Harbor Valley Health And Rehabilitation
Inspection Findings
F-Tag F0761
F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
decision-making skills.During an observation and interview on 11/20/25 at 8:49 a.m., Resident #2 stated
she received medications daily from the nursing staff and was not allowed to self-administer medications or keep medications in her room because staff were afraid other residents could have access to her medications. Resident #2 was observed with a jar of medicated mentholated ointment on her bedside table and stated she used the ointment on her feet. Resident #2 stated she last used the medicated mentholated ointment the night before.3. Record review of Resident #3's face sheet dated 11/20/25 revealed a [AGE] year-old female admitted to the facility on [DATE REDACTED] and re-admitted on [DATE REDACTED] and 11/4/25 with diagnoses that included chronic obstructive pulmonary disease (a long term lung disease in which airflow is partially blocked and breathing becomes difficult), respiratory failure, rheumatoid arthritis (a chronic disease in which the immune system attacks the lining of the joints causing inflammation, pain and swelling), muscle weakness, and asthma (a chronic lung disease in which the airways become inflamed, narrowed, and over-responsive making it difficult to breath). Record review of Resident #3's most recent quarterly MDS assessment dated [DATE REDACTED] revealed the resident was cognitively intact for daily decision-making skills.During an observation and interview on 11/20/25 at 9:04 a.m., Resident #3 was observed with a jar of medicated mentholated ointment at the bedside. Resident #3 stated she used the ointment for her feet.
Resident #3 would not indicate when she last used the ointment. 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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Harbor Valley Health and Rehabilitation in San Antonio, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in San Antonio, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Harbor Valley Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.