Sage Park Austin

Based on observation, interview, and record review, the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment for 1 of 1 dining room reviewed for environment. The facility failed to ensure the roof/ceiling of the dining area did not leak during a rainstorm on 05/05/25. This failure placed residents at risk of discomfort and diminished quality of life. Findings included: Observation on 05/05/25 at 12:10 PM revealed the facility dining room had two main seating areas which both led into a side room with a slanted ceiling and windows wrapped around all sides. The ceiling was composed of large planks laid side by side, and the seam between the second and third planks dripped heavily into the room and onto the floor. The room did not contain residents but was visible from the resident seating areas, and several residents were heard to remark on the leak. The room did contain a hydration cart with an ice chest, ice scoop, and disposable cups. CNA B was heard telling the other staff in the dining area she would retrieve a wet floor sign and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 2 kitchens (main kitchen) reviewed for food service safety. The facility failed to ensure, on 05/05/25 that: - the ice cream freezer and dairy refrigerator surfaces were clean, - breakfast sausages and bacon were stored in a safe manner - milk and buttermilk were not stored in the facility dairy refrigerator past the Sell By dates. This failure place residents at risk of food-borne illness. Findings included: Observation on 05/05/25 at 09:26 AM reflected the following conditions in the facility kitchen: -an open cardboard box containing a plastic bag of breakfast sausages open to the air, not labeled or dated, in the walk-in refrigerator; -an upright, stainless steel, two-door ice cream freezer in the dry storage closet with sticky and crusted material covering the doors and door handles -a stainless steel pan of cooked bacon covered in plastic cling wrap and dated 05/04/25, was inside the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for 2 of 2 dumpsters reviewed for garbage disposal. The facility failed to ensure the recycling and trash dumpster doors and windows were closed on 05/06/25. This failure placed residents at risk of pest infestation and disease. Findings included: Observation on 05/06/25 at 10:30 AM revealed the facility recycling dumpster was open at the top, and the facility trash dumpster was open at the top and on the side. Numerous flies were seen within the trash dumpster. Observation on 05/06/25 at 02:45 PM revealed the recycling and trash dumpsters were still open. There were still flies in the dumpster. During an interview on 05/06/25 at 02:04 PM, the LCK stated the kitchen trash was taken out by the dishwasher each day, but the nursing staff also used the dumpsters. He stated they were supposed to make sure the side and the top of dumpster was closed. He stated it was important to ensure they were closed so rodents, birds, and insects would not infest the trash and so trash…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure that drugs and biologicals used in the facility were stored properly for 1 (Nurse Cart) of 5 Medication carts reviewed for drug storage. The facility failed to ensure that expired insulin pens were removed from the Nurse Cart on 05/06/25. This failure could place residents at risk for ineffective diabetes treatments and infections from contaminated insulin pens. Findings included: Observation on 05/06/25 at 02:30 PM revealed the Nurse Cart belonging to LVN-A contained two insulin pens with opened dates of 03/07/25. The facility sticker placed on each pen when it was opened stated, discard 28 days after opening which would have made the expiration date of the 2 insulin pens 04/04/25. In an interview with LVN-A on 05/06/25 at 2:35 PM she stated the policy was to discard insulin pens 1 month after opening because they could have become contaminated. She stated the negative outcome to residents if not discarded was they could get an infection if the pens became contaminated and were used past the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure each resident received food that accommodated their preferences for 2 of 24 residents (Residents #177 and #178) reviewed for food and nutritional services. The facility failed to ensure that Residents #177 and #178 were provided hot sauce or salsa with their Cinco de Mayo meal of Mexican food by request and in accordance with their cultural preferences. The failure placed residents at risk of not having their cultural needs met. Findings included: Review of the undated face sheet for Resident #177 reflected a [AGE] year-old male admitted to the facility on [DATE]. His diagnoses included: anemia (low blood iron), end stage renal disease (kidney disease), type two diabetes mellitus (trouble