Edinburg Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Edinburg Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 1, 2026

  Based on observation, interview and record review, the facility failed to ensure adequate supervision and assistance devices to prevent accidents for 1 of 4 resident (Resident #1) reviewed for accidents and supervision who had a vehicle on the facility premises. The facility failed to evaluate R#1s safety awareness and risks for elopement after multiple incidents of R#1 leaving the facility without staff awareness or supervision. On 10/27/2025 R#1 left the facility and returned driving a vehicle he had purchased in another city. On 11/27/2025, R#1 left the facility and was returned by police due to driving around lost. On 12/06/2025, R#1 left the facility without being signed out on pass and was found at a nearby facility. The noncompliance was identified as PNC. […]

• Immediate jeopardy, isolatedF689Nov 21, 2023

  47573 Based on interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as is possible for 1 of 1 resident (Resident # 30) reviewed for accidents. The facility failed to develop and implement interventions to prevent Resident #11 's elopement from the facility. Resident #11 eloped from the facility and was found according to the police report by the road approximately five (5) miles from the facility. The non-compliance was identified as Past Non Compliance. The Immediate Jeopardy (IJ) began on 09/19/23 and ended on 09/19/23. […]

• No harm, potential for more than minimal, patternF812May 19, 2026

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation, and sanitation. The facility failed to ensure coffee cups and bowls were clean. The facility failed to ensure clean racks/trays of coffee cups and bowls had drying mats. The facility failed to ensure the dishwasher was in good working order. The facility failed to ensure the vent above the dishwasher was clean and without corrosion and rust. The facility failed to ensure the freezers did not have worn seals and ice accumulation inside of them. […]

• No harm, potential for more than minimal, patternF842May 19, 2026

  Based on interviews and record review, the facility failed to maintain clinical records that were accurately documented for four of six residents (Resident #42, Resident #99, Resident #100, and Resident #97) reviewed for medical records. 1. The facility failed to ensure Resident #42's blood pressures were not duplicated for the month of May of 2026 by RN A and LVN B. 2. The facility failed to ensure Resident #99's blood pressures were not duplicated for the month of May of 2026 by RN A and LVN B. 3. The facility failed to ensure Resident #100's blood pressures were not duplicated for the month of May of 2026 by RN A and LVN B. 4. The facility failed to document Resident #97's physician order for a one-time dose of haloperidol injected on 04/02/2026. […]

• No harm, potential for more than minimal, patternF600Dec 8, 2025

  Based on observation, interview, and record review, the facility failed to protect the residents' rights to be free from abuse, neglect, and exploitation for four residents (Resident #2, Resident #6, Resident #9, and Resident #10) out of 5 residents reviewed for abuse. 1. The facility failed to protect Resident #6 and Resident #2 from both verbally and physically harming each other on [DATE]. Resident #6 and Resident #2 had a verbal altercation which turned physical on [DATE] in which Resident #6 ended up with a small skin tear to her hand. 2. The facility failed to protect Resident #2 and Resident #6 from both verbally and physically harming each other on [DATE]. […]