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Complaint Investigation

Mcallen Transitional Care Center

November 25, 2025 · Mc Allen, TX · 2109 South K St
Citations 3
CMS Rating 5/5
Beds 100
Provider ID 676042
Healthcare Facility
Mcallen Transitional Care Center
Mc Allen, TX  ·  View full profile →
Inspection Summary

McAllen Transitional Care Center in Mc Allen, TX — inspection on November 25, 2025.

Found 3 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

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

resident within seven days of completion of the Resident Minimum Data Set (MDS) and will include resident's needs identified in the comprehensive assessment, any specialized services as a result of PASARR recommendation, and resident's goals and desired outcomes, preference for future discharge plan. 6.

The resident's comprehensive plan of care will be reviewed and/or revised by the IDT after each assessment, including both the comprehensive and quarterly review assessments.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

McAllen Transitional Care Center

2109 South K St MC Allen, TX 78503

SUMMARY STATEMENT OF DEFICIENCIES

an order must include the resident's name, dosage, frequency, route, and diagnoses to be considered complete. He said if an order was missing any of the above, it would be considered invalid. LVN D said if he discovered an order was not complete, he would have reached out to the resident's doctor to obtain the missing information. In an observation and interview on 10/13/25 at 5:06 pm, The DON said an order must include the resident's name, route of administration, frequency, dosage, and diagnosis to be considered a complete order.

The DON was observed reviewing Resident #3's electronic medical record and said Resident #3's order for a liquid protein and house supplement were missing route of administration.

The DON said it was the responsibility of the nurse that received the order to ensure it was complete.

The DON said the ADON facility had the responsibility of ensuring all orders received were complete.In an observation and interview on 10/14/25 at 9:20 am, the ADON-LVN said part of her responsibilities included to ensure all orders received were complete.

She said an order must include the resident's name, route of administration, frequency, dosage, and diagnoses to be considered a complete order.

She reviewed Resident #3's electronic medical record and said Resident #3 order for liquid protein was missing the route of administration and brand name.

She said Resident #3's order for house supplement was missing the route of administration, amount, and brand name.

She said there were no negative outcomes to Resident #3 not having a complete order for house supplement and liquid protein because, she it was administered as ordered.

Record review of the facility's Physician's Orders policy revised on 08/2022 reflected:Policy: It is the policy of this facility that drugs shall be administered only upon the written order of a person duly licensed and authorized to prescribe such drugs. It is the policy of this facility to accurately implement orders in addition to medication orders (treatment, procedures) only upon the written order of a person duly licensed and authorized to do so in accordance with the resident's plan of care.Procedure:7.

Orders for medications must include:A.

Name and strength of the drug.B. quantity or specific duration of therapy.C.

Dosage and frequency of administration.D.

Route of administration if other than oral; andE.

Reason or problem for which given.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

McAllen Transitional Care Center

2109 South K St MC Allen, TX 78503

SUMMARY STATEMENT OF DEFICIENCIES

residents with wounds and indwelling medical devices are at especially high risk of both acquisition of and colonization with MDROs).A. PPE: The use of gown and gloves for high-contact resident care activities is indicated, when contact precautions do not otherwise apply, for nursing home residents with:i. wounds and/or indwelling medical devices regardless of known MDRO infection or colonization.indwelling medical devices include, but not limited to central lines, peripherally inserted central catheter lines, urinary catheters, feeding tubes, and tracheostomies.

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 Mc Allen, 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 McAllen Transitional Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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