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F0584
E

Failure to Maintain Safe, Clean, and Accessible Resident Environment

San Antonio, Texas Survey Completed on 11-14-2025

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 adequate housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment for its residents. Specifically, two resident rooms and one patio door entry were observed to have unresolved maintenance issues. In one case, a resident who utilized a wheelchair reported that the bathroom door in his room only opened a quarter of the way, making the bathroom inaccessible, and the bedroom door did not close properly due to a broken hinge. The resident stated he had informed the Maintenance Director of these issues, but they remained unresolved, impacting his privacy and ability to accommodate visitors. Another resident's room was found to have a missing plate around a pipe above the bed, exposing a hole in the wall, as well as missing or torn rubber baseboards and broken or missing tiles in the shower. The resident reported having informed CNA staff about these issues weeks prior, but repairs had not been completed. The resident expressed dissatisfaction with the living conditions, noting that the environment made him feel bad and that maintenance had not addressed the problems on his side of the unit. Additionally, the entry/exit door to the patio, which led to the smoking area, was observed to close rapidly due to a missing mechanism, and there was a gap between the ramp and the threshold. Residents using wheelchairs had difficulty entering the building, sometimes requiring staff assistance, and one resident reported nearly falling due to the condition of the ramp and door. Staff interviews confirmed that these issues had persisted for some time, and the Maintenance Director acknowledged awareness of some problems but had not completed repairs. The Administrator was not aware of all the deficiencies until they were pointed out during the survey.

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