Inspection·February 3, 2026

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few (paralysis affecting one side of the body) and hemiparesis (weakness or reduced motor function on one side of the body) following cerebral infarction (occurs because of disrupted blood flow to the brain due to problems with the blood vessels that supply it) affecting the right dominant side, contracture (permanent tightening and shortening of muscles, tendons, skin, or other tissues that restricts normal movement of a body part), muscle weakness, lack of coordination, dementia (severe loss of cognitive functions including memory, language, reasoning, and behavior that was significant enough to interfere with a person's daily life and functional independence), and mood disorder. Record review of Resident #2's Quarterly MDS dated [DATE] reflected a BIMS score of 14 which indicated Resident #2's cognition was intact. Resident #2 required substantial/maximal assistance for self-care of lower body dressing and putting on/taking off footwear. Resident #2 required partial/moderate assistance for toileting hygiene, shower/bathe self, and upper body dressing and required setup or clean-up assistance with eating and oral hygiene. Record review of Resident #2's comprehensive care plan reflected Resident #2 had the potential for falls related to CVA, dementia, and R sided weakness in UE/[NAME] Date Initiated: 08/12/2025 Revision on: 08/25/2025. Interventions: Educate the resident/family/caregivers about safety reminders and what to do if a fall occurs.Date Initiated: 08/12/2025 Encourage socialization and activity attendance as tolerated. Date Initiated: 08/12/2025 Encourage the resident to participate in activities that promote exercise, physical activity for strengthening and improved mobility. Date Initiated: 08/12/2025 Fall Risk Screening upon admission and quarterly to identify risk factors. Date Initiated: 08/12/2025 Place the resident's call light was within reach and encourage the resident to use it forassistance as needed. Date Initiated: 08/12/2025Record review of the facility's incident/accident report from dates 11/2/2025 to 1/22/2026 revealed Resident #2 had witnessed falls on 11/14/2025, 12/16/2025, and 12/30/2025 that were not reflected on Resident #2's care plan. During an interview on 2/3/26 at 4:55 p.m., the MDS/RN said per the corporate consultant they no longer update care plans with dated interventions. The MDS/RN said staff used the information located on the incident reports, progress notes, post-fall evaluations, and neuro check forms to provide information on interventions done and any updates to interventions. The MDS/RN said after hearing the Fall Management System Policy, she feels the work was done but the facility just did not complete the dates in the care plan. The MDS/RN said she did care plan reviews quarterly, annually and when there was a significant change in condition. The MDS/RN said dated interventions were not added after each fall, especially if there was no injury or significant change in condition. The MDS/RN said she did not feel that not having the fall dates reflected in the residents' care plan would cause any adverse outcomes because staff had access to the care plans, but they choose to use the information they receive from the 24-hour report and previous progress notes.During an interview on 2/3/26 at 5:05 p.m., the DON said staff learn of changes to interventions during in-services provided after a fall or with the incident report. The DON said care plans were updated when an incident occurs or as needed by any IDT staff. He said after a resident had a fall, the MDS, ADON, or DON would usually updated the care plans. He said if new interventions were implemented, they would update the care plan. He said if care plans were reviewed and no updates were needed, the care plan was updated to reflect that. He said falls without injuries would be updated in the care plans if they needed interventions. The DON said after hearing the Fall Management System Policy, it meant each fall must be documented, reviewed, and interventions updated in the care plan. The DON said they should place a fall date on the care plan, it was in the policy that staff were supposed to. The DON said he did not recall the regional consultant ever mention the fall dates were not supposed to be documented on the care plans. Record review of facility's Fall Management System policy with revised date of (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455560 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 455560 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/03/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE McAllen Nursing Center 600 N Cynthia St McAllen, TX 78501 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete 02/19/2021 reflected: Policy:It is the policy of this facility that each resident will be assessed to determine his/her risk for falls, and a plan of care implemented based on the resident's assessed needs.Procedure: .A. Identifying residents at risk for falls.3. A care plan is implemented for residents at risk for falls.5. Preventive interventions are reviewed, evaluated and implemented to reduce the reoccurrence of falls. D. Documentation requirements for residents sustaining a fall.4. Documentation in the nurse's notes and/or care plan will reflect interventions attempted.8. An Administrative nurse will ensure that the resident's plan of care is revised to reflect each fall and interventions that were implemented. Event ID: Facility ID: 455560 If continuation sheet Page 3 of 3