The Lev at San Antonio

In the surveyor’s words

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

• Immediate jeopardy, patternF684Aug 30, 2024

  Based on interviews and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice that would meet the resident's physical needs for 2 of 6 (Residents #22 and #5) residents reviewed for quality of care, in that: 1. The facility failed to ensure Resident #22 had a follow-up appointment with a GI doctor within 4-6 weeks from 05/25/24 for a esophageal stent removal, as recommended. Resident #22 did not have an appointment until 10 weeks later where the stent had migrated into the stomach causing an unanticipated need for removal of the stent from the stomach. 2. The facility failed to ensure Resident #5 had a follow-up appointment with a cardiologist in 4 weeks from January 25th. […]

• Immediate jeopardy, patternF684Feb 1, 2021

  Based on observations, interviews and record reviews, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice based on the comprehensive assessment of a resident and the comprehensive person centered care plan, and the residents' choices for 4 of 4 residents (#13, #31, #60, and #62) reviewed for [MEDICATION NAME] administration (a drug which raises blood pressure) in that: The facility did not ensure correct administration of [MEDICATION NAME] for Residents #62, #31, #13 and #60. The medication to raise blood pressure was given conflicting to physician order, when blood pressures were assessed to be in normal or high ranges, or without parameters for administration from the prescriber. […]

• Immediate jeopardy, isolatedF684Jun 27, 2022

  Based on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 6 Residents (Resident #1) reviewed for treatment and services. The facility failed to ensure Resident #1 received assessments and interventions including a physician ordered STAT (immediately, without delay) Lab CBC (complete blood count) on 6/14/2022 when Resident #1 experienced a change of condition on 6/11/2022 until discharge to the hospital within the ICU on 6/16/2022 where Resident#1 was intubated (breathing tube) and was not responsive to voice or touch, with an infection to the brain. […]

• Immediate jeopardy, isolatedF772Jun 27, 2022

  Based on interview and record review, the facility failed to provide laboratory services to meet the needs of the resident, for 1 of 4 residents (Residents # 1) reviewed for laboratory services, in that; The facility failed to obtain a STAT CBC prescribed by a physician on [DATE] for Resident #1 who had previous abnormal CBC on [DATE] with a change in condition and resulted in hospitalization on [DATE] for severe [CONDITION(S)] (the body's extreme response to an infection which is a life-threatening emergency) and death on [DATE]. This failure resulted in identification of Immediate Jeopardy (IJ) on [DATE] at 2:48 p.m. […]

• No harm, potential for more than minimal, widespreadF727Jul 24, 2026

  Based on observation, interview and record review, the facility failed to ensure a registered nurse was designated to serve as the director of nursing on a full-time basis for 1 of 1 facility reviewed for nursing services. The facility failed to ensure a registered nurse was designated as the DON beginning June 15, 2026. This failure could lead to decreased quality of care for residents. Findings included: Record review of the facility staff roster, undated/ reviewed 7/22/2026, did not reflect a staff member designed as DON. During an interview and observation on 7/21/26 at 8:30 AM, the ADM stated the facility did not have a DON and the ADON assumed the duties of the DON until a new DON was hired. […]