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Complaint Investigation

Hunters Pond Rehabilitation And Healthcare

January 10, 2025 · San Antonio, TX · 9903 Hunters Pond
Citations 1
CMS Rating 3/5
Beds 128
Provider ID 676331
Healthcare Facility
Hunters Pond Rehabilitation And Healthcare
San Antonio, TX  ·  View full profile →
Inspection Summary

HUNTERS POND REHABILITATION AND HEALTHCARE in SAN ANTONIO, TX — inspection on January 10, 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.

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Inspection Findings

FF689
Immediate Immediate Action Few o Resident RP .was notified of Immediate Jeopardy on 1/9/25 @2002 (8:02 p.m.) affected

Summary of IJ and corrective action to be reviewed by QAPI monthly until substantial compliance established and continue monthly for 90 days to ensure ongoing compliance.

jeopardy to resident health or The facility's POR Verification was as follows: safety

Record review of POR binder note stated Medical Director was notified of Immediate Jeopardy on 1/9/25 at

Interview on 1/10/25 at 4:19 p.m., the Medical Director stated she had not spoken to the facility about an IJ, and it may have been in her call log.

The Medical Director stated there are several reasons a resident might need more assistance with bed mobility and was based on the ability of the patient.

She stated for example weight issues could require the resident to need more assistance.

She stated the type of assistance needed was dependent on the residents needs and abilities.

Interview on 1/10/25 at 7:00 p.m., the DON she left a message on 1/9/25 for the Medical Director.

The DON showed her call log and a call lasting 46 seconds at 6:11 p.m. was on the call log.

Interview on 1/8/25 at 3:00 PM, Resident #1's RP was interviewed and stated another emergency contact had more information about what happened to the resident the day of the fall and referred the surveyors to speak to that contact.

Review of EHR progress notes of Resident #1 stated RP was notified of Immediate Jeopardy on 1/9/25 at 8:02 PM.

Interview on 1/10/25 at 7:00 p.m., the DON stated she told the RP what happened and because of what happened and an IJ was called.

The RP stated she would pass the message onto the emergency contact #2.

Record review of Resident #1's EHR progress notes dated 1/4/25 at 6:47 p.m. stated resident was transferred to [hospital] via EMS.

During an Observation on 1/9/25 at 8:53 a.m. Resident #1 was at the hospital. Resident #1 was asleep in bed and non-interviewable.

The hospital Case Worker stated the resident had broken bones in her legs and was not a candidate for surgery.

The Case Worker stated they were just making the resident comfortable and she would most likely discharge home as the family wanted.

Record review of in-service titled Abuse, Neglect, and Exploitation, dated 1/9/25 contained 143 of 143 scheduled staff signatures present in plan of removal binder.

Record review of in-service titled 2 Person Assist for ADL/Bed Mobility with Review of Kardex conducted on 1/9/25 with scheduled staff signatures present (89 total, 56 of 56 CNAs, CMAs, or HA signed the in-service, and 33 Licensed Nurses).

Record review of in-service titled Kardex and Bed Mobility, dated 1/10/25, showed PT, OT, and ST with 25 of 25 scheduled staff signatures present.

During an interview on 1/10/25 at 7:00 p.m., the DON stated she participated in training for staff by demonstrating to staff where to locate the kardex, special instructions, POC, and care plans.

676331

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676331 B.

Wing 01/10/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224

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 HUNTERS POND REHABILITATION AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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