A list of the most recent deficiencies for Cibolo Creek. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-29 | 2023-10-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-12-29 | 2023-10-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-29 | 2023-08-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-26 | 2023-05-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-26 | 2023-05-27 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-26 | 2023-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-05-27 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-26 | 2023-05-27 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-05-26 | 2023-05-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-11 | 2023-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-25 | 2022-04-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-25 | 2022-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-04-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-25 | 2022-04-18 | Y |
| 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. | Health | 2022-03-25 | 2022-04-18 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-25 | 2022-04-18 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-25 | 2022-04-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-04-18 | Y |
| Keep all essential equipment working safely. | Health | 2022-03-25 | 2022-04-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-03-12 | 2021-03-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-12-10 | 2020-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-10 | 2020-12-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-12-10 | 2020-12-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-12-09 | 2020-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-09 | 2020-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-12-09 | 2020-12-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-12-09 | 2020-12-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-12-09 | 2020-12-10 | N |
| 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. | Health | 2020-12-09 | 2020-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-09 | 2020-12-10 | N |
