Sage Park Austin

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment for 1 of 1 dining room reviewed for environment. The facility failed to ensure the roof/ceiling of the dining area did not leak during a rainstorm on 05/05/25. This failure placed residents at risk of discomfort and diminished quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 2 kitchens (main kitchen) reviewed for food service safety. The facility failed to ensure, on 05/05/25 that: - the ice cream freezer and dairy refrigerator surfaces were clean, - breakfast sausages and bacon were stored in a safe manner - milk and buttermilk were not stored in the facility dairy refrigerator past the Sell By dates. This failure place residents at risk of food-borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for 2 of 2 dumpsters reviewed for garbage disposal. The facility failed to ensure the recycling and trash dumpster doors and windows were closed on 05/06/25. This failure placed residents at risk of pest infestation and disease.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that drugs and biologicals used in the facility were stored properly for 1 (Nurse Cart) of 5 Medication carts reviewed for drug storage. The facility failed to ensure that expired insulin pens were removed from the Nurse Cart on 05/06/25. This failure could place residents at risk for ineffective diabetes treatments and infections from contaminated insulin pens.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received food that accommodated their preferences for 2 of 24 residents (Residents #177 and #178) reviewed for food and nutritional services. The facility failed to ensure that Residents #177 and #178 were provided hot sauce or salsa with their Cinco de Mayo meal of Mexican food by request and in accordance with their cultural preferences. The failure placed residents at risk of not having their cultural needs met.

Inspectors wroteBased on observation and interview the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (Hall 100-A to 108A) of 3 halls reviewed for environment. The facility failed to remove an exposed blood soiled scalpel, needle, syringe, and 2 lancets from an unlocked and opened metal sharps container holder with no red, puncture resistant, leak-proof safety container insert on a wound treatment cart. This failure could place residents and staff at risk for injury.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Hall 100-A to 108A) of 3 halls reviewed for infection control practices. The facility failed to remove an exposed blood soiled scalpel, needle, syringe, and 2 lancets from an unlocked and opened metal sharps container holder with no red, puncture resistant, leak-proof safety container insert on a wound treatment cart. These failures could place residents and staff at risk for blood/ bodily fluid exposure, contamination, and the spread of infection.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. The facility failed to ensure the food was properly stored in the freezer and the pantry. This failure could place residents at risk being served food that could have been crossed-contaminated, frost bitten, and foodborne illness.

Inspectors wroteBased on interview and record review the facility failed to ensure that licensed nurses had the specific competencies and skills sets necessary to care for residents needs' as identified through resident assessments, and described in the plan of care for one of one resident (Resident #1) and 2 of 2 nurses reviewed for competent nursing staff. The facility failed to ensure nursing staff were properly trained and nursing staff failed to reported to management when they were unable to obtain the medication from the Omnicell Automated Medication Dispensing Systems. An Immediate Jeopardy (IJ) situation was identified on 10/02/23. While the IJ was removed on 10/04/23, the facility remained out of compliance at a scope of pattern and a severity of actual harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure residents were free of any significant medication errors for one of one resident (Resident #1) reviewed for medications. The facility failed to ensure nursing staff were properly trained and nursing staff failed to reported to management when they were unable to obtain the medication from the Omnicell Automated Medication Dispensing Systems. An Immediate Jeopardy (IJ) situation was identified on 10/02/23. While the IJ was removed on 10/04/23, the facility remained out of compliance at a scope of pattern and a severity of actual harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. This failure could place residents at risk for serious injury, serious harm, serious impairment, or death.

Inspectors wroteBased on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 24 residents (Resident #12) reviewed for dignity. CNA D referred to an adult brief as diaper in the presence of Resident #12. This failure placed resident at risk of embarrassment, dignity, and diminished quality of life.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents respiratory care consistent with professional standards of practice for 2 or 8 residents (Resident #16 and Resident #4) reviewed for oxygen therapy. The oxygen tubing on Resident #16 was not labeled with a date. The humidifier bottle for Resident #4 on the oxygen concentrator was empty for an unknown time. This failure placed residents at risk of nose and throat discomfort, skin breakdown, inadequate respiratory care and infection control.