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San Pedro Manor

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? Yes
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
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 02/00/2012 01/09/2001 Some grooming and personal and oral hygiene.

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 02/04/2009 02/07/2009 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/02/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/02/2004 01/00/2005 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. 01/02/2004 01/00/2005 2 Some
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. 01/02/2004 01/00/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/02/2004 01/00/2005 2 Few
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. 01/02/2004 01/00/2005 2 Some

Inspection, 02/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep complete 02/07/2003 00/00/0000 Many dated laboratory records in the resident's file.
Keep signed and dated reports of x-rays and other diagnostic services. 02/07/2003 00/00/0000 2 Some
Keep accurate 02/07/2003 00/00/0000 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2003 00/00/0000 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2003 00/00/0000 2 Some
Provide bedrooms that don't allow residents to see each other when privacy is needed. 02/07/2003 00/00/0000 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/07/2003 00/00/0000 2 Some
Make sure that doctors visit residents regularly 02/07/2003 00/00/0000 Some as required.

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

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 86 72 86
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 16 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 21 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 55 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 23 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, 01/00/2004

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/00/2004 01/00/2005 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An externally vented heating system. 01/00/2004 01/00/2005 2 Many
Properly protected cooking facilities. 01/00/2004 01/00/2005 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/00/2004 01/00/2005 2 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. 01/00/2004 01/00/2005 2 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. 01/00/2004 01/00/2005 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
 

515 W Ashby Pl
San Antonio, TX 78212

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