San Antonio West Nursing And Rehabilitation
San Antonio West Nursing and Rehabilitation in San Antonio, TX — inspection on December 19, 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
During an interview with CNA A, on 12/19/2025 at 9:11 a.m., CNA A stated Resident #2 returned from the hospital at the beginning of November with a foley catheter. CNA A stated Resident #2 would drink fluids throughout the day and stated he would change his foley catheter bag, just about every hour during the shift. CNA A stated he would provide peri care to Resident #2 by cleaning the foley insertion area and tubing when providing peri care throughout the day. CNA A stated Resident #2's foley bag would become full very quickly due to the number of fluids that Resident #2 would consume throughout the day. CNA A stated he would notify the nurse if a resident's foley catheter bag were leaking and the nurse would replace the bag. CNA A stated he would document foley care in the EMR under a task for incontinent care.
During an interview with LVN C, on 12/19/2025 at 9:51 a.m., LVN C stated Resident #2 was readmitted to the facility in November with a foley catheter. LVN C stated residents with foley catheters would have orders for cleaning the foley catheter site and emptying the bag each shift and replacing the foley bag and tubing monthly. LVN C stated the nurses were responsible for entering foley catheter orders into the physician orders and administration orders and stated any resident with a foley should have had orders for foley care. LVN C stated the nurses would document foley care on the administration record. LVN C stated Resident #2's foley bag was changed, about every 2 hours because his foley bag would fill up quickly. LVN C stated it was important for a resident to have foley orders so the nurses can document on the resident's care, to show that I did it.During an interview with the DON, on 12/19/2025 at 12:51 p.m., the DON stated a resident who was admitted to the facility with a foley catheter should have had foley catheter orders on the administration record.
The DON stated the nurses were responsible for obtaining foley catheter orders for care and stated the facility had standing orders for foley catheters to be changed monthly and prn and foley catheter care provided every shift.
The DON stated the foley order was entered into the EMR on 11/04/2025 but was not activated on the administration record, for some reason.
The DON stated it was important for the foley orders to be in the administration record so the task could be completed and there would have been a record that the task was completed.
The DON stated a resident who did not receive foley catheter care could develop an infection.
Record review of a facility policy titled, Catheter Care, date implemented 05/02/2025, revealed, 1.
Catheter care will be performed every shift and as needed by nursing personnel. 8.
Empty drainage bags when bag is half-full or every 3 to 6 hours.
Record review of a facility in-service attendance record dated, 11/25/2025, revealed, foley catheter care: ensure foley catheter care is performed every shift and when completing incontinent care.
Foley catheter to be changed monthly.
The document revealed 27 staff signatures.
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