Inspection·December 7, 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 personal privacy for 1 of 2 residents (Resident #11) reviewed for privacy, in that: Resident #11 was observed in the hallway on 12/07/2025 with his foley bag attached to right calf without a privacy cover, exposing his foley bag contents to anyone in the hallway. This deficient practice could affect residents by resulting in loss of dignity and low self-esteem. The findings were: Record review of Resident #11's undated face sheet revealed Resident #11 was a [AGE] year old male who admitted to the facility on [DATE] with diagnoses that included metabolic encephalopathy (a chemical imbalance in the blood that causes problems in the brain), acute kidney failure (a condition where the kidneys stop working), Alzheimer's disease (a progressive disease that affects memory and other important mental functions) and legal blindness (a definition used to assess the severity of visual impairment). Record review of Resident #11's undated comprehensive care plan revealed a care plan, date initiated 09/30/2025, has indwelling catheter and an intervention that revealed, position catheter bag and tubing below the level of the bladder and away from entrance room door. Record review of Resident #11's annual MDS assessment, dated 09/30/2025, revealed a BIMS score of 4, indicating severe cognitive impairment. Section B - Hearing, Speech and Vision revealed Resident #11 had severely impaired vision. Section GG - Functional Abilities revealed Resident #11 required partial assistance with transfers and ambulation. Record review of Resident #11's December 2025 MAR revealed an order, position privacy bag and tubing below the level of the bladder every shift, order date 09/29/2025. The MAR was initialed by LVN F on 12/07/2025 with a U. The chart code on the MAR revealed, U=Unknown. During an observation, 12/07/2025 at 1:12 p.m., Resident #11 was observed walking in the hallway with CNA A leading Resident #11 by the hands to an armchair and assisted Resident #11 to sit in the chair. Resident #11 was observed to be wearing knee length shorts. Resident #11 had a foley catheter bag attached by a leg strap at the top of Resident #11's right calf. The foley catheter bag did not have a privacy cover and the bag was observed to be over half full of yellow urine. During an interview with CNA A, 12/07/2025 at 1:14 p.m., CNA A stated Resident #11 had a foley catheter bag and said she had not observed a privacy cover for Resident #11 foley bag. CNA A stated the bag was attached to his upper calf when she came on shift at 6 a.m. and stated she did not think she had access to foley catheter bags. CNA A stated it was important for a resident to have a foley privacy bag, because it is privacy for the residents. CNA A stated she was not sure who was responsible for ensuring privacy bags were in place and stated she received education about ensuring privacy bags were in place when she was in CNA school. During an interview with Resident #11, 12/07/2025 at 1:18 p.m., Resident #11 stated the staff assist with his foley catheter bag and stated he was blind and did not know if he had a privacy cover on the bag. Resident #11 stated he did not care if he had a privacy cover or not and it did not bother him to not have a privacy cover. During an interview with the Operations Manager, 12/07/2025 at 3:08 p.m., The Operations Manager said a resident with a 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 2 Event ID: 675509 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 675509 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parklane West Healthcare Center 2 Towers Park LN San Antonio, TX 78209 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)