Meridian Care of Hebbronville

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from any significant medication errors for one of five residents (Resident #5) reviewed for medication errors. 1. The facility failed to hold Resident #5's losartan (blood pressure medication) when Resident #5's blood pressure was outside of physician's parameters on November 6th and 26th of 2025. 2. The facility failed to hold Resident #5's hydralazine (blood pressure medication) when Resident #5's blood pressure was outside of physician's parameters on November 2nd, 6th, 17th, and 26th of 2025. This failure could place residents at risk for complications such as increased blood pressure, exacerbation of symptoms, and potential hospitalization.The findings include:Record review of Resident #5's face sheet, dated 12/02/25, reflected an [AGE] year-old male with an original admission date of 06/11/14 and a current admission date of 11/10/20. Resident #5's pertinent diagnosis included essential hypertension (high blood pressure…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain medical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 2 of 5 residents (Resident #13 and Resident #36) reviewed for documentation. The facility failed to ensure LVN A documented relevant information (redness/rash to abdomen) and did not document incorrect information (dependence on staff for eating due to tube feeding) on Resident #13's admission Nursing Assessment form dated 11/26/25. The facility failed to ensure LVN B documented relevant information (presence of arterial ulcers, pressure ulcer, abrasion, and redness/rash to abdomen) and did not document incorrect information (reason for skilled services: PEG tube, the presence of an IV and enteral (tube) feeding, and dependence on staff for eating due to tube feeding) on Resident #13's Daily Skilled Nurses Notes form dated 11/27/25, 12/02/25, and 12/03/25. The facility failed to ensure…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 5 residents (Resident #38) whose care plans were reviewed. The facility failed to ensure Resident #38's call light was within reach at all times while in his room, as stated in the care plan. This deficient practice could place residents in the facility at risk of not being provided with the necessary care or services, and the implementation of personalized plan of care developed to address their specific needs. The findings included: Record review of Resident #38's face sheet dated 12/03/25 reflected a [AGE] year-old male with an original admission date of 05/13/17. Diagnoses included dementia (progressive loss of intellectual functioning, thinking, remembering, and reasoning skills), blindness to right and left eye, Alzheimer's disease (generalized degeneration of the brain), and schizophrenia (serious mental health condition that affects how people think, feel…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, physicians orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 5 residents (Resident #9) reviewed for respiratory care. The facility failed to ensure LVN A transcribed a physician's telephone order during her shift for oxygen at 2 Lpm as needed to maintain oxygen levels above 90% into PCC for Resident #9. This deficient practice could place residents at-risk for insufficient or inappropriate care due to other staff not being aware the physician's order existed. The findings include:Record review of Resident #9's face sheet, dated 12/02/25, reflected an [AGE] year-old female with an original admission date of 01/13/19 and a current admission date of 04/02/19. Resident #9's pertinent diagnosis included unspecified dementia without behavior disturbance (a diagnostic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

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…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure that one of five residents (Resident #1) reviewed for transfer or discharge had the required contents in the written notice. The facility discharged Resident #1 on 4/11/25 without including a specific location where Resident #1 was going after discharge. This failure could put residents at risk for inappropriate discharge from the facility.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…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a resident who is fed by enteral means receives the appropriate treatment and services to prevent complications for one of one resident (Resident #8) reviewed for enteral feeding tubes. The facility failed to ensure staff followed physician ordered water flushes before and after medication administration given via the G-Tube for Resident #8. This failure could place residents at risk of tube obstruction and a decrease in hydration. Findings include: Record review of Resident #8's admission Record revealed an [AGE] year-old male originally admitted on [DATE] and most recently admitted on [DATE]. His diagnoses included G tube status (tube inserted into the stomach for feeding, medication administration, and/or hydration), dysphagia (difficulty swallowing), and cerebral infarction due to thrombosis (stroke due to blood clot in the brain). Record review of Resident #8's quarterly MDS dated [DATE] revealed a BIMS score of 12 which…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure that its medication error rate was not 5% or greater. The medication error rate was 33.33% based on 10 errors out of 30 opportunities for 2 (Resident # 26 and Resident #6) of 3 residents observed for medication administration in that: 1. The facility failed to ensure that MA B did not mix eight crushed medications in one pill cup for Resident #26. 2. The facility failed to ensure that MA B did not incorrectly hold medications based on administration parameters for Resident #6. These failures could place residents at risk for not receiving the intended therapeutic effects of their medications and could contribute to possible adverse reactions. The findings included: 1. Resident #26 Record review of Resident #26's admission Record revealed an [AGE] year-old female admitted to the facility on [DATE]. Her diagnoses included: dysphagia (difficulty swallowing), Alzheimer's disease (brain disorder that causes memory loss and other…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections, for one resident (Resident #4) of two residents observed for infection control practices during wound care in that: 1.) The facility failed to ensure LVN A performed hand hygiene for at least 20 seconds during and after wound care for Resident #4. This failure could place residents that require assistance with personal care at risk for healthcare associated cross-contamination and infections. The findings included: Record review of Resident #4's Face Sheet dated 9/4/24 reflected a [AGE] year-old male with an original admission date of 12/10/22. His diagnoses included dementia (decline in cognitive abilities that affects a person's ability to perform everyday activities), chronic obstructive pulmonary disease (ongoing lung…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.