Retama Manor Nursing Center/Pleasanton South

905 Oaklawn
Pleasanton, TX 78064
Atascosa County
Phone: 830-569-3861
Provider Number: 675428
Last Inspection: 07/06/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
88
Number of Residents
Number of
Residents
67
Number of Beds Available
Beds Available
21
Percent Occupancy
Percent Occupancy
76%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Individual
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 74
  • 38
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 74
  • 32
  • 23
Lower Numbers are Better

Details by Inspection Date

 

7/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 7/7/2015
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 7/30/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 8/6/2015
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 8/6/2015
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 8/3/2015
Failed To: Provide housekeeping and maintenance services. Widespread : Potential 4 8/6/2015
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Widespread : Minimal 5 8/6/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 8/6/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/6/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 8/6/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/6/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/6/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 8/6/2015
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4  
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 8/6/2015
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Potential 3 8/21/2015
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Widespread : Potential 4 8/6/2015
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread : Potential 4 8/6/2015
 

5/30/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 6/30/2014
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/30/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 6/30/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/30/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 6/30/2014
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 6/30/2014
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4 5/30/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 6/30/2014
 

8/8/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 9/20/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/20/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/20/2013
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Widespread : Potential 4  
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 9/20/2013
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 9/20/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

12/29/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 1/5/2015
 

11/24/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 12/24/2014
 

10/17/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 10/20/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 10/20/2014
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 10/20/2014
Failed To: Keep complete, dated laboratory records in the resident's file. Pattern : Minimal 4 10/20/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/20/2014
 

12/4/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 12/5/2013
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 12/5/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 1/17/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/17/2014

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 67 55.67 76.40
Registered Nurses 0.44 0.39 0.60
Licensed Practical / Vocational Nurses 0.53 0.73 0.92
Certified Nursing Assistants 1.84 1.83 2.18
Total Staff Hours 2.80 2.95 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 7 9 6
Long Stay Residents Experiencing One or More Falls with Major Injury 1 2 3
Long Stay Residents Who Have Depressive Symptoms 6 3 6
Long Stay Residents Who Lose Too Much Weight 4 6 6
Long Stay Residents Who Received an Antipsychotic Medication 22 26 22
Long Stay Residents Who Self Report Moderate to Severe Pain 13 7 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 9 10 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 4 3 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 10 13 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 1 3 3
Long Stay Residents With a Urinary Tract Infection 4 5 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 45 35 46
Short Stay Residents Who Self Report Moderate to Severe Pain 10 2 3
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 49 11 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 35 36 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 27 28