She had been on her side, facing the doorway, while a certified nursing assistant cleaned her up after a bowel movement.
Nursing Home News — Page 143
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Her admission skin assessment noted the two areas.
The employee, identified in inspection records only as Staff B, had signed an acknowledgment of risk that came out of a construction review process.
The pest control company had flagged the problem as far back as February 2026.
The May 2026 inspection found the facility had not followed physician medication orders for a small number of residents.
Federal inspectors, responding to a complaint, reviewed the care that followed.
When inspectors visited on May 27, 2026, they found no traps in her room.
That omission sat undiscovered for months.
The resident, admitted in September 2022 with diagnoses including schizoaffective disorder and COPD, had been flagged as an elopement risk since May 2023.
That finding sits at the center of a complaint inspection completed May 29, 2026, at San Antonio North Nursing and Rehabilitation.
The resident, identified in inspection records only as Resident 1, has a gastrostomy tube, known as a PEG tube, used for feeding.
Inspectors cited the facility under a deficiency category covering how nursing homes procure, store, prepare, distribute, and serve food.