Estates at Shavano Park

In the surveyor’s words

From the most serious findings on record at Estates at Shavano Park, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF760Mar 13, 2026

  Based on interviews and record reviews, the facility failed to ensure that Residents were free of significant medication errors, for 3 of 8 residents (Residents #14, #23, and #27), reviewed for significant medication errors. Staff administered midodrine incorrectly per the physicians' orders, to Residents #14, #23, and #27. Midodrine is an oral medication that increases blood pressure by constricting blood vessels. It is used to treat severe drops in blood pressure upon standing. It is usually taken three times daily during waking hours. These failures could place residents at risk for injuries from low or high blood pressure.The findings include: 1. A record review of Resident #14's admission record, dated 3/11/2026, revealed Resident #14 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Mar 13, 2026

  Based on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included appropriate accessory and cautionary instructions, and the expiration date when applicable and in accordance with State and Federal laws, ensured all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 2 of 24 residents (Resident #2 and #70) and 1 of 3 medication carts (300-hall even nursing cart) reviewed for medication storage. 1. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services. 1. The Dietary Manager failed to wear a beard restraint while working in the kitchen.2. Dietary Aide P and Dietary Aide R failed to wear hair restraints or beard restraints while working in the kitchen.3. The facility failed to store wet dishes to allow for air-drying.4. The facility failed to ensure all prepared items in the walk-in refrigerator were labeled and dated with the use by date. 5. The facility failed to store items off the floor in the kitchen's dry storage area.6. […]

• No harm, potential for more than minimal, patternF880Mar 13, 2026

  Based on observation, interview and record review the facility failed to establish and 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 4 residents out of 20 residents (Resident #72, #3, #19, and #82) reviewed for infection prevention and control measures. 1. NP B and LVN A entered Residents #72 and #3's droplet precaution isolation room without wearing the appropriate PPE. 2. The facility failed to ensure CNA-T performed hand hygiene after changing gloves during incontinent care for Resident #19. 3. The facility failed to ensure MA-M disinfected the blood pressure cuff after using it on another resident. […]

• No harm, potential for more than minimal, patternF690Dec 6, 2024

  Based on observations, interviews, and record review the facility failed to establish and 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 5 (Residents #27, #38, #9, #2, and #49) of 8 residents observed for infection control. 1. The facility failed to ensure Resident #27's Foley catheter bag was not touching the floor twice on 12/03/2024. 2. The facility failed to ensure Resident #38's Foley catheter bag was not touching the floor on 12/03/2024. 3. The facility failed to ensure Resident #9's Foley catheter bag was not touching the floor on 12/03/2024 and on 12/05/2024. 4. […]