The steam table at San Antonio West Nursing and Rehabilitation stopped working on Tuesday, August 12.
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Inspectors classified it as an isolated finding, with no actual harm documented.
The citation, classified under F0760, identified problems with how the home handled medication errors affecting a small number of residents.
PASARR, which stands for Preadmission Screening and Resident Review, exists for a specific reason.
Residents in long-term care typically take multiple medications.
The care order deficiency was cited under a category that covers quality of life and care.
That finding, recorded on August 18, sits under a category that goes to the foundation of nursing home care: resident assessment and care planning.
That was what inspectors found at 10:30 on the morning of August 18, walking through the kitchen where meals are prepared for the facility's residents.
That finding came out of a complaint investigation federal health inspectors conducted on August 18, 2025.
PRN medications are given as needed, typically when a resident requests them for pain.
The incident unfolded on a day when the certified nursing assistant regularly assigned to Resident #11 had left her shift early.
Inspectors arrived at the facility at 2040 S.