McAllen Transitional Care Center

Name: McAllen Transitional Care Center
Address: 2109 South K Street, McAllen, TX, 78503, US
Telephone: 9566869100

2109 South K Street, McAllen, TX 78503 · Hidalgo County · 100 certified beds · avg 86 residents/day · certified since Jan 20, 2005

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

$8,827

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jul 31, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Aug 1, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 11, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 11, 2026	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 12, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 31, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 8, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 29, 2023	E · Potential for harm, repeated	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Sep 29, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	E
2024	4	1	J ▲
2025	4	0	D
2026	6	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,827.

Date	Type	Amount / length
Jul 31, 2024	Fine	$8,827

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.61	3.46	3.95	top 29% in Texas; bottom 42% in the U.S.
Registered Nurse hours	0.45	0.44	0.69	top 35% in Texas; bottom 30% in the U.S.
Weekend total nurse staffing	3.12	3.04	3.50	top 33% in Texas; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.34	0.48	top 43% in Texas; bottom 35% in the U.S.
Total nursing staff turnover (%)	32.1	55.3	45.8	top 8% in Texas; top 18% in the U.S.
RN turnover (%)	20.0	54.6	42.9	top 6% in Texas; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.46, weekend 3.21. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Fannin County Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2023
Barrera, Ediel	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2023
Barrera, Ediel	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Barrera, Ediel	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2016
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Klement Healthcare INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Klement Healthcare INC	Organization	ADP of the SNF	NOT APPLICABLE	09/24/2025
National Health Investors, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Pena, Jose	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/2023
Pena, Jose	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2023
Pena, Jose	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2023
Sanderson, Clark	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Texas Nhi Investors, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Windsor Las Palmas Nursing and Rehabilitation Cent	0.2 mi	McAllen, TX	★★★★★	5/5
Alfredo Gonzalez Texas State Veterans Home	0.7 mi	McAllen, TX	★★☆☆☆	2/5	abuse
Grand Terrace Rehabilitation and Healthcare	1.4 mi	McAllen, TX	★★★★★	5/5
Windsor Nursing and Rehabilitation Center of McAll	1.7 mi	McAllen, TX	★★★☆☆	4/5
McAllen Nursing Center	1.8 mi	McAllen, TX	★★☆☆☆	2/5
San Juan Nursing Home, INC.	3.5 mi	San Juan, TX	★★★★☆	4/5
Village Healthcare and Rehabilitation	3.7 mi	McAllen, TX	★★★☆☆	2/5	abuse
Colonial Manor Advanced Rehab & Healthcare	4.3 mi	Pharr, TX	★☆☆☆☆	2/5
Briarcliff Nursing and Rehabilitation Center	4.7 mi	McAllen, TX	★☆☆☆☆	2/5	abuse
Edinburg Nursing and Rehabilitation Center	5.3 mi	Edinburg, TX	★★☆☆☆	3/5
The Heights of Alamo	5.4 mi	Alamo, TX	★★★★★	4/5
Hidalgo Nursing and Rehabilitation Center	5.8 mi	Edinburg, TX	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in McAllen →

Facility data as of CMS processing date 2026-08-01. CCN 676042.

The Care File

Visit checklist — McAllen Transitional Care Center

2109 South K Street, McAllen, TX 78503 · 9566869100

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $8,827

Most serious findings on record:

▲ Jul 31, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676042 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)