Mcallen Nursing Center
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
behaviors. LVN A said she administered all medications as ordered, just did not document or check off the medications on the MAR. LVN A said she did not know why, maybe she forgot to check off the MAR. LVN A said the facility instructed them in the past that it was her responsibility to ensure all the documentation was done. LVN A said it was important for documentation to be accurate to show if the resident was compliant with medications and to show the staff followed the orders. On 11/21/25 at 12:30 PM, in an interview with LVN B, she said she worked on 10/27/25 and 10/28/25 with Resident #1. LVN B said Resident #1 did not refuse his medications when she worked with him and he allowed her to do the blood sugar checks. LVN B said she did not have to notify the doctor of any abnormal findings and there were no other indications that Resident #1 had not been administered his medications as ordered. LVN B said she administered Resident #1's medications on 10/27/25 and 10/28/25, including the antianxiety medication and insulin, but possibly forgot to check off the MAR. LVN B said she was in-serviced on medication administration and documentation a few weeks ago. LVN B said she was told it was her responsibility to ensure documentation was completed before leaving for the day. LVN B said it was important for the MAR to be accurate, to ensure they gave Resident #1's medications appropriately, to not give double medications and to prevent medication errors. On 11/21/25 at 3:00 PM, in an interview with the DON, he said he reviewed the documentation and did not find the MARs to be checked off correctly for Resident #1. The DON said he spoke to the nurses and they all ensured that they administered the medication. The DON said he will be re-educating staff to ensure they check their MARs before leaving at the end of their shift. The DON said documentation was important to show whether the medications were given or not and why not. The DON said the expectation for staff was to ensure all documentation was accurate and completed. The DON said there were no negative outcomes for Resident #1 or indications that his medications were not administered as ordered, just not documented properly. Record review of the facility's Medication Administration policy dated 02/10/20 reflected - Purpose: to safely and accurately prepare and administer medication according to physician orders and patient needs. 9. Administration - document initials on MAR for each medication administered. 10. Patient refusal - circle initials on MAR and document refusal on back side of MAR. Record
review of the facility's Clinical Document Guidelines policy dated 02/14/20 reflected - Policy: the patient's clinical record provides a record of the health status, including observations, measurements, history and prognosis and serves as the primary document describing healthcare services provided to the patient.
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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.