Health inspection·July 31, 2025

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure residents had the right to personal privacy and confidentiality of his or her personal and medical records for two of seven residents (Resident # 41 and Resident #2) reviewed for privacy. 1.The facility failed to ensure MA B locked the computer, after he walked away and left the computer unattended, which exposed Resident #41's morning medication list. 2.The facility failed to ensure the privacy curtains in Resident #2's room were able to completely close around his bed to provide Resident #2 privacy during wound care. These failures could place residents at risk of having medical information exposed to others and of loss of personal privacy, causing residents to feel uncomfortable and disrespected. The findings include: 1.Record review of Resident # 41's face sheet dated 07/30/25 revealed an [AGE] year-old male admitted to the facility on [DATE]. Resident # 41 had diagnoses that included: Schizophrenia (is a severe and chronic mental disorder characterized by disruptions in thought processes, perceptions, emotional responses, and social interactions) , Chronic obstructive pulmonary disease (is a progressive lung disease characterized by persistent airflow limitation, making it difficult to breathe) and Anxiety disorder (a group of mental health conditions characterized by excessive and persistent worry, fear, and nervousness). Record review of Resident # 41's Quarterly MDS assessment dated [DATE] reflected a BIMS score of 99 which indicated Resident # 41 was unable to complete the interview. Observation on 07/30/25 at 8:48 am, revealed that MA B prepared Resident's # 41‘s morning medication, walked away from the computer and did not lock the screen. During an interview on 07/30/25 at 8:55 am, MA B mentioned that he was not trained to lock the computer screen and believed that minimizing the screen was enough. He acknowledged that when he stepped away from the computer, Resident #41's private medical information may have been exposed. During an interview on 07/30/25 at 10:30 AM, the DON stated that she was not aware Resident #41's records were left open and unattended by MA B. The DON mentioned that it was her expectation for the facility nursing staff to uphold HIPAA (health insurance portability and accountability act) regulations and lock computer screens when they were away from them. She emphasized that all staff members were responsible for protecting residents' information. The DON stated leaving residents' electronic medical records unattended could lead to unauthorized access. Record review of the facility policy titled HIPAA Security Measures , 2005, revealed . All work stations that access electronic health information will have restricted access. 2. Record review of Resident #2's admission Record dated 07/30/2025 revealed he was a [AGE] year-old man with an admission date of 06/27/2025, and with diagnoses which included: Metabolic Encephalopathy (brain dysfunction resulting from systemic illness or organ problems causing chemical imbalances in the blood); and (Type 2 Diabetes Mellitus (chronic condition resulting in persistently high blood sugar levels) with foot ulcer (wound on foot). Record review of Resident #2's admission MDS dated [DATE] revealed he was unable to complete the Brief Interview for Mental Status and was assessed as having an unstageable pressure injury presenting as deep Residents Affected - Few (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 6 Event ID: 455817 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 455817 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE San Antonio North Nursing and Rehabilitation 501 Ogden San Antonio, TX 78212 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)