Sage Park San Antonio

In the surveyor’s words

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

• Immediate jeopardy, patternF695May 4, 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 1 of 6 residents (Resident #1) reviewed for respiratory care, in that: 1. The facility failed to monitor Resident #1 to ensure she was connected to continuous oxygen in accordance with her physician's order. 2. The facility failed to accurately document Resident #1's oxygen saturation levels when they were discovered to be in the 60s as a result of not being connected to continuous oxygen in accordance with her physician's order. 3. […]

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  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 (Main Kitchen), in that: 1. The facility failed to ensure an items in the walk-in refrigerator and dry storage areas were dated and or discarded correctly 2. The facility failed to ensure equipment used to cook were properly and thoroughly cleaned. These deficient practices could place residents who ate food from the kitchen at risk for foodborne illness. The findings included: 1. During an observation and interview on 09/06/2023 beginning at 11:21 a.m., revealed in the walk-in refrigerator a 5 lb. bag of opened mozzarella with no received or opened date; two each of 1 lb. […]

• No harm, potential for more than minimal, patternF802Jan 9, 2026

  Based on observation, interview, and record review, the 1 of 1 kitchen failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen. 1-The facility failed to have four kitchen staff complete their food handler certificates (Cook-I, DA-J, DA-K, DA-L) These failures could place residents at risk for food borne illness. The findings included: During an interview on 1/8/26 at 1:10pm with the Executive Chef she stated not having the four identified staff (Cook-I, DA-J,DAK,DA-L) completed their Food Handlers Certificates was an oversight. […]

• No harm, potential for more than minimal, patternF812Jan 9, 2026

  Based on observation, interview, and record review, the 1 of 1 kitchen failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen. 1. The facility failed to clean two wall vents which measured approximately 4x2 ft which were located across from the kitchen's freezer. 2. The facility failed to clean a 3x3 ft ceiling vent in the dry storage room. 3. The facility failed to clean a 3x3 ft ceiling vent located at the entrance to the dish room. 4. The facility failed to maintain proper hair restraints on two kitchen employees (Cook-G and DA-H) 5. The facility failed to maintain the required dish machine rinse temperature, and only reached 110 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF880Jan 9, 2026

  Based on observations, interviews and record reviews, 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 disease and infections for 4 of 29 residents (Residents #38, #39, #8 and #3) reviewed for incontinent care. 1. facility failed to ensure LVN C sanitized the blood pressure cuff when she used it between two residents (Residents #38 and #39) during medication pass. 2. The facility failed to ensure CNA D discarded her soiled gloves, sanitized her hands and put clean gloves on when she placed Resident #8's soiled brief in the trash can and continued to place clean items onto the resident. 3. […]