Mcallen Nursing Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
not liked that Resident #1 had done that especially to a nurse. He said he stood up and was between the other resident (Resident #1) and the nurse when Resident #1 pushed him. He said the nurses stopped it.
He said he would never start a fight, but if the other resident had hit him, he would have finished it. Resident #2 stated he was not at the facility to fight, but Resident #1 pushed a woman and he had not liked it. During
an interview on 08/17/2025 at 04:30 pm, RN A stated if a resident would be aggressive verbally or physically with her, she would step back and try to calm the resident down. She said if the resident would not calm down, she would give the resident more space to try to calm him down. RN A stated she was not afraid of Resident #1, but she was sure some of the other residents were. She said he was difficult to deal with when he would get upset about things like not getting a cigarette whenever he wanted one. RN A stated Resident #2 was easy going and she never had any problems with him. During an interview on 08/17/2025 at 04:50 pm, The SW stated when she was notified of a resident-to-resident altercation, she would notify the administrator, would interview the residents involved once a day for 72 hours, and document the altercation and the interviews in PCC (electronic health record). The SW stated the administrator notified her of the altercation between Resident #1 and Resident #2. She said she followed protocol. During an interview on 08/17/2025 at 05:13 pm, the DON stated LVN B no longer worked at the facility. LVN B was one of the nurses working when the resident-to-resident occurred. In an attempted
interview on 08/17/2025 at 05:15 pm, LVN C was not reachable. Her voice mailbox was full. No voicemail left. LVN C was the nurse who was involved with the resident-to-resident altercation. In an attempted
interview on 08/17/2025 at 05:21 pm, LVN D was not reachable. A voicemail was left. There was no return call. In an attempted interview on 08/17/2025 at 05:22 pm, LVN E was not reachable. A voicemail was left.
There was no return call. During an interview on 08/17/2025 at 05:30 pm, the DON stated for a resident-to-resident altercation, skin, vital signs, what the nurse did, how it happened, residents involved, that the residents were separated, etc., were to be documented on. The DON stated she could guess what happened and why there were no notes in Progress Notes about the resident-to-resident altercation between Resident #1 and Resident #2. She said the nurse's notes had not transferred over from the Incident Report the nurse completed for the resident-to resident altercation. The DON could not produce
the incident report written by LVN C. Record review of facility's policy Clinical Document Guideline dated original date 03/14/2022, revised dated 03/25/2014, and reviewed date of 02/14/2020 revealed: PolicyThe patient's clinical record provides a record of the health status, including observations, measurements, history, and prognosis which serves as the primary document describing healthcare services provided to
the patient.Fundamental InformationThe clinical record is used by the healthcare team to record, preserve, and to communicate the patient's progress and current treatment.DocumentationClinical record progress notes, physician orders, flow records.
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MCALLEN NURSING CENTER in MCALLEN, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 MCALLEN, 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 NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.