WINDSOR MISSION OAKS
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Penalty
$10,842
Outcome
WINDSOR MISSION OAKS in SAN ANTONIO, TX was fined $10,842 by CMS following 37 deficiency citations identified during federal surveys.
Details
WINDSOR MISSION OAKS (SAN ANTONIO, TX) — $10,842 in CMS Fines
Outcome: WINDSOR MISSION OAKS in SAN ANTONIO, TX was fined $10,842 by CMS following 37 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that residents are fully informed and understand their health status, care and treatments.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Provide and implement an infection prevention and control program.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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