Parklane West Healthcare: Wound Care Gaps Found - TX
At Parklane West Healthcare Center, nurses responsible for wound care left treatment records blank on at least 11 dates between September and November 2025, covering three residents. When a federal inspector arrived on November 26, the facility's own director of nursing could not confirm whether any of those treatments had actually been performed.
The dates stretched across nearly three months: September 2, September 6, September 20, October 2, October 3, October 10, October 15, October 25, October 26, November 2, and November 5. Three residents, identified in the inspection report only as Residents 1, 2, and 3, had wound care orders that showed nothing in the completion column on those days.
The director of nursing was interviewed at 3:45 p.m. the day of the inspection. She explained that a blank entry on the treatment administration record did not mean a nurse had documented a refusal. It meant the nurse had written nothing at all. She said she would have to go back and interview the individual nurses to find out whether care had been given. She did not have that answer at the time of the inspection.
She was direct about what the stakes were. If wound care treatments were skipped, she said, the implication was progression of the wound, one that might not heal. She added that other factors matter too, including medication, diet, and the overall treatment plan. "It all goes together," she said.
That last point is worth sitting with. Wound care in a nursing home is not a single intervention. It is part of a coordinated system. When one piece of that system goes undocumented, no one managing the resident's care, not the next nurse on shift, not the attending physician, not the wound care specialist reviewing progress, can know with certainty what was done and when. A wound that appears to be stalling may actually have missed multiple treatments. Or it may have received all of them. Without a record, there is no way to know.
The inspection report categorizes this violation at a level of minimal harm or potential for actual harm. That framing reflects regulatory language, but the director of nursing's own words describe something more open-ended. She said the outcome depends on multiple factors. What she could not say was whether those factors had been given a fair chance to work, because the documentation that would answer that question was missing.
Eleven dates. Three residents. Each blank a question that the records could not answer.
The facility's treatment administration records are supposed to function as a log of care delivered, a running account that nurses update to confirm each treatment was completed or to note the reason it was not. A resident who refuses wound care, for instance, should have that refusal documented. That documentation protects the resident by creating a record of what happened, and it protects the nursing staff by showing they attempted the treatment. A blank does neither.
The director of nursing acknowledged that the records for Residents 1, 2, and 3 did not meet that standard across those 11 dates. She did not dispute the finding.
The inspection was conducted as a complaint investigation. The report does not describe the nature of the residents' wounds, their underlying conditions, or whether their wounds showed signs of deterioration during the period in question. What it documents is the gap between what the records showed and what the director of nursing could confirm.
For three residents over nearly three months, that gap was wide enough that the person responsible for overseeing nursing care at the facility said she would need to conduct her own interviews just to piece together what happened.
Whether those interviews were ever conducted, and what they found, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Parklane West Healthcare Center from 2025-11-26 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: August 21, 2026 · Our methodology
Parklane West Healthcare Center in San Antonio, TX was cited for violations during a health inspection on November 26, 2025.
The director of nursing was interviewed at 3:45 p.m.
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.