Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0584
E

Failure to Maintain Safe and Functional Resident Environment

San Antonio, Texas Survey Completed on 06-06-2025

Penalty

No penalty information released
tooltip icon
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, functional, sanitary, and comfortable environment for a resident, as evidenced by two main deficiencies observed during the survey. One of the resident's windows could not be fully closed, remaining open by approximately one inch for at least a week. This allowed rainwater to enter the room, resulting in warping and water damage to the interior windowsill. The resident and their representative reported the issue to a staff member after the rain incident, but the Maintenance Director was not made aware of the problem until the survey. The Maintenance Director confirmed the damage and acknowledged that he was responsible for maintaining the building's condition but had not been notified of the window issue or the resulting water damage. Additionally, the resident's room refrigerator was found to be non-functional for an undetermined period, with temperatures recorded at 58 and 60 degrees Fahrenheit on separate occasions. The resident's representative stated she was unable to bring in outside food due to the refrigerator not working and had not reported the issue to staff. The facility's ambassador, responsible for morning rounds and identifying room concerns, noted the refrigerator temperature was high and reported it to the Maintenance Director, but was unaware of the window issue. The facility's administrator and staff discussed unreliable thermometers and the need to monitor new refrigerators to ensure proper function, but there was no clear policy for ensuring a homelike environment or functioning equipment. The resident involved had a history of repeated falls, weakness, and dementia, with moderate cognitive impairment as indicated by a BIMS score of 9 out of 15. The facility's failure to maintain the resident's environment, including the inability to close the window and the lack of a functioning refrigerator, resulted in an unpleasant, unsanitary, and potentially unsafe living space. These deficiencies were identified through observations, interviews, and record reviews, and were not addressed in a timely manner due to lapses in communication and monitoring.

An unhandled error has occurred. Reload 🗙