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Deficiency Records for Las Colinas of Westover

A list of the most recent deficiencies for Las Colinas of Westover. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Las Colinas of Westover. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-30 2024-05-23 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-23 2023-12-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-23 2023-12-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-11 2023-12-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-11 2023-12-12 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 2023-12-11 2023-12-12 Y
Conduct testing and exercise requirements. Fire Safety 2023-07-27 2023-09-06 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-07-31 2023-08-15 N
Provide and implement an infection prevention and control program. Health 2023-07-31 2023-08-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-07-27 2023-08-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-31 2023-08-01 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-07-31 2023-08-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-07-31 2023-08-01 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-11-17 2022-11-21 Y
Ensure each resident receives an accurate assessment. Health 2022-11-17 2022-11-21 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-17 2022-11-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-17 2022-11-21 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-11-17 2022-11-21 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-06-17 2022-07-15 N
Keep residents' personal and medical records private and confidential. Health 2022-06-17 2022-07-15 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-17 2022-07-15 N
Ensure each resident receives an accurate assessment. Health 2022-06-17 2022-07-15 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-06-17 2022-07-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-17 2022-07-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-17 2022-07-15 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-06-17 2022-07-15 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 2022-06-17 2022-07-15 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 2022-06-17 2022-07-15 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-06-17 2022-07-15 N
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 2022-06-17 2022-07-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-17 2022-07-15 N
Dispose of garbage and refuse properly. Health 2022-06-17 2022-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-17 2022-07-15 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-06-17 2022-07-15 N
Keep all essential equipment working safely. Health 2022-06-17 2022-07-15 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-06-16 2022-07-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-09 2022-07-08 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 2022-06-09 2022-07-08 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-06-09 2022-07-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-09 2022-07-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-17 2021-12-20 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-04-09 2021-05-07 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 2021-04-09 2021-05-07 N
Keep residents' personal and medical records private and confidential. Health 2021-04-09 2021-05-07 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-04-09 2021-05-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-04-09 2021-05-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-09 2021-05-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-09 2021-05-07 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 2021-04-09 2021-05-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-09 2021-05-07 N

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