Deficiency Records for Las Estancias By Pure Health
Updated as of January 01, 2020
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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-05 | 2019-09-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-05 | 2019-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-05 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-05 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-09-24 | Y |
| 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 | 2019-09-05 | 2019-09-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-05 | 2019-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-05 | 2019-09-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-05 | 2019-09-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-05 | 2019-09-24 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-09-03 | 2019-09-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-03 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-03 | 2019-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-03 | 2019-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-20 | 2019-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-20 | 2019-07-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-20 | 2019-07-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-06 | 2018-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2018-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-12-01 | N |
| 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 | 2018-11-02 | 2018-12-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-11-02 | 2018-12-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-02 | 2018-12-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-02 | 2018-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-02 | 2018-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-02 | 2018-12-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-02 | 2018-11-26 | N |
| 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 |
