Inspection visit
Inspection
1 citation recorded
Inspector’s narrative
What the inspector wrote
This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure the resident was treated with respect
and dignity and care in a manner and in an environment that promotes maintenance or enhancement of his
or her quality of life, recognizing each resident's individuality for 1 (Resident #1) of 7 residents reviewed for
dignity and respect, in that: LVN A spoke to Resident #1 in front of other residents, in the dining room,
about Resident #1 sitting in the dining room in his underwear, making Resident #1 feel embarrassed. This
failure could place residents at risk for embarrassment, isolation, and possible depression.The findings
include: Record review of Resident #1's Face Sheet dated 09/30/25 documented a [AGE] year-old male
admitted to the facility on [DATE] with the diagnoses of: Muscle Wasting and Atrophy(The loss of skeletal
muscle mass.) , Heart Failure (A chronic condition in which the heart doesn't pump blood as well as it
should.), Type 2 Diabetes (A chronic condition in which the body does not use insulin properly or does not
produce enough insulin), Hypertension (a condition where the force of blood against the artery walls is
consistently too high.), Chronic Obstructive Pulmonary (disease a group of lung diseases that cause airflow
obstruction and breathing problems). Record review of Resident #1's Care Plan Dated 09/30/25 revealed
requires assistance with activities of daily life, is at risk for shortness of breath related to Chronic
Obstructive Pulmonary Disease, at risk for injury related to alteration in vision, at risk for falls, being treated
for my hyperlipidemia and encourage to exercise and the resident is encouraged to participate in activities
that will not depend on major physical exertion and encourage to get out of bed daily. Record review on
09/30/25 of Resident #1's MDS dated [DATE] revealed resident had a BIMS score of 15 which indicated
intact cognition, meaning the individual's cognitive function, including memory and orientation, appears
normal and unimpaired according to the scale's criteria. The Functional Abilities section indicated resident
was independent no need for assistance. Record Review of Resident #1's progress note dated 09/06/25
revealed CNA B was concerned with Resident #1's sadness and depressed demeaner so CNA B asked
Resident #1 what was wrong and Resident #1 stated he did not want to discuss anything with CNA B. The
weekend manager was the SSA and she was notified of the incident that occurred between LVN A and
Resident #1 that day. The incident involved LVA A who told Resident #1 in front of the other residents that
he was wearing underwear briefs to bingo and needed to go change. The SSA was prompt in addressing
the incident so it could be further investigated. In an interview on 09/30/25 at 2:30 PM with the Abuse
Coordinator/ Administrator she stated Resident #1 was approached by a LVN A and Resident #1 was
asked if he knew he had no pants on. The AC/Admin stated LVN A preceded to ask Resident #1 if he could
go put on some clothes over his underwear briefs because there were female residents present in the
dining room playing bingo. Resident#1 was helped to his room, and he never returned to the dining room
that day. The AC/Admin stated she followed up on Resident#1 the next day to see if he had any issues with
the way he was approached and he stated he had forgotten
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 3
Event ID:
455455
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
455455
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/03/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Meridian Care of Alice
218 219 N King St
Alice, TX 78332
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
about it and was water under the bridge. The AC/Admin Stated she went a second time to follow up on the
resident and he was fine and had no issues with staff or facility. In an Interview on 09/30/25 at 2:51 PM LVN
A she stated the residents were playing bingo and Resident #1 was sitting playing in his underwear. LVN A
stated she went up to Resident #1 and asked him if he knew that he had no pants. LVN A stated Resident
#1 said he knew he did not have pants. LVN A asked Resident #1 if he could go put some pants on. LVN A
stated Resident #1 was escorted to the room, and he never came back. LVN A stated she told him there
were female resident in the dining room and Resident #1 said he did not care. LVN A stated she probably
should have told him in a more privately manner instead of in front of the whole table. LVN A said she had
not approached another resident in that manner again since the one incident in the dining room with
Resident #1. LVN A stated she has a good rapport with Resident#1 and there was no ill will between them.
