Health inspection·February 8, 2024

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect and exploitation of resident and misappropriation of resident property for one (resident #1) of 2 residents reviewed. Residents Affected - Few Facility staff failed to notify administration when Resident #1 contacted the police notifying them that facility staff was not responding to his call light when he was calling for help because he had fallen from his bed. This failure could place residents at risk of injury or neglect. Findings included: Record review of Resident #1's admission Record dated 2/8/24 revealed a [AGE] year-old male admitted on [DATE] with diagnoses of Type 2 Diabetes Mellitus, Muscle Weakness (generalized), Difficulty in walking, not elsewhere classified, Paraplegia (paralysis of the legs and lower body, unspecified, Need for assistance with personal care, Colostomy status (opening for the colon, or large intestine, through the abdomen). Record review of Resident #1's MDS dated [DATE] revealed a BIM score of 15 which indicated his cognition was intact. Record review of Resident #1's MDS Section G dated 9/7/23 revealed; Bed Mobility resident required extensive assistance, 2-person physical assist and for dressing the resident required extensive assistance, 1 person physical assist. Record review of Resident #1's Progress Note dated 9/22/23 revealed a discharge summary. The summary indicated he had been discharged from the facility. Record review of a local Police Department Summary Report revealed an incident called in to the police department on 9/17/23. The report reflected that on 9/17/23 Resident #1 called the police department because he had fallen from his bed and was not able to get assistance from facility staff. The report also reflected that a police officer was sent to investigate and spoke with both Resident #1 and the charge nurse on duty. The report reflected there were no injuries to Resident #1 and he refused medical attention. Record review of Resident #1's progress notes dated 9/17/23, 9/18/23, 9/19/23, revealed no documentation of this incident. (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 2 Event ID: 676042 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 676042 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/08/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE McAllen Transitional Care Center 2109 South K St MC Allen, TX 78503 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)