San Antonio Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at San Antonio Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF760Dec 3, 2023

  Based on observation, interview, and record review the facility failed to ensure that residents are free of any significant medication errors for 1 of 12 residents (Resident #1) reviewed for significant medication errors, in that: The facility did not administer Resident #1's recommended doses for dexlansoprazole [a medication used to reduce stomach acidity and prevent stomach ulcers] and sucralfate [a medication used to coat the lining of the stomach and intestinal ulcers by forming a barrier over the ulcers and protecting the ulcer from further injury] from 11/11/2023 to 11/27/2023, resulting in the resident being sent out to the hospital on 11/27/2023. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 12/1/23 at 5:37 p.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2026

  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 for nutrition services.The facility failed to ensure the commercial bar soda/juice gun dispenser was free from dirt and debris buildup.The facility failed to ensure that the DNS, Cook, and Dietary Aide were wearing hair restraints during food preparation during the initial brief tour of the kitchen.The facility failed to ensure that the DNS, Cook, and Dietary Aide were wearing hair restraints appropriately during follow-up visits to the kitchen. […]

• No harm, potential for more than minimal, patternF761Feb 20, 2026

  Based on observations, interviews, and record review, the facility failed to ensure all drugs and biologicals were labeled in accordance with currently accepted professional principles and stored in locked compartments for 2 of 3 residents (Residents #36 and #21) and 1 of 11 medication carts reviewed for storage. 1. Resident #36's insulin Glargine (Lantus) Solos Flex Pen for diabetes had no open date, found inside 500 and 600-hall nursing cart on 02/18/2026. 2. Resident #21's insulin Novolog 70/30 Flex Pen for diabetes had no open date, found inside 200-hall nursing cart on 02/18/2026. 3. The facility failed to ensure 1 of 11 medication carts was kept locked or under direct observation of authorized staff in an area where residents could access it on 2/19/2026. […]

• No harm, potential for more than minimal, patternF689Nov 8, 2024

  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 2 of 3 patios reviewed for entrapment and lack of supervision. 1. The secured enclosed patio by the 100-300 hall dining room was accessed by a door that would allow residents, staff, and the public to exit to the secured enclosed patio but would lock behind anyone and would prevent access back into the dining room. 2. The secured enclosed patio by the 400-600 hall dining room was accessed by a door that would allow residents, staff, and the public to exit to the secured enclosed patio but would lock behind anyone and would prevent access back into the dining room. […]

• No harm, potential for more than minimal, patternF812Nov 8, 2024

  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 observed. The facility failed to ensure dietary staff used proper hand hygiene during meal preparation. This failure could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings included: Observation on 11/07/2024 at 12:08 p.m. […]