Health inspection·October 29, 2025

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to readmit one of five residents (Resident #1), immediately, or to the next available bed after the hearing officer determined the discharge was inappropriate. The ADM failed to allow Resident #1 to return to the facility when the hearing officer determined Resident #1's discharge was inappropriate and Resident #1 won his discharge appeal. This failure could place residents at risk of not receiving the appropriate care and services to maintain their highest practicable well-being and at risk of a diminished quality of life.The findings included:Record review of Resident #1's face sheet dated 10/28/25 revealed a [AGE] year-old male with an admission date of 04/17/23 and a discharge date of 04/11/25. Resident #1's pertinent diagnosis included bipolar disorder (a chronic mental health condition characterized by extreme mood swings between highs and lows). Record review of Resident #1's Quarterly MDS assessment dated [DATE] revealed a BIMS score of 14 which indicated his cognition was intact. Record review of Resident #1's comprehensive care plan dated 04/11/25 revealed the focuses [Resident #1] demonstrates verbally abusive behaviors daily toward staff and residents, 4/11/25 = UPDATE: Resident continues to be verbally abusive towards staff/residents calling them names, cursing at them, and I have a cognitive impairment due to: Bipolar Disorder. Record review of discharge notice given to Resident #1 dated 04/11/25 revealed Resident #1 was discharged from the facility effective 04/11/25 because his behavioral status endangers the safety of individuals in the facility. Further review revealed Resident #1 had the Right to Appeal: as outlined in the Department of Human Services' Fair Hearings Fraud and Civil Rights Handbook, you have a right to appeal to the Facility's decision to discharge you. Record review of Fair Hearing document on Resident #1's discharge date d 07/28/25 revealed the Lead Hearings Officer gave the following instructions to the facility: Instructions: In accordance with this decision, [facility] is instructed to allow Appellant to remain in, or immediately be re-admitted back into, its facility, if the Appellant and his representative so desire, and not transfer or discharge the Appellant from the facility. Record review of the Action Taken on Hearing Decision document produced by the facility dated 08/08/25 revealed the facility stated there was no action required because Facility does not have an attending physician that will accept resident back into facility. In an interview with the MD at 4:20 PM on 10/28/25, the MD stated he was the medical director and primary physician for every resident at the facility. The MD stated he had taken care of Resident #1 at the facility before his discharge on [DATE]. The MD stated Resident #1 was extremely disruptive while he was a resident at the facility and he did not want to treat him anymore. The MD stated he recommended Resident #1 go to a behavioral facility. The MD stated he did not want Resident #1 back at the facility. The MD stated there were no other doctors that he knew of around the facility that could treat Resident #1. In an interview with the DON at 10:01 AM on 10/29/25, the DON stated Resident #1 was involved in a lot of incidents at the facility including threatening physical violence against both (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: 675796 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 675796 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/29/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Meridian Care of Hebbronville 606 W Gruy Hebbronville, TX 78361 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)