Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Meridian Care Of Hebbronville during CMS and state inspections, most recent first.
A resident with bipolar disorder and intact cognition was not readmitted after a hearing officer ruled their discharge was inappropriate and ordered their return. The facility did not comply, citing the medical director's refusal to treat the resident and a lack of alternative physicians, and made no attempt to secure another provider. Staff interviews confirmed the decision was based on physician refusal, and no discharge policy was provided when requested.
A resident with bipolar disorder and intact cognition was discharged without the written notice specifying a clear discharge location, as required. The discharge notice only referenced 'Facility of choice' and did not provide a specific destination, and staff interviews confirmed the lack of clarity. No policy outlining proper discharge procedures was provided upon request.
A facility failed to ensure proper G-tube medication administration for a resident, as staff did not follow physician-ordered water flushes. The resident, with a history of dysphagia and cerebral infarction, required specific water flushes before and after medication administration. During an observed session, the LVN used only 10ml of water instead of the prescribed 60ml, risking tube obstruction and inadequate medication delivery. Interviews confirmed the importance of following these orders to prevent complications.
A long-term care facility reported a medication error rate of 33.33%, exceeding the acceptable threshold of 5%. Errors included a medication aide mixing crushed medications without a physician's order for a resident with severe cognitive impairment and holding medications based on incorrect parameters for another resident with moderate cognitive impairment. Interviews revealed a lack of adherence to proper medication administration protocols.
A resident with multiple health conditions, including a Stage 4 pressure sore, received wound care from an LVN who did not adhere to the recommended handwashing duration of 20 seconds. This failure in hand hygiene was confirmed by both the LVN and the DON, despite the facility's policy and CDC guidelines emphasizing its importance.
Failure to Readmit Resident After Inappropriate Discharge Determination
Penalty
Summary
The facility failed to readmit a resident after a hearing officer determined that the resident's discharge was inappropriate and ordered the facility to allow the resident to return. The resident, who had a diagnosis of bipolar disorder and intact cognition, was originally discharged due to verbally abusive behaviors and alleged endangerment to others. Despite the hearing officer's directive to readmit the resident, the facility did not comply, citing the refusal of the medical director and primary physician to treat the resident and a lack of other available physicians willing to accept the resident. Interviews with facility staff, including the medical director, DON, and administrator, confirmed that the decision not to readmit the resident was based on the physician's refusal to provide care and the absence of alternative physicians. The administrator acknowledged that no efforts were made to find another physician for the resident. Additionally, the facility was unable to provide a policy outlining proper discharge procedures when requested. The facility's response to the hearing decision stated that no action was required due to the lack of a physician to accept the resident.
Failure to Specify Discharge Location in Written Notice
Penalty
Summary
The facility failed to provide the required contents in the written discharge notice for one resident reviewed for transfer or discharge. Specifically, the discharge notice given to the resident did not include a specific location where the resident would be going after discharge. Instead, the notice stated 'Facility of choice' and indicated that if no location was selected, the social worker would assist in finding an appropriate placement. Interviews with the DON and ADM confirmed that the discharge notice was not clear about the resident's discharge destination, although the resident's home address was written at the top of the notice. Both staff members acknowledged the importance of specifying a clear discharge location to ensure the resident's safety. Record review showed that the resident had a diagnosis of bipolar disorder and was cognitively intact, as indicated by a BIMS score of 14. The resident's care plan noted ongoing verbally abusive behaviors. Despite a request, the facility was unable to provide a policy outlining proper discharge procedures, and the admission agreement signed by the resident did not contain the required discharge notice information. This lack of specific information in the discharge notice constituted a failure to meet regulatory requirements for discharge documentation.
Failure to Follow G-Tube Medication Administration Protocol
Penalty
Summary
The facility failed to ensure that a resident with a gastrostomy tube (G-tube) received the appropriate treatment and services to prevent complications. Specifically, the staff did not follow the physician's orders for water flushes before and after medication administration via the G-tube for a resident. This oversight was observed during a medication administration session where the Licensed Vocational Nurse (LVN) did not flush the G-tube with the prescribed 60ml of water after administering medications, instead using only 10ml. The resident involved was an elderly male with a history of dysphagia and cerebral infarction, requiring a G-tube for medication administration. The resident's care plan and physician orders clearly stated the need for a 60ml water flush before and after medication administration and a 5ml flush between medications. However, during the observed medication administration, the LVN deviated from these orders, potentially risking tube obstruction and inadequate medication delivery. Interviews with the LVN, Director of Nursing (DON), and Administrator confirmed the importance of adhering to the prescribed water flushes to prevent complications such as tube blockage and incomplete medication delivery. Despite having completed competency assessments and in-service training on G-tube medication administration, the LVN did not follow the established protocol, leading to the identified deficiency.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, with a reported rate of 33.33% due to 10 errors out of 30 opportunities. This deficiency was observed during medication administration for two residents. For one resident, the medication aide (MA B) improperly mixed eight crushed medications into one pill cup without a physician's order, which is against the facility's policy. The resident, who has severe cognitive impairment and multiple health conditions including dysphagia and Alzheimer's disease, was given these medications mixed with pudding, despite the absence of an order permitting such a practice. For another resident, MA B incorrectly held medications based on administration parameters that were not specified in the physician's orders. This resident, who has moderate cognitive impairment and several serious health conditions such as hypertension and heart disease, did not receive two blood pressure medications because MA B mistakenly believed the medications should be held due to the resident's blood pressure readings. The orders only specified holding the medications based on pulse rate, not blood pressure, leading to a failure in administering the prescribed medications. Interviews with MA B and the Director of Nursing (DON) revealed a lack of adherence to proper medication administration protocols. MA B admitted to mixing medications without a written order and holding medications based on incorrect parameters. The DON confirmed that verbal approval had been obtained for mixing medications but acknowledged the absence of a written order. The facility's policy requires medications to be administered as prescribed, highlighting a significant deviation from established procedures in these instances.
Inadequate Hand Hygiene During Wound Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by inadequate hand hygiene practices during wound care for a resident. The resident, a male with dementia, chronic obstructive pulmonary disease, and Parkinson's disease, had a Stage 4 pressure sore on his right heel. The care plan required specific interventions, including repositioning and daily wound treatment. However, during an observation, an LVN performed handwashing for only 17 seconds before and 16 seconds after wound care, which is below the recommended 20 seconds. Interviews with the LVN and the Director of Nursing (DON) confirmed that handwashing should be done for at least 20 seconds to prevent the spread of infections. The facility's hand hygiene policy and CDC guidelines also emphasize the importance of scrubbing hands for at least 20 seconds. Despite frequent in-service training on hand hygiene, the LVN could not recall the last training session, and the DON acknowledged the lapse in proper handwashing duration.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hebbronville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gulf Shores Rehabilitation & Healthcare Center | 33.7 mi | — | 8 | 0 |
| Windsor Nursing And Rehabilitation Center Of San D | 40 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.