Deficiency Records for Las Estancias By Pure Health
Updated as of February 01, 2022
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? |
|---|---|---|---|---|
| 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 | 2021-04-28 | 2021-07-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-28 | 2021-07-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-28 | 2021-07-09 | 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 | 2021-04-28 | 2021-07-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-04 | 2021-06-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-04 | 2021-06-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-04 | 2021-06-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-04 | 2021-06-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-05-04 | 2021-06-04 | 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 | 2019-11-12 | 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 |
| 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 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 |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| 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 |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-02 | 2018-11-26 | N |
