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Complaint Investigation

San Antonio West Nursing And Rehabilitation

Inspection Date: October 25, 2025
Total Violations 2
Facility ID 675002
Location San Antonio, TX
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Inspection Findings

F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0686 Level of Harm - Actual harm Residents Affected - Few

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

entering the treatment orders for wounds into the resident's clinical record upon admission; and not having

a treatment order for wounds could result in the resident's plan of care not being followed. The Administrator said the treatment nurse was responsible for completing the weekly wound assessments and not having it completed could result in not following the plan of care and cause a decrease in the skin's integrity.Record review of the facility's policy Wound Care, dated 2021, revealed The purpose of this procedure is to provide guidelines for the care of wounds to promote healing.Preparation 1. Verify that there is a physician's order for this procedure. 2. Review the resident's care plan to assess for any special needs of the resident.Documentation. The following information may be recorded in the resident's medical record, if applicable: 1. The type of wound care given. 2. The date and time the wound care was given.

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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

10/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

San Antonio West Nursing and Rehabilitation

636 Cupples Rd San Antonio, TX 78237

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)

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F-Tag F0925

Environmental Deficiencies
Harm Level: Immediate Jeopardy

F 0925 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

Staff X (kitchen) stated: in-service stressed to keep the facility and kitchen clean as a prevention measure against pests. Staff X stated to check on the appearance of residents.and Report immediately if insects were on ceiling lights During an interview on 10/24/25 at 1:42 p.m., LVN I stated the highlights of training included: prevention through spraying and keeping rooms clean. LVN I stated Reporting involved to report to the DON and put in the maintenance log. During an interview on 10/24/25 at 1:43 p.m., CNA J stated the highlights were: check rooms for food and drinks. CNA J stated the environment involved to make sure it was kept clean. CNA J stated Reporting to the charge nurse and any COC and to document. During an

interview on 10/24/25 at 1:52 p.m., CNA L stated the highlights of training included: prevention by keeping

the facility clean. CNA L stated Check that residents were bathed as a prevention measure. CNA L stated to Report to housekeeping and the Administrator any room change. During an interview on 10/24/25 at 1:54 p.m., CNA M stated the training emphasized prevention of pests by having the resident cleaned and showered; and ensuring trash was removed. CNA M stated Report on TELS and report to DON and COC.

During an interview on 10/24/25 at 2:50 p.m., Staff Y (Rehab) stated highlights of training included: cleanliness in rooms and no clutter and no food. Staff Y stated check on resident odors and cleanliness as prevention. Staff Y added to Check on wound dressings; and inform the nursing staff if the residents appear dirty and unkempt. During an interview on 10/24/25 at 2:51 p.m., Staff Z (Rehab) stated: prevention of pests included rooms needed cleaning and windows sealed; and Residents should be clean and kept clean. Staff Z stated Report issues to the nursing staff. During an interview on 10/

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📋 Inspection Summary

San Antonio West Nursing and Rehabilitation in San Antonio, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 San Antonio West Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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