; all are listed below.

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

30 deficiencies in 8 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

30 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 30, 2026: inspection2 deficiencies
  • Annual Sanitation Inspection

    “The most recent sanitation inspection was conducted on June 6, 2025.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2026. Correction verified: Oct 9, 2026.

  • Children’s Records - Immunizations

    “One child’s immunization record was not available for review.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

Mar 12, 2026: inspection2 deficiencies
  • Children’s Records - Health Statement

    “One child’s file observed did not have a health statement available for review.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 16, 2026.

  • Children’s Records - Immunizations

    “One child’s file observed did include a copy of their immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 16, 2026.

Oct 7, 2025: inspection1 deficiency
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “One child 16 months of age was observed in the Early preschool classroom with 9 other children, 2-4 years of age. The 16-month-old was removed from the Early preschool classroom and placed in the Infant classroom.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 7, 2025.

Jun 5, 2025: report to the state6 deficiencies
  • Responsibilities - Not interfere with an inspection or investigation

    “Based on the information obtained during the investigation, initially when the director was asked about the bookshelf falling on children in August 2024, the director denied the incident happened. Towards the end of the investigation inspection, the director admitted it happened, but did not have any information available regarding who the parents and/or children were.”

    Rule 745.8411(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 2, 2025.

  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on the information obtained during the investigation, sufficient evidence was available to support a caregiver did not demonstrate good judgment and self-control by inappropriately grabbing a child, the child landed on the floor. The purpose was to correct the child’s behavor.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 2, 2025.

  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “Based on the information obtained during the investigation, sufficient evidence was available to support two caregivers failed to stop children that were climbing on a bookcase. As a result, the bookcase fell on three children.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 2, 2025.

  • Report Situation Placing Children at Risk

    “Based on the information gathered during the investigation, the facility failed to report to Child Care Regulation a bookcase fell on three children on 08/22/2024.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 2, 2025.

  • Parental Communication - Situation that Placed a Child at Risk

    “Based on the information gathered during the investigation, verification and/or documentation was not available for review to support parents were notified a bookshelf fell on their child.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 2, 2025.

  • Safety - Areas Free From Hazards

    “During the investigation inspection, a bookshelf that fell on three children in August 2024, had not been secured to the wall.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 7, 2025.

Jun 4, 2025: inspection2 deficiencies
  • AP Initial background checks submitted - At the time you hire someone

    “A background check has not been submitted for one caregiver who was being counted in the child/staff ratio.”

    Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2025. Correction verified: Jun 10, 2025.

  • Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

    “Cleaning supplies were accessible to children in care. This was corrected at inspection.”

    Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 4, 2025.

May 29, 2025: inspection1 deficiency
  • Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

    “Fire inspection observed dated for 5/14/2024.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2025. Correction verified: Aug 4, 2025.

May 20, 2025: report to the state2 deficiencies
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “A 2 yr old child was left unsupervised on the playground for approximately 5 minutes.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2025. Correction verified: Jun 4, 2025.

  • Parental Communication - Situation that Placed a Child at Risk

    “This standard was evaluated in regard to a self-report and compliance was not met. A parent was not immediately notified of an incident that placed that child at risk. The parent was notified of the incident one day later.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2025. Correction verified: Jun 4, 2025.

Sep 17, 2024: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “One caregiver was observed pulling a child by the arm in attempt to get the child to sit in a chair. A child, 3 years of age was observed running around the classroom, in which the caregiver/staff grabbed the child’s arm and pulled the child throughout the classroom. The caregiver was then observed placing the child in a chair in an aggressive manner. During the actions of the staff, the classroom could be observed out of control, running around.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2024. Correction verified: Nov 20, 2024.

Sep 13, 2024: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on information obtained the caregiver observed a child putting a lego in his mouth. Caregiver retrieve the lego from child but did not ensure the lego was inaccessible to child resulting in child swallowing a lego.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 24, 2024.

Aug 23, 2024: inspection1 deficiency
  • Floors, ceilings and Walls in Good Repair and Clean

    “Licensing staff observed serveral tiles missing that contained water stains in the toddler and preschool classroom, which poses a risk to children in care. The tile(s) in the early preschool classroom did not contain a cover which caused the ceiling to be exposed to children in care.”

    Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Aug 29, 2024.

Aug 9, 2024: inspection1 deficiency
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “A total of 23 children were observed with one caregiver, 12 months- 8 years of age. The youngest child in care was more than 18 months in difference from the eldest child present in care. An additonal staff member was added to the classroom to accommodate ratio. Infants were removed from large group.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 23, 2024.

Aug 8, 2024: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “One child, two years of age was left unattended on the playground area of the childcare center for approximately 5-10 minutes. Based on the information obtained the child was transitioning from the outdoor play area to the toddler’s classroom when the child was left behind during a transition period. The child was observed by another relative/guardian who has a child enrolled at the childcare center. Based on the information obtained, a name to face check was not conducted to ensure all children were accounted for.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2024. Correction verified: Aug 23, 2024.

Jul 31, 2024: inspection7 deficiencies
  • Employment affidavit regarding inappropriate relationship with minor

    “Three staff files hired after 09/01/2023 did not have a pre-employment affidavit available for review. Licensing staff provided a copy of form 2912 via email for staff to complete while Licensing was present.”

    Rule HRC 42.0563. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 31, 2024.

  • Responsibilities of Caregivers - Know children’s names and ages

    “Staff members observed in the Toddler 1 classroom was not aware of the ages of the youngest, and/or oldest child in care. During the walkthrough, the assistant director was able to assist with the ages of children enrolled.”

    Rule 746.1205(a)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2024.

  • Required Admission Information - Prescribed Medications; Long Term Use

    “Six children files observed were not updated. The childcare facility did not update the children files to portray the updated required information by 09/01/2023. The files observed did not include an updated special care needs section, limitations and modifications, medication use, and/or the child’s swimming ability.”

    Rule 746.605(13)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 9, 2024.

  • Documented Annual Training Area - 24 Hours Required

    “One out of six staff files did not obtain the total 24 annual hours. The staff was hired 01/06/2020 and obtained a total of 10 hours throughout the current year.”

    Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2024. Correction verified: Aug 14, 2024.

  • Director Annual Training 30 Hours Required

    “The Director file observed contained 21 out of the required 30 annual hours. Topics that were not available for review during the monitor inspection: 1. Brain development 2. Food allergies 3. Administering medication 4. Building and physical premises”

    Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 8, 2024.

  • Documentation of Drills

    “There is no documentation of the fire drill on the emergency practices document/form. The operation has documentation related to a lockdown, severe/weather, and/or shelter in place.”

    Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2024.

  • Parent’s Rights

    “Based on the information obtained, parent’s rights were not provided to parents within the required timeframe, by 09/30/2023. The childcare operation did not have a receipt/acknowledgement from parent’s stating that they received a copy of the parent’s right. Children enrollment forms were not updated to portray receipt of acknowledgement of parent’s rights.”

    Rule HRC 42.04271. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2024. Correction verified: Aug 14, 2024.

Jul 18, 2024: report to the state2 deficiencies
  • AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

    “One child was hurt in care, which resulted in the child receiving medical attention. The incident occurred on 07/18/2024, in which the childcare facility did not report to Childcare licensing within 48 hours of becoming aware that medical attention was received.”

    Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2024. Correction verified: Sep 17, 2024.

  • Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

    “One child 4 years of age fell at the childcare facility, which resulted in a cut/gash that required medical attention. The incident report documented did not include information relative to medical treatment, and/or a signature from the person in charge.”

    Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2024. Correction verified: Sep 17, 2024.

12 deficiencies older than three years
Oct 9, 2023: inspection2 deficiencies
  • Director Annual Training 30 Hours Required

    “The Director hire date was documented as 09/28/2015. A total of 17 hours were observed from, 09/28/2022-09/28/2023. All training certificates for the Director was not available for review.”

    Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2023. Correction verified: Oct 10, 2023.

  • Children’s Records - Immunizations

    “One out of ten children files did not contain an immunization record. The child’s file did not have an immunization available for review.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 10, 2023.

Nov 10, 2022: inspection1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “One caregiver was observed in the Infant/Toddler classroom with 7 children, 14-21 months of age. Two children present were 20 months and older. The majority of children present were 14-17 months of age. A second walkthrough was conducted, in which a second caregiver was added to the classroom in order to accommodate ratio.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 10, 2022.

