Deficiency Records for Las Estancias By Pure Health
Updated as of September 01, 2018
This is not the most recent data for Las Estancias By Pure Health. For the most recent information, click here.
A list of the most recent deficiencies for Las Estancias By Pure Health. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-23 | 2018-06-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-23 | 2018-06-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-23 | 2018-04-20 | 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 | 2018-03-23 | 2018-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-23 | 2018-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-23 | 2018-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-04-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-23 | 2018-04-20 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-03-23 | 2018-04-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-23 | 2018-04-20 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-09-12 | 2017-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-12 | 2017-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-12 | 2017-10-20 | N |
| 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. | Health | 2017-09-20 | 2017-10-20 | N |
| 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. | Health | 2017-09-20 | 2017-10-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-20 | 2017-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-20 | 2017-10-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-20 | 2017-10-20 | N |
| Provide residents with private access to a telephone. | Health | 2017-09-20 | 2017-10-20 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-20 | 2017-10-20 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-20 | 2017-10-20 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-20 | 2017-10-20 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-20 | 2017-10-20 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-20 | 2017-10-20 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-20 | 2017-10-20 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-13 | 2016-10-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-13 | 2016-10-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-13 | 2016-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-09-13 | 2016-10-13 | N |
| 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. | Health | 2016-09-13 | 2016-10-13 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-13 | 2016-10-13 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-13 | 2016-10-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-13 | 2016-10-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-13 | 2016-10-13 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-09-13 | 2016-10-13 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-09-13 | 2016-10-13 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-13 | 2016-10-13 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-07 | 2016-09-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-30 | 2015-12-31 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-09-30 | 2015-12-31 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-30 | 2015-12-31 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-09-30 | 2015-12-10 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-09-30 | 2015-12-10 | N |
| 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. | Health | 2015-09-30 | 2015-12-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-09-30 | 2015-12-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-30 | 2015-12-10 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-09-30 | 2015-12-10 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-09-30 | 2015-12-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-09-30 | 2015-12-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-30 | 2015-12-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-09-30 | 2015-12-10 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-09-30 | 2015-12-10 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-09-30 | 2015-12-10 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-09-30 | 2015-12-10 | Y |
| 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. | Health | 2015-09-30 | 2015-12-10 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-09-30 | 2015-12-10 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-09-30 | 2015-12-10 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-09-30 | 2015-12-10 | Y |
| Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2015-09-30 | 2015-12-10 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-22 | 2015-12-02 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-09-22 | 2015-12-02 | N |
