Parklane West Healthcare Center

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation, interview, and record review the facility failed make sure that drugs were stored properly and only authorized persons had access to one of two carts reviewed for drug storage and labeling

on Hall A 3rd floor.The facility failed to ensure the 3rd floor Hall A medication cart was locked and medications were secured and not accessible to other staff, residents, or visitors.This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications.Findings Included:Observation of 3rd floor Hall A medication cart on 11/25/2025 at 3:29 PM revealed it was unattended and locked with each drawer opening when pulled. LVN A was seated at the nurse's station and was ask to review the cart. The medication cart was up against the wall in the 3rd floor Hall A corridor. The locking mechanism was pushed in signifying a locked position and was not secured with each drawer opening when pulled. The cart contained prescribed medication for residents and over the counter medications. LVN A walked to the cart from the nurse's station and pulled on each drawer which opened.Interview and observation on 11/25/2025 at 3:30 PM revealed LVN A had worked at the facility since May of 2025. She revealed she did not understand why the cart was locked and the drawers could be opened. LVN A took the action of unlocking the exterior cart lock, opening and closing each drawer one at a time to ensure that each one was fully closed, and re-locking the cart. She said she was responsible for ensuring the medication cart was locked. She said if a medication cart was left unlocked and unattended then medications could go missing by a resident, family member, and staff. She said this could lead to an overdose. She revealed that one drawer could have been slightly ajar causing the lock to not engage and secure the medications on the cart.An interview with the ADON A on 11/26/2025 at 03:25 PM revealed she had worked at the facility since June of 2025. She said that a resident with dementia could take a medication that they should not take if the medication cart was left unattended and unlocked. She revealed that someone accessing the cart could have an allergy from using a medication that was not prescribed for them. She revealed that the unattended and unlocked cart could lead to drug diversion.An

interview with the DON on 11/26/2025 at 3:45 PM revealed that the concern with an unsecured cart that is left unattended was that residents could take medication that they are not supposed to take.Record review of Medication Administration: Medication Carts and Supplies for Administering Medication Policy revised 05/2007 revealed:Policy: It is the policy of the facility to store all drugs and biologicals in locked compartments under proper temperature controls. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff lawfully authorized to administer medications. Procedure: Only licensed nurses, the consultant pharmacist and those lawfully authorized to administer medications (e.g. medication aides) are allowed access to medications. Medication rooms, carts, and medication supplies are locked or attended by persons with authorized access.

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:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Parklane West Healthcare Center

2 Towers Park LN San Antonio, TX 78209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

revealed that wound care treatment should be done unless the resident refuses it or there is another reason not to complete it. During an interview on 11.26.25 at 3:45 PM, the DON revealed that the TAR records for Residents #, #2, and #3 were not marked as completed on 9.2.2025, 9.6.2025, 9.20.2025, 10.2.2025, 10.3.2025, 10.10.2025, 10.15.2025, 10.25.2025,10.26.2025, 11.2.2025, and 11.5.2025. She revealed that a blank meant that the nurse did not document a resident's refusal and she would have to

interview the nurse to determine if the treatment was provided. She said that implications for not marking

the treatment as completed was progression of the wound that might not heal. She stated that it depends

on other factors like medication, diet, and treatment plan. It all goes together.

Event ID:

Facility ID:

If continuation sheet