Oct 10, 2022: inspection5 deficiencies
  • Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

    “One transportation vehicle does not have an operating safety alarm system.”

    Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Nov 10, 2022.

  • CPR Training and Recertification Adhere to Guidelines-skill based

    “Two out of ten staff records did not contain a CPR/first-aid certification that was skilled based. Two certifications observed were considered an online course.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Nov 10, 2022.

  • Child/ Caregiver Ratio - 13 or More Children

    “One caregiver in the Preschool 1 classroom was observed with 16 children, 3-4 years of age. Majority of the children present/observed were 3 years old. An additional caregiver was added at approximately 9AM.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2022. Correction verified: Nov 10, 2022.

  • Documented Annual Training - Remaining training hour topics

    “Seven out of ten staff records failed to conduct training in the remaining subjects related to emergency preparedness, communicable diseases, food allergies, medication, building and physical premises, and handling, storing and disposing of hazardous materials.”

    Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Nov 10, 2022.

  • Health Statement on File within 1 Week of Admission

    “One child who admission date is documented as 04/19/2021 did not have a health statement available for review.”

    Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Nov 10, 2022.

Jan 18, 2022: inspection2 deficiencies
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “An applicant was allowed to have direct access to the children prior to having a background check ran. Note- This was corrected during the inspection when the applicant was sent home.”

    Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 18, 2022.

  • Child/ Caregiver Ratio - 13 or More Children

    “The early preschool classroom had one caregiver with 17 children who had a specified age group of two years of age which put the classroom over ratio by six children. Note- This was addressed during the inspection when a second caregiver went into the classroom to maintain ratio.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2022. Correction verified: Jan 26, 2022.

Jan 5, 2022: report to the state2 deficiencies
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on the information obtained, there is sufficient evidence to suggest that a caregiver did not demonstrate good judgment when physically moving a child.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2022. Correction verified: Jan 18, 2022.

  • Discipline - Teaches Acceptable Behavior and Self-control

    “Based on the information obtained, there is sufficient evidence to suggest that the caregiver did not use a form of discipline that teaches acceptable behavior and self-control.”

    Rule 746.2803(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2022. Correction verified: Jan 18, 2022.

All 32 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 30, 2026Inspection2 deficiencies cited
Mar 12, 2026Inspection2 deficiencies cited
Oct 7, 2025Inspection1 deficiency cited
Aug 18, 2025InspectionNo violation found
Aug 14, 2025Report to the stateNo violation found
Jul 22, 2025InspectionNo violation found
Jul 18, 2025Report to the stateNo violation found
Jul 2, 2025InspectionNo violation found
Jun 9, 2025InspectionNo violation found
Jun 5, 2025Report to the state6 deficiencies cited
Jun 4, 2025Inspection2 deficiencies cited
May 29, 2025Inspection1 deficiency cited
May 22, 2025InspectionNo violation found
May 20, 2025Report to the state2 deficiencies cited
Nov 22, 2024InspectionNo violation found
Oct 24, 2024InspectionNo violation found
Oct 10, 2024InspectionNo violation found
Sep 17, 2024Report to the state1 deficiency cited
Sep 17, 2024InspectionNo violation found
Sep 13, 2024Report to the state1 deficiency cited
Aug 23, 2024Inspection1 deficiency cited
Aug 9, 2024Inspection1 deficiency cited
Aug 8, 2024Report to the state1 deficiency cited
Jul 31, 2024Inspection7 deficiencies cited
Jul 18, 2024Report to the state2 deficiencies cited
Oct 9, 2023Inspection2 deficiencies cited
Nov 10, 2022Inspection1 deficiency cited
Oct 10, 2022Inspection5 deficiencies cited
Jan 26, 2022InspectionNo violation found
Jan 18, 2022Inspection2 deficiencies cited
Jan 6, 2022InspectionNo violation found
Jan 5, 2022Report to the state2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Mar 3, 2016.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 195 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 9 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 4-Star (the highest of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 2139 child care providers in Harris County, the middle value for deficiencies cited in the last three years was 4; this one had 30.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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