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San Pedro Manor
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515 W Ashby Pl
San Antonio, TX 78212
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0 Recommendations
Details
| Type of Ownership | For profit - Partnership |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 150 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 03/02/2012
| Date of last standard health inspection: | 03/02/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 1 |
| Average number of Health Deficiencies in TX: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in TX: | 0 - 19 |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 02/00/2012 | 01/09/2001 | 2 | Some |
Inspection, 00/07/2012
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Provide or obtain laboratory services only when ordered by the attending physician. | 00/07/2012 | 00/05/2002 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | 00/07/2012 | 00/05/2002 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/07/2012 | 00/05/2002 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/07/2012 | 00/05/2002 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 00/07/2012 | 00/05/2002 | 2 | Some |
| Use a registered nurse at least 8 hours a day, 7 days a week. | 00/07/2012 | 00/05/2002 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 00/07/2012 | 00/05/2002 | 1 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/07/2012 | 00/05/2002 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/07/2012 | 00/05/2002 | 1 | Many |
| Keep residents' personal and medical records private and confidential. | 00/07/2012 | 00/05/2002 | 2 | Some |
Inspection, 02/04/2009
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/04/2009 | 02/07/2009 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/04/2009 | 02/07/2009 | 2 | Few |
Inspection, 00/02/2003
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/02/2003 | 02/09/2004 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/02/2003 | 00/01/2004 | 2 | Few |
| Keep all essential equipment working safely. | 00/02/2003 | 00/01/2004 | 2 | Some |
| Provide housekeeping and maintenance services. | 00/02/2003 | 02/09/2004 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 00/02/2003 | 00/01/2004 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 00/02/2003 | 02/09/2004 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are safe from serious medication errors. | 00/02/2003 | 01/05/2004 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/02/2003 | 01/05/2004 | 2 | Some |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/02/2003 | 00/01/2004 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/02/2003 | 01/05/2004 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/02/2003 | 01/05/2004 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/02/2003 | 00/01/2004 | 2 | Some |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 00/02/2003 | 00/01/2004 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/02/2003 | 01/05/2004 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/02/2003 | 00/01/2004 | 1 | Many |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 00/02/2003 | 00/01/2004 | 2 | Few |
| Allow residents to easily view the results of the nursing home's most recent inspection. | 00/02/2003 | 00/01/2004 | 1 | Many |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/02/2003 | 00/01/2004 | 2 | Some |
Inspection, 01/09/2002
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain comfortable and safe temperature levels. | 01/09/2002 | 00/08/2003 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/09/2002 | 00/08/2003 | 2 | Some |
Inspection, 02/07/2001
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 02/07/2001 | 02/08/2001 | 1 | Many |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | 02/07/2001 | 02/04/2002 | 2 | Some |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 02/07/2001 | 00/04/2003 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/07/2001 | 02/08/2002 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 02/07/2001 | 01/09/2002 | 2 | Many |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/07/2001 | 02/08/2001 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/07/2001 | 02/08/2001 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/07/2001 | 01/05/2003 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/07/2001 | 01/05/2003 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 02/07/2001 | 02/08/2002 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/07/2001 | 02/08/2001 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/07/2001 | 01/05/2003 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 02/07/2001 | 00/04/2003 | 2 | Few |
| Allow residents to have visitors. | 02/07/2001 | 00/08/2003 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/07/2001 | 00/08/2003 | 2 | Some |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in TX | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 1 out of 5 stars |
| Total Number of Residents | 85 | 72 | 80 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 32 hours 41 minutes | 1 hour 15 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 31 hours 51 minutes | 19 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 32 hours 41 minutes | 55 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 33 hours 41 minutes | 2 hours 11 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 02/29/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 02/29/2012 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in TX: | 1 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in TX: | 0 - 1 |
Inspection, 00/03/2012
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/03/2012 | 00/07/2002 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of portable space heaters. | 00/03/2012 | 00/07/2002 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/03/2012 | 00/07/2002 | 1 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 00/03/2012 | 00/07/2002 | 2 | Many |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/03/2012 | 00/07/2002 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 00/03/2012 | 00/07/2002 | 2 | Some |
Vertical Openings Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 00/03/2012 | 00/07/2002 | 2 | Some |
Inspection, 02/09/2002
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 02/09/2002 | 00/01/2004 | 1 | Many |
| Automatic sprinkler systems that have been maintained in working order. | 02/09/2002 | 00/01/2004 | 1 | Some |
| Portable fire extinguishers. | 02/09/2002 | 00/01/2004 | 1 | Many |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/09/2002 | 00/01/2004 | 2 | Some |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/09/2002 | 00/01/2004 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/09/2002 | 00/01/2004 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/09/2002 | 00/01/2004 | 2 | Some |
Inspection, 02/06/2001
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/06/2001 | 02/03/2002 | 1 | Many |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/06/2001 | 02/03/2002 | 1 | Many |
| Properly installed electrical wiring and equipment. | 02/06/2001 | 02/08/2001 | 1 | Some |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/06/2001 | 02/03/2002 | 1 | Many |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/06/2001 | 02/08/2001 | 2 | Some |
