Heritage Nursing & Rehabilitation
Inspection Findings
F-Tag F0921
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and
the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 1 of 4 resident rooms (room [ROOM NUMBER]) reviewed for environmental concerns in that: The facility failed to repair a bathroom door, repair
a broken toilet, and secure a sprinkler system access panel in resident room [ROOM NUMBER]. These failures could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe. The findings included: Observation on 9/16/25 at 3:15pm with the Administrator and Maintenance Director revealed the following:a. There was a penetration (hole) which measured approximately 3 inches by 2 inches on the bathroom door in room [ROOM NUMBER].b. There was water running in the toilet which would also not flush in room [ROOM NUMBER].c. There was a sprinkler system access panel which measured approximately 1.5 ft by 1.5 ft on the bathroom wall in room [ROOM NUMBER] that was unsecured. During an interview on 9/16/25 at 3:00pm with the Social Worker
she stated that there was only one resident residing in room [ROOM NUMBER] and the resident was not able to be interviewed. During an interview on 9/17/25 at 2:15 pm with the Administrator and Maintenance Director, the Maintenance Director stated staff will notify him of repairs needed in resident rooms on the TELS work order system. The Maintenance Director stated that he had not received a work order request for the repairs needed in room [ROOM NUMBER]. The Maintenance Director stated resident rooms were checked on a weekly basis as needed for repairs to be completed. The Administrator stated the access panel on the wall in the resident's bathroom in room [ROOM NUMBER] had a sprinkler system valve that was used for sprinkler system tests only. The Administrator stated the sprinkler system access panel in room [ROOM NUMBER] was now secured. The Administrator and Maintenance Director stated that repairs made in room # 217 would promote the resident who lived in this room's dignity status. Record review of
the facility policy titled Physical Environment dated 01/2023 revealed The community has a preventative maintenance program that ensures all essential mechanical, electrical, and patient care equipment is in safe operating condition.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
HERITAGE NURSING & 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 HERITAGE NURSING & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.