Harlingen Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Feb 20, 2026

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 5 residents (Resident #1) reviewed for quality of care.The nurse practitioner failed to recognize and place orders for treatment for Resident #1 who was experiencing significant increased glucose levels. Resident #1 did not have orders in place for glucose checks and had an episode of high blood sugar beginning on 02/04/26 through 02/13/26 that required her to be hospitalized . An IJ was identified on 02/17/26. The IJ began on 02/04/26 and removed 02/14/26. The facility took action to remove the IJ before survey began. […]

• Immediate jeopardy, isolatedF689Sep 20, 2024

  Based on interview and record review, the facility failed to ensure adequate supervision was provided for 1 of 3 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident#1 received adequate supervision to prevent elopement. Resident #1 eloped from the facility on and was found by the police department approximately 2 miles away from the facility. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 10/08/2023 and ended on 10/08/2023. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of sustaining serious injury, harm and death. […]

• No harm, potential for more than minimal, patternF761Feb 24, 2026

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles for 3 of 4 medication carts (Hall 400 Med-Aide cart, Hall 300 Med-Aide cart, and Hall 100 Nurse Med-Cart) reviewed for pharmacy services.1. The facility failed to ensure medications in Hall 400 Med-Aide cart, Hall 300 Med-Aide cart, and Hall 100 Nurse Med-cart were labeled with an Open Date on 2/23/2026.2. The facility failed to ensure medication in Hall 300 Med-Aide cart were free of loose pills on 2/23/2026.These deficient practices could place residents at risk for adverse effects and not receiving the therapeutic effects of the medication or treatment. The Findings included: 1. […]

• No harm, potential for more than minimal, patternF812Feb 24, 2026

  Based on observation, interview, and record review, 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 sanitation in that: The facility failed to ensure the juicer's dispenser gun was clean. This failure could place residents at risk of foodborne illnesses. Findings included: During the initial tour of the kitchen on 02/22/26 at 8:30 a.m., the juice dispenser gun revealed a reddish slimy substance adhered to it and brownish stains on one side of the nozzle. Record review of the facility's kitchen Daily Cleaning Schedule for the month of February 2026 revealed the juicer had been cleaned every day from the 1st to the 21st. […]

• No harm, potential for more than minimal, patternF656Apr 29, 2022

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical and nursing needs for three (Resident #1, Resident #2 and Resident #3) of six residents reviewed for person-centered care plans in that: 1. Resident #1's comprehensive person-centered care plan did not contain measurable goals and objectives for the use and care of her dentures. 2. Record review of Resident #2's comprehensive person-centered care plan did not contain measurable goals and objectives for the use and care of her dentures. 3. […]