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F0584
D

Failure to Maintain Safe and Homelike Bathroom Environment for Two Residents

San Antonio, Texas Survey Completed on 07-31-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a safe, clean, comfortable, and homelike environment for two residents. For one resident with severe cognitive impairment and multiple medical conditions, the interior-facing bathroom door was observed to be unpainted on the lower third and had multiple scratch marks. For another resident with moderate cognitive function and significant medical diagnoses, the bathroom entrance had a 3-inch rust area on the left door post, and the toilet was not secured to the floor, allowing it to move during use. Both residents were observed using these bathrooms, and one resident reported that the rusted area had been visible for a month and expressed a desire for the toilet to be repaired. During a joint observation with the Administrator and Maintenance Director, it was confirmed that the bathroom door, door post, and toilet required repairs. The facility's Preventative Maintenance Program policy was reviewed and indicated that a program should be in place to ensure a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. However, the observed conditions in the bathrooms used by these two residents demonstrated a failure to maintain such an environment as required by policy.

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