Nexus Neurorecovery Center - San Antonio

Intake came in on 2/15/26 stating the incident occurred on 2/13/26 and received medical treatment for their injury on the same day. This was not reported to CCR within the allocated time frame.

Resolution: Corrected: 2026-03-20

A caregiver initiated a personal restraint on a child when it was not required, as de-escalation techniques appeared to be managing the situation effectively and the child was not displaying aggressive behavior at the time of the restraint.

Resolution: Corrected: 2025-10-31

A caregiver initiated a personal restraint on a child when it was not required, as de-escalation techniques appeared to be managing the situation effectively and the child was not displaying aggressive behavior at the time of the restraint.

Resolution: Corrected: 2025-10-31

A caregiver initiated a personal restraint on a child when it was not required, as de-escalation techniques appeared to be managing the situation effectively and the child was not displaying aggressive behavior at the time of the restraint.

Resolution: Corrected: 2025-10-31

During the walkthrough of the kitchen multiple dry and wet food items were expired and multiple food items were not stored properly.

Resolution: Corrected: 2025-08-04

During the walkthrough of the kitchen multiple dry and wet food items were expired and multiple food items were not stored properly.

Resolution: Corrected: 2025-08-04

During the walkthrough of the kitchen multiple dry and wet food items were expired and multiple food items were not stored properly.

Resolution: Corrected: 2025-08-04

Children in care were able to access razors from secured operation locations.

Resolution: Corrected: 2025-08-15

Children in care were able to access razors from secured operation locations.

Resolution: Corrected: 2025-08-15

Children in care were able to access razors from secured operation locations.

Resolution: Corrected: 2025-08-15

11 of the 16 fire drills reviewed did not have required information.

Resolution: Corrected: 2025-07-03

11 of the 16 fire drills reviewed did not have required information.

Resolution: Corrected: 2025-07-03

11 of the 16 fire drills reviewed did not have required information.

Resolution: Corrected: 2025-07-03

Operation has not provided corrected operational policy.

Resolution: Corrected: 2025-04-01

Operation has not provided corrected operational policy.

Resolution: Corrected: 2025-04-01

Operation has not provided corrected operational policy.

Resolution: Corrected: 2025-04-01

Staff member engaged in a verbal confrontation with a child in care.

Resolution: Corrected: 2025-01-31

Staff member engaged in a verbal confrontation with a child in care.

Resolution: Corrected: 2025-01-31

Staff member engaged in a verbal confrontation with a child in care.

Resolution: Corrected: 2025-01-31

The initial service plan provided by the operation does not discuss the child's high-risk behaviors or a specific contract developed. The operation is aware of the child's high-risk behaviors as this is the second time at this operation.

Resolution: Corrected: 2024-12-09

The initial service plan time frame was outside the window of date of placement.

Resolution: Corrected: 2024-12-09

The initial service plan time frame was outside the window of date of placement.

Resolution: Corrected: 2024-12-09

The initial service plan provided by the operation does not discuss the child's high-risk behaviors or a specific contract developed. The operation is aware of the child's high-risk behaviors as this is the second time at this operation.

Resolution: Corrected: 2024-12-09

The initial service plan time frame was outside the window of date of placement.

Resolution: Corrected: 2024-12-09

The initial service plan provided by the operation does not discuss the child's high-risk behaviors or a specific contract developed. The operation is aware of the child's high-risk behaviors as this is the second time at this operation.

Resolution: Corrected: 2024-12-09

Incident reports were missing some information regarding time and date and names of adults involved.

Resolution: Corrected: 2024-08-30

Incident reports were missing some information regarding time and date and names of adults involved.

Resolution: Corrected: 2024-08-30

Incident reports were missing some information regarding time and date and names of adults involved.

Resolution: Corrected: 2024-08-30

Two child files were reviewed. The children's files did not include all necessary information within the file at the time of admission.

Resolution: Corrected: 2024-07-26

Two of two child admission assessments did not have a professional level service provider signature or date.

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed the operation's emergency evacuation posters to be without documentation of a designated outside meeting point.