producing insulin leading to high blood sugar), peripheral vascular disease (poor blood circulation to the arms and legs often leading to trouble healing wounds in those areas), anxiety disorder, cognitive communication deficit (communication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (Hall 100-A to 108A) of 3 halls reviewed for environment. The facility failed to remove an exposed blood soiled scalpel, needle, syringe, and 2 lancets from an unlocked and opened metal sharps container holder with no red, puncture resistant, leak-proof safety container insert on a wound treatment cart. This failure could place residents and staff at risk for injury. Findings included: An observation on 05/07/24 at 11:15 AM on Hall 100-A to 108-A a wound treatment cart was seen with its metal biohazard sharps containment door unlocked and wide open; there was not a red, puncture resistant, leakproof safety container insert in the metal containment and there were 5 items observed sitting at the bottom of the metal exposed containment which included an exposed size 15 scalpel with blood visible on the blade, 2 lancets, a needle, and a used medication syringe. The bottom of the metal container and its door were soiled with a dark yellow…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Hall 100-A to 108A) of 3 halls reviewed for infection control practices. The facility failed to remove an exposed blood soiled scalpel, needle, syringe, and 2 lancets from an unlocked and opened metal sharps container holder with no red, puncture resistant, leak-proof safety container insert on a wound treatment cart. These failures could place residents and staff at risk for blood/ bodily fluid exposure, contamination, and the spread of infection. Findings included: An observation on 05/07/24 at 11:15 AM, on Hall 100-A to 108-A a wound treatment cart was seen with its metal biohazard sharps containment door unlocked and wide open; there was not a red, puncture resistant, leakproof safety container insert in the metal containment and there were 5 items observed sitting at the bottom of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interviews, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. The facility failed to ensure the food was properly stored in the freezer and the pantry. This failure could place residents at risk being served food that could have been crossed-contaminated, frost bitten, and foodborne illness. Finding included: Observation on 03/11/2024 between 9:30 am and 10:30 am revealed an open bag of frozen fish was undated in the walk-in freezer. The box of fish was pulled forward to show the DM the fish was exposed, and he stated the staff was going to cook it that day. Continued observation walking throughout the freezer revealed there was a box of chicken nuggets open and exposed which was 2 boxes down on the same shelf with the fish. There was a box of what appeared to be hamburger patties open and exposed. Observation of the pantry revealed there was an open and exposed bag of crotons. The DM stated that it was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 24 residents (Resident #12) reviewed for dignity. CNA D referred to an adult brief as diaper in the presence of Resident #12. This failure placed resident at risk of embarrassment, dignity, and diminished quality of life. The findings included: Review of Resident #12's Face Sheet dated 01/20/23 reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of HTN (high blood pressure), CKD, heart failure, difficulty in walking, cognitive communication deficit (difficulty in thinking and using language), need for assistance with personal care, muscle weakness and anxiety disorder. Review of Resident #12's MDS dated [DATE] reflected a BIMS score of 12, indicating moderate cognition impairment. MDS reflected Resident #12 has indwelling catheter and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide residents respiratory care consistent with professional standards of practice for 2 or 8 residents (Resident #16 and Resident #4) reviewed for oxygen therapy. The oxygen tubing on Resident #16 was not labeled with a date. The humidifier bottle for Resident #4 on the oxygen concentrator was empty for an unknown time. This failure placed residents at risk of nose and throat discomfort, skin breakdown, inadequate respiratory care and infection control. The findings included: Review of Resident #16's Face Sheet dated 01/20/23 reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of heart failure with presence of cardiac pacemaker, dementia, HTN (high blood pressure), CKD, and muscle weakness. Review of Resident #16's MDS dated [DATE] reflected a BIMs score of 13, indicating intact cognition. MDS indicated Resident #16 requires oxygen therapy. Review of Resident #16's Care Plan dated 08/07/22 reflected…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.