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Complaint Investigation

Oak Park Nursing And Rehabilitation Center

November 6, 2025 · San Antonio, TX · 7302 Oak Manor Dr
Citations 2
CMS Rating 2/5
Beds 170
Provider ID 455789
Healthcare Facility
Oak Park Nursing And Rehabilitation Center
San Antonio, TX  ·  View full profile →
Inspection Summary

OAK PARK NURSING AND REHABILITATION CENTER in SAN ANTONIO, TX — inspection on November 6, 2025.

Found 2 citations. 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

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an observation on 11/05/2025 at 8:30 a.m., Resident #1 was sleeping with an oxygen concentrator set up on the floor besides the resident's bed; the resident was not interviewed due to his overall cognitive status.

During an interview on 11/5/25 at 8:35am C.N.A.-A stated Resident #1 used oxygen on an as needed basis sometimes in the a.m. hours.

During an interview on 11/5/25 at 9:00am ADON-B stated Resident #1's current care plan did not include the use of oxygen. ADON-B stated he thought only a resident's use of oxygen on a full-time basis was care planned.

During an interview on 11/5/25 at 9:20am with DON stated that Resident #1's oxygen use was not included in the current care plan.

The DON stated oxygen use on an as needed basis needed to be care planned to reflect the resident's total treatment.

Record review of the facility's policy named Care Plans, Comprehensive Person-Centered dated 12-2016 revealed Assessments of residents are ongoing and care plans are revised as information about the residents and the resident's conditions change.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/06/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Oak Park Nursing and Rehabilitation Center

7302 Oak Manor Dr San Antonio, TX 78229

SUMMARY STATEMENT OF DEFICIENCIES

The facility failed to ensure resident room [ROOM NUMBER], located on hallway 100, had repaired a yellow stain around the toilet bowl with missing caulking

The facility failed to ensure resident room [ROOM NUMBER], located on hallway 100, had repaired a black stain mark on the lower bathroom door measuring 2x1 ft. 3.

The facility failed to ensure resident room [ROOM NUMBER] located on hallway 300 had repaired a chipped piece of bathroom tile which measured approximately 2x2 inches and a broken piece of floor molding which measured approximately 2x2 inches on the right side wall adjacent to the bathroom. 4.

The facility failed to ensure resident room [ROOM NUMBER] located on hallway 300 had repaired a missing section of the lower door jam on the left side entry of the bathroom which measured approximately 1x1 inches. 5-On the 300 hallway ceiling adjacent to room [ROOM NUMBER] there was a 2x2 ft water stain mark and a section of peeling paint. 6-The facility failed to ensure resident room [ROOM NUMBER] located on hallway 400 had repaired a door penetration which measured approximately 2x1 inches. near the bathroom door handle. 7.

The facility failed to ensure resident room [ROOM NUMBER] located on hallway 400 had repaired a broken bathroom ceiling light which did not turn on.

These failures could place residents at risk of a diminished quality of life due to exposure to an environment that was unpleasant, unsanitary, and unsafe.

Findings included: During an observation in the facility's conference room on 11/5/25 at 9:30 a.m. revealed a posted list of the facility's pending work orders for completion.

During observation rounds with the Maintenance Director and Administrator on 11/5/25 from 10:00am-10:20am revealed the following:a. In room [ROOM NUMBER] on hallway 100 there was a yellow stain around the parameter of the toilet bowl that had missing caulking.b. In room [ROOM NUMBER] on hallway 100 there was a black stain mark on the lower bathroom door which measured approximately 2x1 ft. c. In room [ROOM NUMBER] on hallway 300 there was a chipped piece of bathroom tile which measured approximately 2x2 inches and a broken piece of floor molding which measured 2x2 inches on the right side of the wall adjacent to the bathroom. d. In room [ROOM NUMBER] on hallway 300 there was a missing section of the lower door jam entry to the bathroom which measured approximately 1x1 inches.e. On the 300-hallway adjacent to room [ROOM NUMBER] there was a section of the ceiling with a 2x2 ft water stain that had a section of paint which was peeling.f. In room [ROOM NUMBER] on hallway 400 there was a door penetration which measured approximately 2x1 inches near the bathroom door handle.g. In room [ROOM NUMBER] on hallway 400 there was a broken bathroom ceiling light that did not engage when turned on.

During an interview with the Maintenance Director and Administrator on 11/5/25 at 10:25 a.m. the Maintenance Director and Administrator stated the observed areas which needed repair were scheduled for repair on the work order process named TELS.

The Maintenance Director and Administrator stated completing the repairs would improve the resident's home environment.

Record review of the facility policy titled Work Orders, Maintenance dated 04/2010 stated The Maintenance Director will review work orders, assessing priority, and ensure appropriate follow-up and completion.

Facility ID:

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 OAK PARK NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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