The Heights of Atascosa

Inspectors wroteBased on observation, interview, and record review, the facility failed to procure, store, prepare, distribute, and serve food in accordance with professional standards for food services safety for one of one kitchen.1. The facility failed to ensure the cook and the kitchen aide used required hair restraints and beard guards.2. The facility failed to sign off on temperature logs required for the refrigerator, freezer, and dishwasher monitoring.3. The facility failed to properly label and date sugar free syrup, prepared salads, tea, water, thickener, ground beef, cheese, chicken, pancakes, pizza crust, and hamburger patties. 4. The facility failed to repair a floor drain beneath the rear preparation counter that contained standing water and debris. [...]

Inspectors wroteBased on interview, and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 1 of 6 residents (Resident #5) who were reviewed for resident assessments. The facility failed to document Resident #5's use of diuretic medication on the MDS assessment. This failure could place residents at risk of improper or incorrect care or of not receiving services necessary for their physical, mental, and psychosocial well-being.

Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 6 residents (Resident #61) reviewed for care plans: The facility failed to ensure Resident #61's care plan reflected the resident received antiplatelet medication. This deficient practice could cause confusion for staff members responsible for providing direct care to the residents and place residents at risk of receiving improper care and services.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drug records were in order and that an account of all controlled drugs was maintained and periodically reconciled for 1 of 3 carts (H nurse cart) reviewed for pharmacy services. The facility failed to ensure the controlled substance reconciliation log was signed for accuracy of medication quantities during shift change. This failure could place residents at risk of not receiving their prescribed medications, experiencing untreated pain and anxiety, and a decreased quality of life.

Inspectors wroteBased on interview and record review, the facility failed to ensure that all allegations involving abuse, neglect, exploitation and mistreatment were reported immediately, but no later than 2 hours after the allegation was made to the State Survey Agency for 1 of 4 residents (Resident #1) reviewed for reporting of allegation of abuse, in that: The facility failed to report to the State Survey Agency (Health and Human Services Commission) an allegation of sexual abuse made by Resident #1. This failure could place residents at risk for harm to include neglect and a diminished quality of life.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 2 of 8 residents (Resident # 25, Resident #75) reviewed for call lights. 1. Resident #25's call light was not in reach. 2. Resident #75's call light was not in reach. This failure could place residents at risk of achieving independent functioning, dignity, and wellbeing.

Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure the resident has a right to personal privacy for 1 (Resident #47) of 18 residents reviewed the privacy. Resident #47 did not have privacy in the resident's room because the resident's room was seen from outside due to the broken blinds of window. This failure could place residents at risk of violation of right to personal privacy.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 (Resident #47) out of 18 residents reviewed for environmental concerns. Resident #47's window blind was broken, and it could not cover the window fully. This failure could place residents at risk of a diminished quality of life due to exposure to an environment that is unpleasant, unsanitary, and unsafe.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement a person-centered care plan for 2 of 8 (Resident #25, Resident #75) reviewed for care plans. The facility failed to follow care planned interventions for Resident#25 and Resident #75 on 5/13/2025 when their call lights were not placed in reach. This failure could place the resident at risk of not receiving person-centered care that is needed for communicating with staff to ensure the residents' needs are met.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety for 1 of 1 kitchen observed. 1. The deep fryer was not clean from previous day usage. 2. The deep fryer was still uncleaned after 2 meals were served for the day. This failure could place residents who received meals and or snacks from the kitchen at risk for food borne illness.

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 1 (Resident #46) out of 18 residents reviewed for medical records. Facility nurses did not document their initials when they changed Resident #46's oxygen tubing and nasal cannular on the resident's medication administration record. This failure placed residents at risk for missed treatment regarding changing oxygen tubing and nasal cannular as ordered which could result in decline in healing and well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents have a right to personal privacy for 1 of 6 resident (Resident #42) reviewed for privacy, in that: LVN A did not completely close Resident #42's privacy curtain while providing colostomy (an opening for the colon through the abdomen) care for the resident. This deficient practice could place residents at-risk of loss of dignity due to lack of privacy.

Inspectors wroteBased on interview and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 1 of 18 residents (Resident #64) whose assessments were reviewed, in that: Resident #64's admission MDS assessment incorrectly documented the resident as not receiving hospice services. This failure could place residents at-risk for inadequate care due to inaccurate assessments.

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and 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 infection for 1 of 6 residents (Resident #18) reviewed for infection control, in that: CNA D failed to wash or sanitize her hands or change her gloves after touching the privacy curtain and the bed remote before starting incontinent care. This deficient practice could place residents at-risk for infection due to improper care practices.