The last time they had a training on Resident Rights was about 4 to 6 months ago. In an interview 09/30/25
4:41 PM with the Social Services Assistant she was the manager on duty that day doing rounds the CNA B
had a concern with the Residents #1 and a LVN staff member. CNA B stated LVN A yelled at Resident #1
about him not wearing pants in the dining room with other residents playing bingo. The SSA stated
Resident #1 told her about what LVN A had done and LVN A was just doing her job. The SSA stated the
other residents in the dining room thought they were shorts and had no problem with him in the dining room
dressed that way. The SSA stated Resident#1 told her he felt belittled after the LVN A spoke to him, so he
went to his room. The SSA stated Resident #1 told her he had no clothes that fit him at the time of the
incident and had called a family member to bring him clothes that fit. The SSA stated the Resident #1 might
have thought he was wearing shorts and thought it was ok to wear. The SSA stated only the LVN nurse
realized he was wearing was underwear in the dining room, but no one playing bingo had a problem with
what he was wearing. The SSA stated no other incidents had occurred with LVN A and other residents
being spoken to in this manner. The SSA stated Resident#1 was only staying in the facility for a short time
for skilled nursing and had since moved to his apartment. The SSA could not say if he ever did activities
again but was around the facility walking in the halls. The SSA stated no mental anguish, or distress was
noted from the residents several days after the incident occurred. In an interview on 09/30/2025 at 5:02 PM
CNA B he stated when he went to Resident's #1's room and he notices that everything was dark in the
room, and he was upset. Resident #1 told him the LVN A told him in the dining room in front of other
residents from across the table he needed to leave because he was not fully dressed. CNA B stated
Resident #1 was not hard of hearing and maybe could have whispered it to him more privately. CNA B
stated normally the resident was a very outgoing person and could tell the resident was upset. CNA B
stated the next two days Resident #1 was not coming out of his room and then he got covid, so he had to
stay in his room until he was out quarantine for 7 days. CNA B stated he did not know of any other incidents
with the LVN A involved in the incident or the resident with any other resident or staff member. CNA B
stated he Received dignity training on 09/22/25 along with other staff members. In an interview 10/01/25 at
9:06 PM with the Activities Assistant (AA) he stated the residents were playing bingo and the nurses were
coming in to check vitals for some residents and because of this did not realize the incident with
Resident#1 was in underwear and he thought they were shorts. The AA stated Resident #1 stated to him
the nurse told him from across from across the table in front of other residents about how he was dressed.
The AA stated he saw Resident #1 leave immediately after LVN A spoke to the resident and the resident
never returned. The AA stated after some time had passed CNA B was pulled aside asked if he had
observed what had occurred and he stated to the Administrator and DON that he did not observe or know
what had occurred. The AA stated none of the
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
455455
If continuation sheet
Page 2 of 3
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
455455
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/03/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Meridian Care of Alice
218 219 N King St
Alice, TX 78332
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
residents had made a comment about what he was wearing. The AA stated Resident #1 mannerism before
the incident was good. The AA observed Resident #1 was being social, taking to residents and playing
bingo. The AA stated when Resident #1 left and did not say anything about what occurred with the LVN A.
The AA stated she did not see Resident#1 after the incident because Resident #1 tested positive for covid.
The AA said if he would have known what was occurring, he would have gone to the activity's director and
the administrator Immediately to report the incident. The AA stated his last training on resident's rights was
one month ago when he was hired. The AA was able to identify the abuse coordinator as the administrator.
The AA was able to describe the different types of abuse and what the steps are to report abuse. In an
interview on 10-01-25 at 9:41 AM with Resident #1 he stated he was playing bingo and the LVN A was
going to do finger stick to check his blood sugar when she asked him in front of the whole table why was he
in his underwear in the dining room. Resident #1 stated after the LVN A said this I felt like crap! Resident #1
stated none of the resident's playing bingo complained about what he was wearing or even realized he was
in his underwear. Resident#1 stated he just felt comfortable in what he was wearing and maybe he should
not have gone to the dining room dressed this way. Resident #1 stated he did not want to get anyone in
trouble, and he had put it past him and had a great stay in the facility. Record review of the facility's policy
titled, Quality of Life - Dignity, revised 08/2009, revealed: 1. Residents shall be treated with dignity and
respect at all times.
Event ID:
Facility ID:
455455
If continuation sheet
Page 3 of 3
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Back to topCitations
1 citation recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F550 - Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
FAQ · About this visit
Common questions about this visit
What happened during the December 3, 2025 survey of MERIDIAN CARE OF ALICE?
This was a inspection survey of MERIDIAN CARE OF ALICE on December 3, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at MERIDIAN CARE OF ALICE on December 3, 2025?
Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her right..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.