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San Antonio, TX – RESIDENT CRYING AND YELLING DURING WOUND CARE AND WAS NOT MEDICATED OR ASSESSED FOR PAIN; RESIDENT OUT OF PAIN MEDS FOR FOUR DAYS

NORTHGATE HEALTH AND REHABILITATION CENTER

LOCATED: 5757 NORTH KNOLL, SAN ANTONIO, TX 78240

NORTHGATE HEALTH AND REHABILITATION CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO PROVIDE NECESSARY CARE AND SERVICES TO MAINTAIN THE HIGHEST WELL BEING OF EACH RESIDENT

LEVEL OF HARM –IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview and record review the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being, in accordance with the comprehensive assessment and plan of care for 3 of 14 residents (#1, 2, 3) reviewed for care in that:
1. Resident #1 was yelling and crying during perineal care and wound care and was not medicated or assessed for pain. Resident #1 had been out of [MEDICATION NAME] (Controlled narcotic pain medication) for 4 days.
2. Resident #2’s urinary catheter tubing was pulled during catheter care.
3. Resident #3’s urinary catheter bag was attached to his wheel chair above the level of the bladder.
An Immediate Jeopardy (IJ) was identified on 04/22/15. While the IJ was removed on 04/23/15 prior to exit. The facility remained out of compliance at a severity level of actual harm with a scope of pattern. The plan of removal was still being monitored for compliance. This deficient practice could affect 41 residents on a pain management program and could result in pain not being managed; and placed 8 residents with urinary catheter at risk for an urinary tract infection.

Personal Note from NHAA Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.

We can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

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