Severe reports

The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.

New Horizons Ranch Residential Treatment Center TX

Inspected October 21, 2025 Restraint or seclusion causing injury

A child in care received a serious physical injury during a restraint.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

New Horizons Ranch Residential Treatment Center TX

Inspected March 17, 2025 Restraint or seclusion causing injury

A child in care was seriously bruised from a restraint conducted by a caregiver.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

South Texas Adolescent Rehabilitation & Education - STARE TX

Inspected February 22, 2025 Restraint or seclusion causing injury

Child received an injury to the face after an inappropriate restraint.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Laurel Ridge Treatment Center TX

Inspected November 27, 2024 Restraint or seclusion causing injury

Child in care was injured during an unnecessary restraint when excessive physical force was used.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Texas NeuroRehab Center TX

While a child was being restrained by staff, another staff choked the child.

A staff threw away a child's food in response to the child spitting at their feet.

A child received a bloody, swollen nose during a restraint due to a staff member banging their head on the ground.

From the state's report. Risk level: High. Cited: 748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing; 748.2307(14) - Other Prohibited Punishments-withholding food that meets the child's nutritional requirements; 748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force.

Blue Skies TX

A staff member hit a child in the face as a means to get the child to comply.

Collateral staff confirmed during interviews that the staff member was directed to release the child from the restraint and the child said they could not breathe.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.; 748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso.

A New Day Foundation TX

Inspected January 12, 2024 Restraint or seclusion causing injury

It was found during the investigation that a child in care received significant bruising to their shoulder after a short personal restraint.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Fostering Life Youth Ranch, LLC Meraki TX

Inspected June 11, 2023 Restraint or seclusion causing injury

During a short personal restraint a child received carpet burn to his face and his elbow.

From the state's report. Risk level: High. Cited: 748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child.

The Burke Foundation-Pathfinders RTC TX

In an investigation conducted by DFPS, two staff were found reason to believe for physical abuse of a child.

Staff was observed via the EBI video, using excessive force when he lifted the child off of the ground during a restraint, causing the child's feet to drag; consequently, causing both child and staff to fall to the ground and injuring the child's foot.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Bluebonnet Haven, LLC TX

Inspected April 10, 2023 Restraint or seclusion causing injury

It was found during the investigation a child sustained injuries as the result of an improper restraint.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Castillo Childrens Center TX

Inspected February 21, 2023 Restraint or seclusion causing injury

Children interviewed reported that during restraints it was hard to breathe, or that they could not breathe.

Children also stated that they had witnessed staff perform restraints this way and that they heard the children say that they were being hurt.

From the state's report. Risk level: High. Cited: 748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso; 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

ABH Texas Inc. DBA Devereux Texas Treatment Network TX

Inspected December 12, 2022 Restraint or seclusion causing injury

A tenured campus supervisor was observed on video utilizing inappropriate restraint techniques and physical force against a child resulting in multiple injuries to the child's face, wrist, torso, and back of head.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Fostering Life Youth Ranch, LLC TX

Inspected November 10, 2022 Restraint or seclusion causing injury

After the restraint, the was observed with scratches on her face and bruising on her wrist and was later taken to the doctor for complaints of pain in her chest and arms.

From the state's report. Risk level: High. Cited: 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

Camp Worth, LLC TX

Inspected August 18, 2022 Restraint or seclusion causing injury

A youth in care was injured in the face during an attempt of a restraint by a staff member.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Texas NeuroRehab Center TX

Inspected July 18, 2022 Restraint or seclusion causing injury

During the course of this investigation, it was determined that a staff member conducted an unnecessary EBI and used unnecessary strength forcing a child in care to the ground causing a bruise on their face.

From the state's report. Risk level: High. Cited: 748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child.

Texas Hill Country School TX

Inspected March 24, 2022 Restraint or seclusion causing injury

A staff member’s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

San Marcos Treatment Center TX

Inspected March 8, 2022 Restraint or seclusion causing injury

A staff member’s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Hill Country Youth Ranch Residential Treatment Center TX

Inspected March 8, 2022 Restraint or seclusion causing injury

It is alleged that staff became physically aggressive with a child in care and executed an improper and unwarranted restraint on the child in care which resulted in an injury.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Bayes Achievement Center TX

Staff grabbed a resident forcefully causing the resident to fall forward into a window, with his face pressed into a mat.

A staff inappropriately restrained a 16 year old resident, resulting in an injury to the head.

From the state's report. Risk level: High. Cited: 748.2461(a)(2) - Short Personal Restraint-Caregiver must use minimal amount of reasonable and necessary physical force; 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Hands of Healing TX

Inspected March 27, 2021 Restraint or seclusion causing injury

A caregiver used excessive force during a restraint, causing substantial physical injury to a child.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

How a report gets on this page

A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.