San Antonio North Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at San Antonio North Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656May 28, 2024

  Based on interview and record review, the facility failed to implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 (Resident #1) of 13 residents reviewed for comprehensive care plan, in that: LVN A failed to follow the plan of care on 05/01/2024 which required Resident #1 to be monitored and a PCP to be notified if Resident demonstrated a fear of being alone. Resident #1 attempted suicide on 05/02/2024. This failure resulted in the identification of Immediate Jeopardy (IJ) on 05/26/2024 at 06:00 p.m. […]

• Immediate jeopardy, isolatedF742May 28, 2024

  Based on interviews and record review the facility failed to ensure a resident who displayed or was diagnosed with a mental disorder or psychosocial adjustment difficulty received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being for 1 (Resident #1) of 13 residents reviewed for psychosocial concerns. LVN A failed to put interventions in place or promptly arrange for psychiatric services for Resident #1 after he displayed increased signs of fear on 05/01/2024. Resident #1 attempted suicide on 05/02/2024. This failure resulted in the identification of Immediate Jeopardy (IJ) on 05/26/2024 at 06:00 p.m. […]

• Immediate jeopardy, isolatedF624Aug 19, 2023

  Based on record review and interview, the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly discharge from the facility for 1 of 5 residents (Resident #1) reviewed for discharge rights, in that: The facility failed to ensure Resident #1 was safely discharged to a homeless shelter on 8/15/23. Resident #1's whereabouts remained unknown until 8/18/23, when he was found at a local park. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 8/18/23 at 6:32 p.m. […]

• Immediate jeopardy, isolatedF689Aug 5, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible, and each resident received adequate supervision to prevent accidents for 1 of 6 residents (Resident #1) reviewed for wandering, in that: Resident #1 eloped from the facility, traveled approximately 1.5 miles away from the facility and required medical treatment in emergency room for hypokalemia [low potassium] and hypotension [low blood pressure]. An Immediate Jeopardy (IJ) was identified on 08/03/2023 at 4:41 p.m. While the IJ was removed on 08/05/2023 at 6:34 p.m., the facility remained out of compliance at a severity level of actual harm that was not Immediate Jeopardy and a scope of isolated. […]

• Immediate jeopardy, isolatedF678Jun 20, 2023

  Based on interview and record review the facility personnel failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders follow physician orders and the resident's advance directives for 1 of 14 residents (Resident #1) whose records were reviewed for Full code status. The facility failed to ensure nursing staff followed emergency protocol and failed to ensure staff provided Resident #1, who had a Full Code in place, CPR, after the resident was found unresponsive with no pulse or respirations, according to professional standards of practice. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 2:07 p.m. […]