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Complaint Investigation

Edinburg Nursing And Rehabilitation Center

January 1, 2026 · Edinburg, TX · 5215 S Sugar Rd
Citations 2
CMS Rating 3/5
Beds 120
Provider ID 675785
Healthcare Facility
Edinburg Nursing And Rehabilitation Center
Edinburg, TX  ·  View full profile →
Inspection Summary

Edinburg Nursing and Rehabilitation Center in Edinburg, TX — inspection on January 1, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/30/2025 at 8:50 a.m. the DON stated she did not notify the Administrator that Resident #1 was brought back to the facility by a police officer.

The DON stated the Administrator was out on vacation and did not want to bother her.

The DON stated that since Resident #1 was returned safe and with no injuries, she felt there was no need to notify the Administrator.

During an interview on 01/01/2026 at 3:00 p.m., the Administrator stated that on 11/17/2025, she was not notified Resident #1 had been returned to the facility for being lost.

The Administrator stated it was not until days later that the DON mentioned the incident.

The Administrator stated she felt she did not report the incident to HHSC for the same reasons the DON did not notify her; Resident #1 had returned to the facility safely.

The Administrator said that on 12/06/2025, the HRC notified her that the resident had left the building in his own vehicle.

The Administrator initiated a code purple, the code used to notify staff there was a resident missing.

The Administrator said that at 6:45 p.m., she received a call from a nearby nursing facility reporting they had Resident #1.

The nearby facility was approximately 0.6 miles away.

The Administrator said she sent three staff members to bring Resident #1 back to the facility.

One of the three staff members drove Resident's truck back to the facility.

The Administrator stated that Resident #1 had arrived at that other facility because he was confused as to which facility he was a resident of.

The Administrator stated that Resident #1's RP had his truck picked up after the incident.

The administrator stated that it was best that Resident #1 did not have a vehicle on premises because Resident #1 could hurt himself or others while driving. Resident #1 could become confused and cause an accident.

Record review of TULIP (Texas Unified Licensure Information Portal) did not reflect a facility reported incident that corresponded to the allegations in the incident described above. TULIP is a web-based program used by facilities to report incidents involving residents. HHSC then takes that information and performs an investigation into those incidents reported.

Record review of facility policy titled, Abuse, Neglect, and Exploitation dated 8/15/22, revealed:VII.

Reporting/Response1.

Reporting all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes:b.

Not later 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/01/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Edinburg Nursing and Rehabilitation Center

5215 S Sugar Rd Edinburg, TX 78539

SUMMARY STATEMENT OF DEFICIENCIES

During an interview via telephone on 01/01/2026 at 4:02 p.m., the DA was able to verbalize understanding of the following in services received: Out on Pass Protocol and Elopement Protocol and Receptionist Competency-Front Door Safety and Resident Sign-Out Verification.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Edinburg, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Edinburg Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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