Harbor Valley Health And Rehabilitation
Harbor Valley Health and Rehabilitation in San Antonio, TX — inspection on November 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 11/20/25 at 10:12 a.m., MA C stated medications were not allowed at the resident's bedside because other residents could take it, or the resident could hide it and give it to somebody else. MA C stated there were no residents in the facility who were allowed to self-administer medications.
During an interview on 11/20/25 at 10:37 a.m., LVN D stated it was unacceptable to leave medications at a resident's bedside because somebody else could have access to them, and they can pocket the medication. LVN D stated when medications were administered to a resident, the nurse was supposed to watch the patient take what was prescribed. LVN D stated there were no residents in the facility who were allowed to self-administer medications.
During an interview on 11/20/25 at 11:19 a.m., LVN E stated it was not acceptable to leave medications at a resident's bedside because somebody can take them when it was not intended for them, or the patient could hoard the medication and could possibly overdose.
During an interview on 11/20/25 at 2:09 p.m., the DON stated medications were not supposed to be left at the bedside because then it could not be determined if the resident took the medications.
The DON stated, medications left at the bedside could result in the resident possibly hoarding the medication and could have adverse effects from not taking a scheduled medication such as blood pressure medication.
The DON stated, the same could apply to over-the-counter medications.
The DON stated there were no residents in the facility who were allowed to self-administer medications.
Record review of the facility document titled Storage of Medications with revision date April 2007 revealed in part, .The facility shall store all drugs and biologicals in a safe, secure, and orderly manner.The nursing staff shall be responsible for maintaining medication store.Drugs shall be stored in an orderly manner in cabinets, drawers, carts, or automatic dispensing systems.Only persons authorized to prepare and administer medications shall have access to the medication room, including any keys.
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