u/LeapDayBaby_29-02

A public meeting of the Texas Board of Nursing was held on May 19, 2026, at 1801 Congress Avenue, Suite 14-101, Austin, Texas, in which the Temporary Suspension of Permanent Registered Nurse License Number 754060, issued to MARY ELIZABETH EASTLAND was considered pursuant to Section 301.455, TEXAS OCCUPATIONS CODE.

Staff of the Texas Board of Nursing appeared and presented evidence and information concerning the conduct of MARY ELIZABETH EASTLAND and whether her continued practice as a nurse would constitute a continuing and imminent threat to the public welfare.

After review and due consideration of the evidence and information presented, the Board finds that the following charges are substantiated:

CHARGE I.
Prior to July 4, 2025, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas, Respondent failed to develop and maintain adequate emergency plans and emergency training protocols for campers, staff and camp nurses at Camp Mystic. Moreover, Respondent should have been aware of Camp Mystic's experiences during previous catastrophic flooding events but failed to develop and implement inadequate emergency shelter plan and/or evacuation plan. Respondent's lack of emergency preparedness for herself and her camp nurses was likely to injure campers and staff in that it created and/or maintained an unsafe environment and likely resulted in physical harm, emotional harm, psychological harm, and loss of life to campers and staff in an emergency or disaster at Camp Mystic.

CHARGE II.
During and after the catastrophic flooding event on or about July 4, 2025, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas, Respondent failed to implement or maintain adequate shelter and evacuation protocols to protect campers and staff during and after an emergency or disaster at Camp Mystic. Respondent's conduct was likely to injure campers and staff in that it created an unsafe environment and may have unnecessarily exposed campers and staff to physical harm, emotional harm, psychological harm, and loss of life.

CHARGE III.
On or about July 4, 2025, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas, Respondent abandoned the campers and staff when the camp site began to flood at approximately 0200 by evacuating herself and her children to higher ground without providing any assistance or direction to all of the other campers and staff. Further, Respondent failed to contact the nursing staff via phone to provide
direction and/or emergency instruction at any time. Finally, Respondent failed to contact emergency services at any time during the event or after she became aware campers and/or staff were missing and unaccounted for. Subsequently, no less than twenty-seven (27) campers and staff members passed away in the flood waters. Respondent's conduct exposed the campers and staff unnecessarily to risk of harm in that leaving the area without helping others during and after the catastrophic event likely resulted in the campers and staff not getting the health care, support, and
supervision they needed to manage physical harm, emotional harm, psychological harm, and loss of life.

CHARGE IV.
On or about July 4, 2025, through March 31, 2026, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas, Respondent failed to report the deaths of no less than of twenty-five (25) campers and two (2) counselors within 24 hours per Texas Administrative Code §265.15. Respondent's conduct was deceptive and denied officials of the State of Texas information needed to regulate the camp site Respondent was administratively responsible for.

CHARGE V.
On or about March 1, 2025, through July 6, 2025, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas,Respondent inappropriately delegated the authorization for staff nurses to assess, diagnose and administer Phenergan suppositories, Zofran, Zithromax, Amoxicillin, Prednisone, Albuterol, and Epinephrine to campers without prior physician assessment and recommendation. Instead, Respondent allowed staff to notify the camp doctor within twenty-four (24) hours of starting the medication for a follow-up appointment in office. Respondent's conduct exposed campers unnecessarily to a risk of harm from interventions provided without the benefit of a physician's expertise.

CHARGE VI.
On or about May 1, 2025, through July 6, 2025, while serving as a Registered Nurse, Supervising Nurse, Camp Nurse, Director, and Chief Health Officer with Camp Mystic, Hunt, Texas, Respondent failed to personally administer medication to campers per Texas Administrative Code 265.15(l) or document written authorization to allow others to administer the medications in her place. In addition, Respondent failed to ensure staff distributed medications in compliance with HIPAA requirements in that staff brought campers medications to the dining halls and other camp areas for distribution. Further, Respondent failed to ensure medications were safely stored in a lockable cabinet or other secure location that was not accessible to campers. Respondent's conduct was in violation of State laws including 25 TEX ADMIN CODE. 265.15 regarding Medical and Nursing Care. Respondent's conduct resulted in incomplete medical records and was likely to injure the campers in that subsequent care givers would rely on her documentation to further
medicate the campers.

The Texas Board of Nursing further finds that, given the nature of the charges, the continued practice of nursing by MARY ELIZABETH EASTLAND constitutes a continuing and imminent threat to public welfare and that the temporary suspension of Permanent Registered Nurse License Number 754060, is justified pursuant to Section 301.455, TEXAS OCCUPATIONS
CODE.

NOW, THEREFORE, IT IS ORDERED that Permanent Registered Nurse License Number 754060, issued to MARY ELIZABETH EASTLAND, to practice nursing in the State of Texas be, and the same is/are, hereby SUSPENDED IMMEDIATELY in accordance with Section 301.455, TEXAS OCCUPATIONS CODE.