The September 4 inspection at Green Oaks Nursing & Rehabilitation captured the scene in real time.
Nursing Home News — Page 726
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Federal inspectors cited Karcher Post Acute, a skilled nursing facility at 1127 Caldwell Blvd., following a complaint inspection completed September 3, 2025.
The inspection at San Antonio West Nursing and Rehabilitation, completed September 4, 2025, was triggered by a complaint.
Nurse #1 had used code 14 in the TAR fields tracking Resident #1's skin treatments.
The resident, identified in inspection records only as R6, was admitted to the facility in May 2023.
The moves happened on August 8 and August 28, 2025.
A federal surveyor watched the whole thing happen at 8:05 a.m.
The manager only intervened after a federal inspector stopped the meal service and asked whether that was acceptable.
He was guarded during the physical assessment.
She was wearing a nasal cannula connected to an oxygen concentrator running at 2 liters per minute.
They came back a few days later and found her hand covered in purple and black bruising, fingers to palm, extending up her forearm.
Federal inspectors visited the 40-bed nursing home on September 3 and 4, 2025, following a complaint.