SENIOR CARE OF WINDCREST
LOCATED: 8800 FOURWINDS DR, SAN ANTONIO, TX 78239

SENIOR CARE OF WINDCREST 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 protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment and neglect by anybody.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observations, interviews, and record reviews, the facility failed to ensure that 3 of 8 residents (Resident #s, 2, 3, and 5) whose care was reviewed had the right to be free from neglect related to falls in that:
 

1. The facility failed to implement individualized interventions for Resident #2 to prevent further falls. Resident #2 sustained 18 falls within a month and a half, 4 of which involved hitting her head. Fall risk evaluations were not completed after each fall as per facility policy. Resident #2 was sent to out to the hospital for a hematoma to her forehead with swelling on 2/22/18 and passed away at the facility on 2/26/18.

2. The facility failed to implement individualized interventions for Resident #5 to prevent further falls. She sustained 4 falls within a month and a half, one resulting in the need for staples to her head. Fall risk evaluations were not completed after each fall as per facility policy.

3. The facility failed to implement individualized interventions for Resident #3 to prevent further falls. Resident #3 sustained 6 falls within 2 months. Fall risk evaluations were not completed after each fall as per facility policy.

 
These failures resulted in an Immediate Jeopardy (IJ) situation identified on 2/23/18. While the IJ was removed on 2/26/18, the facility remained out of compliance at a severity level of actual harm with a scope identified as pattern until all staff were in-serviced.
 
This deficient practice could affect 14 residents with recent falls by placing them at risk for recurrent falls with/without injury.

Personal Note from NHA–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.