Remington Transitional Care: MDS Assessment Failures - TX
Federal inspectors cited Remington Transitional Care of San Antonio in November 2025 for failing to ensure that resident assessments accurately reflected each resident's actual condition. The deficiency, documented during a complaint inspection on November 18, affected a small number of residents, according to the report.
The specific failure involved the Minimum Data Set, the standardized assessment tool nursing homes use to capture a resident's health status, functional abilities, and recent medical history. That assessment feeds directly into each resident's care plan. When it's wrong, the care plan built on top of it can be wrong too.
Inspectors found that the facility had not correctly coded fall history in the MDS. The relevant item asks whether a resident or their family reported a fall, or whether transfer records or medical records documented a fall in the month before the resident's admission date. The facility's entries did not accurately capture that information.
It is a narrow-sounding failure. It is not a minor one.
Falls are among the most consequential events in nursing home care. A resident who arrived at a facility having already fallen once is at measurably higher risk of falling again. Knowing that history shapes what staff watch for, what interventions get put in place, what the care plan says to do. Strip that history out of the record, or record it incorrectly, and the people responsible for that resident's daily safety may be working from a picture that doesn't match reality.
The inspection report noted directly that an inaccurate MDS "was directly related to a resident's care plan and a resident could miss care if the MDS was not correct." That language came from CMS's own Long Term Care RAI User's Manual, the federal guidance document nursing homes are required to follow when completing these assessments. The version cited, 1.20.1, was published in October 2025, just weeks before inspectors arrived.
Remington Transitional Care sits on Hamilton Wolfe Road in San Antonio, operating under CMS provider number 676216. The November inspection was triggered by a complaint, not a routine survey cycle. The report listed the level of harm as minimal harm or potential for actual harm, and described the number of residents affected as few.
The facility's plan of correction was not included in the publicly available inspection document. Residents and families seeking information about how the facility responded were directed to contact the nursing home or the Texas state survey agency directly.
What the report leaves unresolved is whether the residents whose assessments were wrong received care plans that actually reflected their needs, or whether anything fell through the gap between what the record said and what those residents required. The inspection found the coding error. It did not document what, if anything, that error cost the people it was supposed to describe.
The MDS is completed at admission and updated at regular intervals throughout a resident's stay. It is not a bureaucratic formality. It is the foundation on which staffing decisions, therapy orders, physician notifications, and daily care assignments are built. A facility that cannot reliably complete it accurately is a facility operating on incomplete information about the people in its care.
For the residents at Remington whose fall histories were not correctly recorded, that information gap existed from the moment they arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Remington Transitional Care of San Antonio from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 1, 2026 · Our methodology
REMINGTON TRANSITIONAL CARE OF SAN ANTONIO in SAN ANTONIO, TX was cited for violations during a health inspection on November 18, 2025.
The deficiency, documented during a complaint inspection on November 18, affected a small number of residents, according to the report.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.