Health inspection·August 23, 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 1 medication aide medication cart, reviewed for security. The nurse medication cart was unattended and unlocked. This failure could place residents at risk for harm by misappropriation of property and not receiving the therapeutic effects of their medications. The findings included: During an observation and interview on 08/21/2024 at 11:55 AM, revealed the facility's nurses' medication cart was unattended, and unlocked. The medication cart was observed to be parked in the middle of the hall away from the nurse's station. Further observation revealed no nursing staff in the immediate area and observed LVN A seated at the nurse's station. The surveyor alerted LVN A to the unlocked nurse medication cart parked in the middle of the hall unsupervised and unattended. LVN A stated the cart was the nurse medication cart, was unlocked, unsupervised and unattended. LVN A stated the cart was assigned to LVN B who was not in the vicinity and LVN A did not know her whereabouts. LVN A stated the cart should be locked when not attended. LVN A stated the cart had residents' medications which included injectable, controlled narcotics, and oral medications. During an interview on 08/21/2024 at 03:02 PM the ADON stated all medications should be stored in locked compartments, narcotic medications should be under a double lock, and the keys should be in the possession of the nurse. The ADON stated an unlocked medication cart could place residents at risk for residents not receiving the therapeutic effects of their medications and or loss of control of their property. A record review of the facility's Medication Labeling and Storage policy dated February 2023 revealed, The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. Only authorized personnel have access to keys. Policy Interpretation and Implementation Medication Storage . 4. (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: 676402 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 676402 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/23/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windemere at Westover Hills 11106 Christus Hills San Antonio, TX 78251 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)