The Heights of Alamo

In the surveyor’s words

From the most serious findings on record at The Heights of Alamo, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 5, 2025

  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 4 residents (Resident #3) reviewed for accidents and supervision, in that: The facility failed to ensure Resident #3 received adequate supervision to prevent him from falling off the bed fracturing his right distal femur on 07/30/2024. An Immediate Jeopardy was identified on 05/02/2025. The Immediate Jeopardy template was provided to the facility on [DATE] at 06:55 PM. The Immediate Jeopardy was removed on 05/04/2025 at 05:00 PM. […]

• No harm, potential for more than minimal, isolatedF583Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident's right to secure, confidential personal, and medical records for 1 (unknown resident) of 5 residents reviewed for Privacy. The facility failed to ensure the privacy of the unknown resident by not locking the computer screen on a medication cart, leaving the unknown resident's personal and medical information exposed. This failure could place residents at risk of resident-identifiable information being accessed by unauthorized persons. Findings included: Observation on 08/0426 at 2:23 PM revealed a computer screen on a medication cart in the 100 hallway was left unlocked. The screen displayed the unknown resident's picture, date of birth , and medication information on the screen. […]

• No harm, potential for more than minimal, isolatedF584Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 1 (Resident # 57) residents out of 6 that were reviewed for safe environment.The facility failed to ensure a wall in Resident # 57's bedroom was in good condition.This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment. The findings Included:Record review of Resident #57's electronic face sheet dated 8/5/26 reflected an [AGE] year-old resident admitted to the facility on [DATE] diagnoses included Alzheimer's (progressive brain disorder that slowly destroys memory, thinking skills, and the ability to carry out simple tasks), dementia (loss of cognitive functioning, such as thinking, remembering and… […]

• No harm, potential for more than minimal, isolatedF605Aug 5, 2026

  Based on interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the residents' medical symptoms for 2 (Resident #22 and Resident #76) of 3 residents reviewed for unnecessary medications. 1. The facility failed to have an adequate indication for the use of the medication Rexulti (an antipsychotic) for Resident #22 with a diagnosis of dementia. 2. The facility failed to have an adequate indication for the use of the medication Rexulti for Resident #76 with a diagnosis of Alzheimer's Disease and dementia. This failure could put residents at risk of harm from adverse reactions or harmful side effects. The findings included: 1. […]

• No harm, potential for more than minimal, isolatedF609Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure that all alleged violations involving neglect, were reported immediately to the State Survey Agency, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, for 3 of 3 residents (Resident #11, Resident #21, and Resident #120) reviewed for abuse or neglect. 1. The facility failed to report Resident #11's unwitnessed fall with major injury on [DATE] which resulted in a right hip fracture that required hospitalization and surgery. […]