Sage Park Austin

In the surveyor’s words

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

• Immediate jeopardy, patternF726Oct 4, 2023

  Based on interview and record review the facility failed to ensure that licensed nurses had the specific competencies and skills sets necessary to care for residents needs' as identified through resident assessments, and described in the plan of care for one of one resident (Resident #1) and 2 of 2 nurses reviewed for competent nursing staff. The facility failed to ensure nursing staff were properly trained and nursing staff failed to reported to management when they were unable to obtain the medication from the Omnicell Automated Medication Dispensing Systems. An Immediate Jeopardy (IJ) situation was identified on 10/02/23. […]

• Immediate jeopardy, patternF760Oct 4, 2023

  Based on interview and record review the facility failed to ensure residents were free of any significant medication errors for one of one resident (Resident #1) reviewed for medications. The facility failed to ensure nursing staff were properly trained and nursing staff failed to reported to management when they were unable to obtain the medication from the Omnicell Automated Medication Dispensing Systems. An Immediate Jeopardy (IJ) situation was identified on 10/02/23. While the IJ was removed on 10/04/23, the facility remained out of compliance at a scope of pattern and a severity of actual harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• No harm, potential for more than minimal, widespreadF755Oct 14, 2021

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one of one medication room and one of one crash cart reviewed for pharmacy services, in that: The facility failed to: - date a multi-dose vial of a medication when opened. - dispose of expired pre-filled syringes, wound vac dressings, and catheters in the medication/medical supply room. - dispose of expired bottles of saline on the crash cart. These failures placed residents at risk of adverse therapeutic effects from expired medication and medical supplies. […]

• No harm, potential for more than minimal, widespreadF812Oct 14, 2021

  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. The facility failed to: Label or date food items in the refrigerator. Dispose of expired food items with marked expiration dates. This failure could place residents who eat from the kitchen at risk for foodborne illness. Findings: Observation of the kitchen on [DATE] at 7:20 a.m., revealed the following: In the walk-in refrigerator -a plastic bag of parsnips with expiration date of [DATE]; bagged cauliflower without labels or dates of expiration, -an open box of tomatoes without a label or date of expiration - a large open bag of carrots without a label or expiration date -a… […]

• No harm, potential for more than minimal, widespreadF880Oct 14, 2021

  Based on interview, observation, 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 to help prevent the development and transmission of communicable diseases and infection for the residents in the facility for 7 of 8 staff members (CNA A, CNA B, LVN C, LVN D, DSDS, and ALD) and one of one visitor, in that: The facility failed to: A.) ensure staff (LVN D, DSD, and ALD) and visitor wore the required N95 masks appropriately while in the facility. […]