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Deficiency Records for San Antonio North Nursing and Rehabilitation
A list of the most recent deficiencies for San Antonio North Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for San Antonio North Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-06-29 | 2024-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-13 | 2024-06-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-13 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-06-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-13 | 2024-06-14 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-13 | 2024-06-14 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-06-13 | 2024-06-14 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-06-13 | 2024-06-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-13 | 2024-06-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| Provide appropriate foot care. | Health | 2024-06-06 | 2024-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-28 | 2024-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-28 | 2024-05-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-28 | 2024-05-29 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-05-28 | 2024-05-29 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-28 | 2024-05-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-28 | 2024-05-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-02 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-19 | 2023-09-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-19 | 2023-09-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-19 | 2023-09-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-19 | 2023-09-22 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-19 | 2023-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-05 | 2023-08-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-26 | 2023-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-05 | 2023-08-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-20 | 2023-07-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-29 | 2023-07-21 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-20 | 2023-06-21 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-06-20 | 2023-06-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-14 | 2023-05-17 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-04-14 | 2023-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-14 | 2023-05-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-14 | 2023-05-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-04-14 | 2023-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-17 | N |
| Keep all essential equipment working safely. | Health | 2023-04-14 | 2023-05-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-04-14 | 2023-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-17 | 2023-05-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-17 | 2023-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-03-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-06 | 2022-10-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-03 | 2022-06-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-02 | 2022-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-02 | 2022-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-02 | 2022-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-02 | 2022-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-10 | 2022-03-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-10 | 2022-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-03-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-10 | 2022-03-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-10 | 2022-03-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-13 | 2021-12-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-13 | 2021-12-13 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-13 | 2021-12-13 | Y |
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