Health inspection·August 24, 2024

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. Based on observations, interviews, and record reviews, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys, for 1 of 4 medication carts (100 hall medication cart) reviewed for drug security. 100 Hall nurse's medication cart was left unattended, unlocked with the keys hanging from the lock outside the nurses' station with the drawers facing the outward and could be opened by anyone who passed by. This failure could place residents at risk for misappropriation of property and could place residents at risk for accidents, hazards, and not receiving therapeutic effects. The findings included: Observations on 08/17/2024 from 5:04 p.m. to 5:10 p.m. during in interview with RN A on 100 hall out of site of the nurses station, RN A stated she was doing wound care on 08/17/24. As the surveyor and RN A walked over to the nurses' station the 100 Hall medication cart was parked outside the nurse's station towards the 100 hall with the keys hanging from the lock that was in the unlocked position, the drawers were facing outward and could be opened by anyone who walked by, and the nurse responsible for the 100 Hall medication cart was not within site of the cart. As RN A walked by the 100 Hall medication cart with the keys in the lock that was in the unlocked position, she removed the keys from the lock, put them in her scrub top pocket, but did not lock the medication cart. RN A and the surveyor walked into the nurses' station where the unlocked drawers to the 100 Hall medication cart were out of their line of site. While the surveyor was interviewing RN A, an unidentified male visitor walked by the unlocked 100 Hall medication cart with the drawers faced outward. RN B, who was working on 100 hall, walked from the direction of the front offices, past the 100 Hall medication cart, reached over to the unlocked cart and the surveyor heard a clicking sound like the lock had been pushed into the cart and RN B walked into the nurses' station and sat down. When the surveyor stepped out of the nurses' station and passed by the 100 Hall medication cart it was locked. In an interview on 08/17/24 at 6:06 p.m. RN B, who was responsible for the 100 Hall medication cart, stated she always would push on the locks on the medications carts when she walks by them to make sure they were locked. RN B said she could not remember if the 100 Hall medication cart had been unlocked when she walked by it when the surveyor was talking to RN A at the nurses' station. In an interview on 08/23/24 at 5:23 p.m., RN A stated she did not remember what she removed from (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: 676224 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 676224 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/24/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Heights on Huebner 10127 Huebner Rd San Antonio, TX 78240 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)