Health inspection·January 29, 2026

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 observations, interviews, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for 1 (Resident #1) of 5 residents reviewed for dignity.The facility failed to ensure CNA A did not stand while assisting Resident #1 with lunch on 01/27/26.This failure could place the residents at risk of not having the right to a dignified existence maintained.The findings included:Record review of Resident #1's face sheet dated 01/27/26 reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE] with diagnoses that included: Alzheimer's disease (progressive mental deterioration), chronic kidney disease (kidney failure), generalized muscle weakness, dysphagia (difficulty swallowing), cognitive communication deficit, and need for assistance with personal care. Record review of Resident #1's care plan dated 01/27/26 reflected [Resident #1] had an ADL self-care performance deficit related to diagnosis. Interventions: for eating - required total assistance by 1 staff to eat. Date initiated: 10/07/25.Record review of Resident #1's quarterly MDS assessment dated [DATE] reflected a BIMS score of 2, which indicated her cognition was severely impaired. Resident #1's functional ability for eating (the ability to use utensils to bring food and/or liquid to mouth and swallow food and/or liquid once the meal is placed before the resident) was partial/moderate assistance (helper does less than half the effort, helper lifts, holds, or supports trunk or limbs, but provides less than half the effort).During an observation on 01/27/26 at 12:30 PM, CNA A was observed feeding Resident #1 while CNA A stood to the left of Resident #1. CNA A stood on Resident #1's left side until ADON C moved a chair behind CNA A, then CNA A sat down next to Resident #1 at about 12:34 PM.In an interview and observation on 01/27/26 at 1:00 PM with Resident #1, she was not interviewable. Resident #1 was not injured or in distress. In an interview on 01/27/26 at 1:30 PM, CNA A said the facility's protocol when assisting a resident with their meals was for the CNA to be sitting at the resident's level while feeding them. CNA A said she fed Resident #1 lunch today, 01/27/26, and had a chair behind her but did not have a chance to sit down before she started feeding Resident #1. CNA A said she was trained in feeding the residents and that it was important for them to sit down when feeding them, not stand. In an interview on 01/27/26 at 4:00 PM, ADON C said Resident #1 required assistance with all her meals. ADON C said staff were required to sit at the resident's level when feeding them. ADON C said staff should not be standing next to the resident while feeding them to prevent aspiration and to maintain their dignity. ADON C said she saw CNA A standing next to Resident #1 while feeding her lunch today, 01/27/26. ADON C said the chair was behind CNA A, so she reminded her to sit down. ADON C said there was no incident or negative outcome for Resident #1. ADON C said Resident #1 required assistance for eating, but not because she was at risk of aspiration, rather so that staff could cue her and to promote protein intake. ADON C said staff should have been sitting at Resident #1's level while Page 1 of 2 676042 676042 01/29/2026 McAllen Transitional Care Center 2109 South K St MC Allen, TX 78503

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few assisting with feeding to promote and maintain her dignity. ADON C said staff were in-serviced on resident rights and to sit while feeding residents. In an interview on 01/29/26 at 10:55 AM, the DON said residents that required assistance with their meals were fed by CNAs/nursing staff. The DON said there was no negative outcome or incident with Resident #1 on 01/27/26 as a result of CNA A feeding Resident #1 while standing during lunch. The DON said if a CNA fed a resident while standing next to them, it was a dignity issue as part of their resident rights. The DON said Resident #1 was not at risk of injury, but she might have felt uncomfortable or rushed. The DON said the staff were in-serviced on resident rights and how to feed the residents sitting down. Record review of the facility's Resident Rights, Dignity and Respect policy, dated 10/2015 reflected:Policy: It is the policy of this facility that all residents be treated with kindness, dignity and respect. Procedures: 1. The staff shall display respect for residents when speaking with, caring for, or talking about them, as constant affirmation of their individuality and dignity as human beings. 676042 Page 2 of 2