Texas Department of Aging and Disability Services

Please take a few moments to let us know about the recent DADS Regulatory visit to your facility.

If you have questions, concerns or compliments about the visit, please call:
1-800-458-9858(Voice)
1-888-425-6889 (TDD)

* Facility or Agency Name

* Demographic Information

* Region # (Required) Please choose in which DADS administrative region your facility is located. If you don’t know in which region your facility is located, click here (Please choose only one)

* Facility Type (Please choose only one)

* Date of exit

Date
/
/

* Type of visit
(You may check as many as required)

* Professionalism and Courtesy are our Goals

  Always Most of the time Sometimes Never
The conduct of the surveyor(s) during the visit was professional and courteous to staff.
The conduct of the surveyor(s) during the visit was professional and courteous to residents / consumers.
The surveyor(s) followed protocol.
The surveyor(s) considered all pertinent evidence.
The surveyor(s) kept you informed of the progress of the survey during the course of the survey.
The surveyor(s) explained the findings or deficiencies.
The surveyor(s) considered all evidence presented to refute deficiencies / violations prior to exit.

* Additional comments:

Report a problem

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