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Complaint Investigation

Hidalgo Nursing And Rehabilitation Center

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 676346
Location EDINBURG, TX
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Inspection Findings

F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

saturation levels were fine, and Resident #1 did not have any shortness of breath. RT J stated had there been an emergency, 911 would have been called. RT J stated a negative outcome could have been that Resident #1's respirations levels and saturation levels could have been low, and Resident #1 could have had shortness of breath.Interview on 11/19/25 at 9:20 am, RT C stated Resident #1 required respiratory treatments such as nebulizer treatments, continuous oxygen and the use of BIPAP machine. RT C stated Resident #1 had those treatments upon admission. RT C stated he received report in the morning from the night shift RT. RT C stated that RT J had stated to him that Resident #1 used the BIPAP machine up until 2-3:00 am but then the machine malfunctioned. RT C stated that RT J informed him that Resident #1 was then placed on oxygen and was fine throughout the rest of the morning. RT C stated there is a backup BIPAP machine in the respiratory storage room. RT C stated all RTs are aware of the backup BIPAP machine because the BIPAP machine needs to be checked for functionality at the beginning and end of every shift. RT C stated that once the BIPAP machine has been checked, there is a sign off sheet that is signed by the RT. RT C stated that a negative outcome for a resident not using the BIPAP could cause a resident to become short of breath. RT C stated that the BIPAP machine is used to get rid of carbon dioxide

in the body and helps the resident breath better. RT C stated that high levels of carbon dioxide in the body could cause increased sleepiness, confusion and other health problems. Interview on 11/19/25 at 10:54 am, RN F stated he was given report at the beginning of his shift from RT C that Resident #1 had not slept with the BIPAP machine. RN F stated he was told that the BIPAP machine had malfunctioned. RN F stated there is a backup BIPAP machine in the storage room. RN F stated nurses and RTs are in-serviced (trainings) on the back-up BIPAP machine. RN F stated having a BIPAP machine is a doctor's order and all doctor's orders need to be followed. RN F stated the BIPAP machine helped Resident #1 expand his lungs and prevent desaturation (drop in oxygen levels).Interview on 11/19/25 at 2:37 pm, the DON stated there was a back-up BIPAP machine available for Resident #1 for the night of 08/26/25. The DON stated that all nurses and RTs were aware of where the back-up BIPAP machine was located. The DON stated that there was no negative outcome because Resident #1 did not have any issues. The DON stated that there would not have been a negative outcome because nothing happened to Resident #1. Interview on 11/19/25 at 3:03 pm, the Administrator stated he did not know why RT J would have said he was not aware there was a back-up BIPAP machine. The Administrator stated there is always a back-up BIPAP machine for the reasons of malfunction. The administrator stated the facility also had another machine available that worked as a BIPAP and a ventilator. The administrator stated there was no excuse for Resident #1 to not have had

a BIPAP machine. Record review of facility's policy Notification of Changes dated 10/24/22 revealed, Circumstances requiring notification include: 3. Circumstances that require a need to alter treatment. This may include: b. Discontinuation of current treatment due to: i. Adverse consequences

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📋 Inspection Summary

HIDALGO NURSING AND REHABILITATION CENTER in EDINBURG, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 HIDALGO NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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