Hacienda Oaks at Beeville

In the surveyor’s words

From the most serious findings on record at Hacienda Oaks at Beeville, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 20, 2024

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen and 2 of 2 resident refrigerators reviewed for sanitation. 1.The facility failed to implement an approved cleaning schedule. 2.The facility failed to ensure equipment was clean and sanitized. 3.The facility failed to ensure food thermometers were calibrated prior to use. 4.The facility failed to ensure holding food was at the correct temperature for service. 5.The facility failed to ensure thermometers were wiped clean between foods. 6.The facility failed to ensure items in the unit refrigerators were not expired. […]

• No harm, potential for more than minimal, patternF645Mar 20, 2024

  Based on record review and interviews, the facility failed to ensure a PASRR evaluation was completed on newly admitted residents prior to admission and after admission for 5 of 8 residents reviewed for PASRR screenings (Residents #6, #16, #33, #42, and #60. 1. The facility failed to ensure Resident #6 received a Level 1 Screening. 2. The facility failed to ensure Residents #16, #33, #42, and #60's PASRR Level 1 screening indicated the residents were positive for mental illness. This failure placed residents at risk of not receiving or benefiting from specialized therapy and equipment services they may require. Findings included: Record review of Resident #6's initial admission record dated 04/10/21 with a re-admission on 07/31/23 revealed a [AGE] year-old female. […]

• No harm, potential for more than minimal, patternF695Mar 20, 2024

  Based on observation, interview, and record review, the facility failed to ensure that respiratory care was provided, consistent with professional standards of practice, for four residents (R #6, R #53, R #63, and R #46) of eight residents reviewed for respiratory care and services. 1.) R #46's suction machine canister had mucus secretions left in the canister for an unknown amount of time. 2.) R #46's suction tubing (connects to aspirators and other medical instruments used for extracting or evacuating body fluids and debris) for the suction machine was not dated or disposed after being used. 3) R # 6, R #53, and R #63 did not have a complete set of supplies that were needed to be able to perform suctioning treatment if needed. […]

• No harm, potential for more than minimal, patternF761Mar 20, 2024

  Based on observations and interviews, the facility failed to ensure all controlled drugs and biologicals were stored in separately locked and permanently affixed compartments for 1 of 1 expired/discontinued medication storage room (storage closet of the DON/ADON office) reviewed for labeling/storage of drugs and biologicals. The facility failed to ensure discontinued controlled medications for disposal were stored and separately locked in a permanently affixed compartment. This failure could place the facility at risk of drug diversion and access to medications. […]

• No harm, potential for more than minimal, patternF880Mar 20, 2024

  Based on observations, interviews, and record review, the facility failed to 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 four residents (Resident #60, Resident #36, Resident #48, and Resident #10) of five residents observed for infection control practices during wound care and medication pass. 1.) CNA A and LPN A did not perform hand hygiene for at least 20 seconds during and after wound care for Resident #60. 2.) LPN A did not sanitize hands between a glove change while performing wound care on Resident #60. […]