McAllen Transitional Care Center

In the surveyor’s words

From the most serious findings on record at McAllen Transitional Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 31, 2024

  Based on observation, interview, and record review the facility failed to ensure adequate supervision was provided to prevent accidents for 1 of 6 residents (R #6) reviewed for supervision. The facility failed to ensure R #6 received adequate supervision as R #6 eloped from the facility without anyone's knowledge on 07/08/24 at around 3:16 AM and went to a corner store approximately 0.5 miles away. R #6 experienced a change of condition (UTI), had increased confusion, and was unsupervised for approximately 1 hour and 15 minutes before the facility became aware that he had eloped. An Immediate Jeopardy was identified on 07/08/24. The Immediate Jeopardy template was provided to the facility Administrator on 07/30/24 at 11:20 AM. […]

• Immediate jeopardy, isolatedF686Jul 22, 2022

  Based on interview, and record review, the facility failed to ensure that residents with pressue ulcesres received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent the development of new ulcers for 1 of 4 residents (Resident #1) reviewed for pressure ulcers, in that: Resident#1 was admitted [DATE] and assessed with [MEDICAL RECORD OR PHYSICIAN ORDER] . On 07/07/22 wound assessed by physician as stage IV and [CONDITION(S)] positive. This failure resulted in an identification of an Immediate Jeopardy at 5:05 p.m. on 07/21/22. […]

• No harm, potential for more than minimal, patternF812Mar 11, 2026

  :Based on observation, interviews and record review, the facility failed to store food in accordance with professional standards for food service safety for 1 of 1-refrigerator (1 of 1 facility refrigerator) and 1 of 1 freezer (1 of 1 resident freezer reviewed for storage, preparation and sanitation and failed to keep residents room free from pests. -The facility failed to ensure food items in the resident's refrigerator were dated and sealed properly. -The facility failed to ensure food items in the resident's freezer were sealed properly. -These failures could place residents at risk of complications from food contamination. […]

• No harm, potential for more than minimal, patternF838Sep 29, 2023

  Based on interview and record review, the facility failed to conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents competently during both day-to-day operations and emergencies for one of one facility. The facility did not have a designated seven-day food supply for emergencies for their census of 80 residents who were served from the facility kitchen and 35 staff. The facility's failure could place the resident population at risk for not having resources identified and available to provide the necessary care and services the residents required. The findings included: Record review of the facility assessment tool dated 08/31/23 reflected no documentation that addressed the emergency food supply. […]

• No harm, potential for more than minimal, isolatedF656Jul 15, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs for 1 of 4 residents (Resident #2) reviewed for care plans. The facility failed to ensure Resident #2's comprehensive care plan reflected refusals of medications (on 05/16/26, 05/17/26, 05/25/26, 05/29/26, 05/30/26, 05/31/26, 06/03/26, 06/04/26, 06/08/26, 06/09/26, 06/12/26, 06/13/26, 06/14/26, 06/17/26, 06/18/26, 06/22/26, 06/26/26, 06/27/26, 06/28/26, 07/01/26, 07/02/26, 07/06/26, 07/07/26, and 07/15/26) and skin assessments (on 05/20/26, 05/27/26, 06/03/26, 06/10/26, 06/17/26,… […]