Hunters Pond Rehabilitation And Healthcare
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.
Inspection Findings
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