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not specify who was included or present in developing the service plans

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed the operation's emergency evacuation posters to be without documentation of a designated outside meeting point.

Resolution: Corrected: 2024-07-26

Two of two child admission assessments did not have a professional level service provider signature or date.

Resolution: Corrected: 2024-07-26

Two child files were reviewed. The children's files did not include all necessary information within the file at the time of admission.

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed a care giver's training record to be without 40 hours of on-the-job training. The explanation note read that the care giver had this at a previous operation.

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not have confirmation that required parties were notified of the date the service plans would be completed and did not give those parties an opportunity to respond

Resolution: Corrected: 2024-07-26

Two of two child placement agreements were reviewed, and neither were signed by the child's parent/managing conservator.

Resolution: Corrected: 2024-07-26

Two child files were reviewed. The orientation information provided to the children within seven days of admission did not include all information regarding operation policies.

Resolution: Corrected: 2024-07-26

Two child files were reviewed, there were multiple items that were missing within each child's admission assessment.

Resolution: Corrected: 2024-07-26

2 of the 3 service plans reviewed were unclear as to who received a copy of the plan

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed the operation's emergency evacuation posters to be without documentation of a designated outside meeting point.

Resolution: Corrected: 2024-07-26

Two of two child admission assessments did not have a professional level service provider signature or date.

Resolution: Corrected: 2024-07-26

Two child files were reviewed. The children's files did not include all necessary information within the file at the time of admission.

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed a care giver's training record to be without 40 hours of on-the-job training. The explanation note read that the care giver had this at a previous operation.

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not have confirmation that required parties were notified of the date the service plans would be completed and did not give those parties an opportunity to respond

Resolution: Corrected: 2024-07-26

Two of two child placement agreements were reviewed, and neither were signed by the child's parent/managing conservator.

Resolution: Corrected: 2024-07-26

Two child files were reviewed. The orientation information provided to the children within seven days of admission did not include all information regarding operation policies.

Resolution: Corrected: 2024-07-26

Two child files were reviewed, there were multiple items that were missing within each child's admission assessment.

Resolution: Corrected: 2024-07-26

2 of the 3 service plans reviewed were unclear as to who received a copy of the plan

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not specify who was included or present in developing the service plans

Resolution: Corrected: 2024-07-26

Two child files were reviewed, there were multiple items that were missing within each child's admission assessment.

Resolution: Corrected: 2024-07-26

2 of the 3 service plans reviewed were unclear as to who received a copy of the plan

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not specify who was included or present in developing the service plans

Resolution: Corrected: 2024-07-26

2 of the 3 plans reviewed did not have confirmation that required parties were notified of the date the service plans would be completed and did not give those parties an opportunity to respond

Resolution: Corrected: 2024-07-26

Two child files were reviewed. The orientation information provided to the children within seven days of admission did not include all information regarding operation policies.

Resolution: Corrected: 2024-07-26

Two of two child placement agreements were reviewed, and neither were signed by the child's parent/managing conservator.

Resolution: Corrected: 2024-07-26

Residential Child Care Regulation observed a care giver's training record to be without 40 hours of on-the-job training. The explanation note read that the care giver had this at a previous operation.

Resolution: Corrected: 2024-07-26

Child in care on 1:1 supervision swallowed a foreign object which required medical treatment such as x-rays as this could result in an unhealthy condition of the body and mind.

Resolution: Corrected: 2024-07-17

Child in care on 1:1 supervision swallowed a foreign object which required medical treatment such as x-rays as this could result in an unhealthy condition of the body and mind.

Resolution: Corrected: 2024-07-17

Child in care on 1:1 supervision swallowed a foreign object which required medical treatment such as x-rays as this could result in an unhealthy condition of the body and mind.

Resolution: Corrected: 2024-07-17

A child in care cheeked medication and took more than the prescribed amount.

Resolution: Corrected: 2024-07-03

A child in care cheeked medication and took more than the prescribed amount.

Resolution: Corrected: 2024-07-03

A child in care cheeked medication and took more than the prescribed amount.

Resolution: Corrected: 2024-07-03

Operation utilized a drive sharing service to transport a child who was accompanied by staff from the hospital back to the operation.

