Health inspection·November 21, 2025

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access for 3 of 5 Residents (Resident #1, #2, and #3) reviewed for medication storage:1. The facility failed to ensure Resident #1 did not have medication cups with cough syrup at the bedside.2. The facility failed to ensure Resident #2 did not have a jar of medicated mentholated ointment (a combination product that is used to relieve itching, minor muscle, or joint pain. This product may also be used as a chest rub to soothe symptoms associated with the common cold) at the bedside.3. The facility failed to ensure Resident #3 did not have a jar of medicated mentholated ointment (a combination product that is used to relieve itching, minor muscle, or joint pain. This product may also be used as a chest rub to soothe symptoms associated with the common cold) at the bedside.These deficient practices could affect residents who received medications in the facility and place them at risk for not receiving the correct medications, medication misuse or drug diversion.The findings included:1. Record review of Resident #1's face sheet dated 11/19/25 revealed a [AGE] year old female admitted to the facility on [DATE], and re-admitted on [DATE], and 8/23/25 with diagnoses that included heart disease, acute respiratory failure with hypoxia (a medical condition in which the lungs suddenly cannot provide enough oxygen to the blood), and seasonal allergic rhinitis (an allergic reaction that occurs during certain times of the year causing inflammation of the lining of the nose caused by an immune reaction).Record review of Resident #1's most recent quarterly MDS assessment dated [DATE] revealed the resident was cognitively intact for daily decision-making skills.Record review of Resident #1's Order Summary Report dated 11/19/25 revealed the following:Guaifenesin Liquid 100 MG/5ML, give 10 ml by mouth every 4 hours as needed for cough, with order date 8/29/25 and no end dateDuring an observation and interview on 11/19/25 at 2:14 p.m., Resident #1 was seen sitting up in bed and the bedside table to the right of the resident was observed with 2 medication cups that had red liquid in them. Resident #1 stated the 2 medication cups had cough syrup and were prescribed for allergies. Resident #1 stated she did not like the taste of the cough syrup and those (the medication cups) have been there for 3 days.2. Record review of Resident #2's face sheet dated 11/20/25 revealed a [AGE] year-old female admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses that included rheumatoid arthritis (a chronic disease in which the immune system attacks the lining of the joints causing inflammation, pain and swelling), reduced mobility, cough, asthma (a chronic lung disease in which the airways become inflamed, narrowed, and over-responsive making it difficult to breath), and fibromyalgia (a chronic disorder characterized by widespread muscle pain, tenderness, and fatigue).Record review of Resident #2's most current quarterly MDS assessment dated [DATE] revealed the resident was cognitively intact for daily (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: 676478 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 676478 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Harbor Valley Health and Rehabilitation 6211 Old Pearsall Road San Antonio, TX 78242 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)