Remington Transitional Care of San Antonio

In the surveyor’s words

From the most serious findings on record at Remington Transitional Care of San Antonio, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 6, 2021

  Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as is possible for 2 of 7 Residents (#1 and #2) reviewed for accidents in that: 1. Resident #1, who had a severe cognitive impairment (trouble remembering, learning new things, concentrating, or making decisions that affect daily life), drank from a bottle of Dakin's Solution (bleach mix) left at her bedside by ADON B after he finished Resident #1's wound care treatment, and as a result Resident #1 vomited and had loose stool, poison control had to be notified and an intravenous catheter had to be inserted to give Resident #1 fluids. 2. […]

• No harm, potential for more than minimal, patternF584Jun 6, 2025

  Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 (Resident #28) out of 8 residents reviewed for environmental concerns. The facility failed on 06/03/2025 when Resident #28's window (1 of 2) would not close all the way in his room remaining open approximately 1-inch, which could have resulted in damage to the interior windowsill according to the Maintenance Director. The facility failed on 06/03/2025 when Resident #28's room refrigerator had not been functioning for an unknown amount of time resulting in Resident #28's RP not being able to bring in outside food for Resident #28. […]

• No harm, potential for more than minimal, patternF759Jun 6, 2025

  Based on observation, interview, and record review the facility failed to ensure that its medication error rate was not 5 percent or greater. The facility had a medication error rate of 17.24% based on 5 out of 29 opportunities, which involved 2 of 6 Residents (Resident #161 and Resident #171) reviewed for medication administration, in that: 1. The facility failed on 6/5/25 to ensure RN F observed if Resident #171 took her metoclopramide (used to treat various gastrointestinal conditions), pantoprazole (decreases the amount of acid produced in the stomach), and sucralfate (to treat an active duodenal ulcer. Sucralfate works mainly in the lining of the stomach and is not highly absorbed into the body.) medications. 2. […]

• No harm, potential for more than minimal, patternF761Jun 6, 2025

  Based on observation, interview and record review, the facility failed to ensure all drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 2 of 3 medication cart (200 hall east and west carts) reviewed for labeling and storage of drugs. 1. The facility failed to ensure Resident #31's furosemide package directions matched the physician orders blood pressure parameters on the 200-hall east cart. 2. The facility failed to ensure 200-hall west medication cart was not left unlocked and out of sight from the nurse. 3. The facility failed to provide change direction labels for Resident #161's medication package of allopurinol which had medication order change from 100 mg (1 tablet) to 150 mg (1.5 tablets) on the 200-hall west cart. […]

• No harm, potential for more than minimal, patternF803Jun 6, 2025

  Based on interviews and record reviews the facility failed to ensure each resident received, and the facility provided food prepared in a form designed to meet resident choices for 2 of 8 residents (Resident #24 and #172) and 1 of 1 kitchen reviewed for dietary needs. The facility failed to ensure there was not a repetitive menu for the residents resulting in complaints about the lack of variety in food options. This deficient practice could place residents at risk for poor food intake, weight loss, and not having their religious nutritional preferences met. Record review of Resident #24's admission record, dated 06/03/25, reflected Resident #24 was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses to include constipation. […]