Resolution: Corrected: 2024-05-01

Two serious incident reports did not have the operation's phone number.

Resolution: Corrected: 2024-05-01

Operation utilized a drive sharing service to transport a child who was accompanied by staff from the hospital back to the operation.

Resolution: Corrected: 2024-05-01

An employee file did not have documented the number of attempts made to contact the employees' former employers or the employers refusal to provide information. In the result area of contact it stated "NA"

Resolution: Corrected: 2024-05-01

An employee file did not have documented the number of attempts made to contact the employees' former employers or the employers refusal to provide information. In the result area of contact it stated "NA"

Resolution: Corrected: 2024-05-01

An employee file had reference checks; however, it was not documented if the references were professional or personal.

Resolution: Corrected: 2024-05-01

Two serious incident reports did not have the operation's phone number.

Resolution: Corrected: 2024-05-01

An employee file had reference checks; however, it was not documented if the references were professional or personal.

Resolution: Corrected: 2024-05-01

Operation utilized a drive sharing service to transport a child who was accompanied by staff from the hospital back to the operation.

Resolution: Corrected: 2024-05-01

Two serious incident reports did not have the operation's phone number.

Resolution: Corrected: 2024-05-01

An employee file did not have documented the number of attempts made to contact the employees' former employers or the employers refusal to provide information. In the result area of contact it stated "NA"

Resolution: Corrected: 2024-05-01

An employee file had reference checks; however, it was not documented if the references were professional or personal.

Resolution: Corrected: 2024-05-01

During an inspection, 1 of 5 staff files reflected the notarized affidavit was provided and signed but was not completed in the exception area.

Resolution: Corrected: 2024-01-18

During an inspection, record review for 1 of 5 staff files reflected only one reference was contacted instead of two.

Resolution: Corrected: 2024-01-18

During the inspection, record review of serious incident report reflected it did not contain all the required sections of a serious incident report to include: physical address, telephone number, names of adults involved and/or their role to child, witness information, interventions made during and after incident.

Resolution: Corrected: 2024-01-18

During an inspection at the operation, it was found an employee did not have a completed initial background check.

Resolution: Corrected: 2024-01-11

During an inspection, 1 of 5 staff files reflected the notarized affidavit was provided and signed but was not completed in the exception area.

Resolution: Corrected: 2024-01-18

During the inspection, record review of serious incident report reflected it did not contain all the required sections of a serious incident report to include: physical address, telephone number, names of adults involved and/or their role to child, witness information, interventions made during and after incident.

Resolution: Corrected: 2024-01-18

During an inspection, record review for 1 of 5 staff files reflected only one reference was contacted instead of two.

Resolution: Corrected: 2024-01-18

During an inspection at the operation, it was found an employee did not have a completed initial background check.

Resolution: Corrected: 2024-01-11

During an inspection, 1 of 5 staff files reflected the notarized affidavit was provided and signed but was not completed in the exception area.

Resolution: Corrected: 2024-01-18

During the inspection, record review of serious incident report reflected it did not contain all the required sections of a serious incident report to include: physical address, telephone number, names of adults involved and/or their role to child, witness information, interventions made during and after incident.

Resolution: Corrected: 2024-01-18

During an inspection, record review for 1 of 5 staff files reflected only one reference was contacted instead of two.

Resolution: Corrected: 2024-01-18

During an inspection at the operation, it was found an employee did not have a completed initial background check.

Resolution: Corrected: 2024-01-11

During walk through of operation it was observed that fire extinguishers had not been inspected for the month of October 2023. Operation staff admitted no monthly check was completed on during the month of October 2023.

Resolution: Corrected: 2023-11-22

During walk through of operation it was observed that fire extinguishers had not been inspected for the month of October 2023. Operation staff admitted no monthly check was completed on during the month of October 2023.

Resolution: Corrected: 2023-11-22

During walk through of operation it was observed that fire extinguishers had not been inspected for the month of October 2023. Operation staff admitted no monthly check was completed on during the month of October 2023.

Resolution: Corrected: 2023-11-22